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啮齿类动物模型在精神分裂症新疗法发现中的作用:更新我们的策略。

The role of rodent models in the discovery of new treatments for schizophrenia: updating our strategy.

机构信息

Department of Integrative Neuroscience, New York State Psychiatric Institute, 1051 Riverside Drive, Mail Unit 14, New York, NY 10032, USA.

出版信息

Schizophr Bull. 2010 Nov;36(6):1066-72. doi: 10.1093/schbul/sbq106. Epub 2010 Sep 24.

Abstract

The strategies used in preclinical research in schizophrenia have evolved from experiments focused on the pharmacology of existing antipsychotic or psychotomimetic drugs to the broader study of pharmacological modulation of the neurobehavioral systems affected in schizophrenia. As an additional approach, neurodevelopmental, including genetic, manipulations have become increasingly used to model disease risk factors or to induce schizophrenia-relevant neuropathology. In the vast majority of these models, behavioral testing paradigms are used to test the effects of the drugs or developmental manipulations on psychomotor, cognitive and affective processes hypothesized to be affected in schizophrenia. The term "animal model of schizophrenia" is now applied to any combination of these strategies. The expansion in animal modeling strategies has led to significant innovation in identifying novel neural mechanisms that may contribute not only to psychosis but also to the cognitive and negative symptoms of schizophrenia. Yet one cost of innovation in the discovery of truly novel treatment targets is a higher risk for false positives--drugs that have shown promise in animal models but not in clinical trials. The goals of this commentary are to first provide a brief history and conceptualization of rodent models in preclinical research and then examine the issues to be addressed in order to increase the predictive power of animal models in the identification of new treatment targets and, ultimately, new effective treatments for schizophrenia.

摘要

精神分裂症临床前研究中使用的策略已经从侧重于现有抗精神病药或致幻药的药理学的实验演变为更广泛的研究神经行为系统的药理学调节,这些系统在精神分裂症中受到影响。作为另一种方法,神经发育,包括遗传操作,已越来越多地用于模拟疾病风险因素或诱导与精神分裂症相关的神经病理学。在这些模型中的绝大多数中,行为测试范式用于测试药物或发育操作对假设在精神分裂症中受影响的精神运动,认知和情感过程的影响。“精神分裂症动物模型”一词现在适用于这些策略的任何组合。动物模型策略的扩展导致了确定新的神经机制的重大创新,这些机制不仅可能导致精神病,而且可能导致精神分裂症的认知和阴性症状。然而,在发现真正新颖的治疗靶标方面创新的代价之一是假阳性的风险更高-在动物模型中显示出前景但在临床试验中却没有的药物。本评论的目的首先是简要介绍啮齿动物模型在临床前研究中的历史和概念,然后检查为提高动物模型在识别新的治疗靶标中的预测能力而需要解决的问题,最终为精神分裂症提供新的有效治疗方法。

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