Department of Psychiatry, University of Pittsburgh Medical School, 450 Technology Dr. Suite 223, Pittsburgh, PA 15219, United States.
Eur Neuropsychopharmacol. 2011 Sep;21 Suppl 4(Suppl 4):S683-93. doi: 10.1016/j.euroneuro.2011.07.008. Epub 2011 Aug 11.
Affective disorders such as major depression, bipolar disorder, and seasonal affective disorder are associated with major disruptions in circadian rhythms. Indeed, altered sleep/wake cycles are a critical feature for diagnosis in the DSM IV and several of the therapies used to treat these disorders have profound effects on rhythm length and stabilization in human populations. Furthermore, multiple human genetic studies have identified polymorphisms in specific circadian genes associated with these disorders. Thus, there appears to be a strong association between the circadian system and mood regulation, although the mechanisms that underlie this association are unclear. Recently, a number of studies in animal models have begun to shed light on the complex interactions between circadian genes and mood-related neurotransmitter systems, the effects of light manipulation on brain circuitry, the impact of chronic stress on rhythms, and the ways in which antidepressant and mood-stabilizing drugs alter the clock. This review will focus on the recent advances that have been gleaned from the use of pre-clinical models to further our understanding of how the circadian system regulates mood.
情感障碍,如重度抑郁症、双相情感障碍和季节性情感障碍,与昼夜节律的重大紊乱有关。事实上,睡眠/觉醒周期的改变是 DSM-IV 诊断中的一个关键特征,并且用于治疗这些障碍的几种疗法对人类群体的节律长度和稳定性有深远的影响。此外,多项人类遗传研究已经确定了与这些障碍相关的特定生物钟基因的多态性。因此,昼夜节律系统和情绪调节之间似乎存在很强的关联,尽管这种关联的机制尚不清楚。最近,动物模型中的许多研究开始揭示昼夜节律基因与与情绪相关的神经递质系统之间的复杂相互作用、光处理对大脑回路的影响、慢性应激对节律的影响以及抗抑郁药和情绪稳定剂改变生物钟的方式。这篇综述将重点介绍从使用临床前模型中获得的最新进展,以进一步了解昼夜节律系统如何调节情绪。