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习得性无助和条件性挫败的重叠神经生物学:对 PTSD 和心境障碍的影响。

Overlapping neurobiology of learned helplessness and conditioned defeat: implications for PTSD and mood disorders.

机构信息

Department of Psychology, University of Vermont, 2 Colchester Avenue, John Dewey Hall, Burlington, VT 05405, USA.

出版信息

Neuropharmacology. 2012 Feb;62(2):565-75. doi: 10.1016/j.neuropharm.2011.02.024. Epub 2011 Mar 9.

Abstract

Exposure to traumatic events can increase the risk for major depressive disorder (MDD) as well as posttraumatic stress disorder (PTSD), and pharmacological treatments for these disorders often involve the modulation of serotonergic (5-HT) systems. Several behavioral paradigms in rodents produce changes in behavior that resemble symptoms of MDD and these behavioral changes are sensitive to antidepressant treatments. Here we review two animal models in which MDD-like behavioral changes are elicited by exposure to an acute traumatic event during adulthood, learned helplessness (LH) and conditioned defeat. In LH, exposure of rats to inescapable, but not escapable, tailshock produces a constellation of behavioral changes that include deficits in fight/flight responding and enhanced anxiety-like behavior. In conditioned defeat, exposure of Syrian hamsters to a social defeat by a more aggressive animal leads to a loss of territorial aggression and an increase in submissive and defensive behaviors in subsequent encounters with non-aggressive conspecifics. Investigations into the neural substrates that control LH and conditioned defeat revealed that increased 5-HT activity in the dorsal raphe nucleus (DRN) is critical for both models. Other key brain regions that regulate the acquisition and/or expression of behavior in these two paradigms include the basolateral amygdala (BLA), central nucleus of the amygdala (CeA) and bed nucleus of the stria terminalis (BNST). In this review, we compare and contrast the role of each of these neural structures in mediating LH and conditioned defeat, and discuss the relevance of these data in developing a better understanding of the mechanisms underlying trauma-related depression. This article is part of a Special Issue entitled 'Post-Traumatic Stress Disorder'.

摘要

创伤性事件的暴露会增加重度抑郁症(MDD)和创伤后应激障碍(PTSD)的风险,而这些疾病的药物治疗通常涉及 5-羟色胺(5-HT)系统的调节。啮齿动物的几种行为范式会产生类似于 MDD 症状的行为变化,这些行为变化对抗抑郁治疗敏感。在这里,我们回顾了两种动物模型,即成年期暴露于急性创伤性事件会引起类似于 MDD 的行为变化,即习得性无助(LH)和条件性挫败。在 LH 中,使大鼠暴露于不可逃避但可逃避的尾部电击会产生一系列行为变化,包括战斗/逃跑反应缺陷和焦虑样行为增强。在条件性挫败中,使叙利亚仓鼠暴露于更具攻击性的动物的社会挫败会导致其丧失领地攻击性,并在随后与非攻击性同种动物的接触中增加顺从和防御行为。对控制 LH 和条件性挫败的神经基质的研究表明,背侧中缝核(DRN)中 5-HT 活性的增加对这两种模型都是至关重要的。调节这两种范式中行为获得和/或表达的其他关键脑区包括基底外侧杏仁核(BLA)、杏仁核中央核(CeA)和终纹床核(BNST)。在这篇综述中,我们比较和对比了这些神经结构在介导 LH 和条件性挫败中的作用,并讨论了这些数据在更好地理解与创伤相关的抑郁症的机制方面的相关性。本文是特刊“创伤后应激障碍”的一部分。

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