Wilson Christina, Terry Alvin V
Department of Pharmacology and Toxicology, School of Graduate Studies, Medical College of Georgia, Augusta, GA 30912-2300, USA.
Clin Schizophr Relat Psychoses. 2010 Jul;4(2):124-37. doi: 10.3371/CSRP.4.2.4.
Schizophrenia is a devastating mental illness that is associated with a lifetime of disability. For patients to successfully function in society, the amelioration of disease symptoms is imperative. The recently published results of two large antipsychotic clinical trials (e.g., CATIE, CUtLASS) clearly exemplified the limitations of currently available treatment options for schizophrenia, and further highlighted the critical need for novel drug discovery and development in this field. One of the biggest challenges in schizophrenia-related drug discovery is to find an appropriate animal model of the illness so that novel hypotheses can be tested at the basic science level. A number of pharmacological, genetic, and neurodevelopmental models have been introduced; however, none of these models has been rigorously evaluated for translational relevance or to satisfy requirements of "face," "construct" and "predictive" validity. Given the apparent polygenic nature of schizophrenia and the limited translational significance of pharmacological models, neurodevelopmental models may offer the best chance of success. The purpose of this review is to provide a general overview of the various neurodevelopmental models of schizophrenia that have been introduced to date, and to summarize their behavioral and neurochemical phenotypes that may be useful from a drug discovery and development standpoint. While it may be that, in the final analysis, no single animal model will satisfy all the requirements necessary for drug discovery purposes, several of the models may be useful for modeling various phenomenological and pathophysiological components of schizophrenia that could be targeted independently with separate molecules or multi-target drugs.
精神分裂症是一种极具破坏性的精神疾病,会导致患者终身残疾。为了让患者能够在社会中正常生活,改善疾病症状势在必行。最近公布的两项大型抗精神病药物临床试验(如CATIE、CUtLASS)结果清楚地表明了目前精神分裂症治疗方案的局限性,并进一步凸显了该领域新药研发的迫切需求。与精神分裂症相关的药物研发面临的最大挑战之一是找到合适的疾病动物模型,以便在基础科学层面检验新的假设。已经引入了许多药理学、遗传学和神经发育模型;然而,这些模型中没有一个经过严格评估其转化相关性,也未满足“表面”“结构”和“预测”效度的要求。鉴于精神分裂症明显的多基因性质以及药理学模型有限的转化意义,神经发育模型可能提供了最佳的成功机会。本综述的目的是对迄今已引入的各种精神分裂症神经发育模型进行总体概述,并总结其行为和神经化学表型,这些表型从药物研发的角度来看可能是有用的。虽然最终可能没有单一的动物模型能满足药物研发所需的所有要求,但其中一些模型可能有助于模拟精神分裂症的各种现象学和病理生理学成分,这些成分可以通过单独的分子或多靶点药物独立靶向。