Kaffman Arie, Krystal John H
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Methods Mol Biol. 2012;829:3-30. doi: 10.1007/978-1-61779-458-2_1.
Alterations in neurodevelopment are thought to modify risk of numerous psychiatric disorders, including schizophrenia, autism, ADHD, mood and anxiety disorders, and substance abuse. However, little is known about the cellular and molecular changes that guide these neurodevelopmental changes and how they contribute to mental illness. In this review, we suggest that elucidating this process in humans requires the use of model organisms. Furthermore, we advocate that such translational work should focus on the role that genes and/or environmental factors play in the development of circuits that regulate specific physiological and behavioral outcomes in adulthood. This emphasis on circuit development, as a fundamental unit for understanding behavior, is distinct from current approaches of modeling psychiatric illnesses in animals in two important ways. First, it proposes to replace the diagnostic and statistical manual of mental disorders (DSM) diagnostic system with measurable endophenotypes as the basis for modeling human psychopathology in animals. We argue that a major difficulty in establishing valid animal models lies in their reliance on the DSM/International Classification of Diseases conceptual framework, and suggest that the Research Domain Criteria project, recently proposed by the NIMH, provides a more suitable system to model human psychopathology in animals. Second, this proposal emphasizes the developmental origin of many (though clearly not all) psychiatric illnesses, an issue that is often glossed over in current animal models of mental illness. We suggest that animal models are essential to elucidate the mechanisms by which neurodevelopmental changes program complex behavior in adulthood. A better understanding of this issue, in animals, is the key for defining human psychopathology, and the development of earlier and more effective interventions for mental illness.
神经发育的改变被认为会改变多种精神疾病的风险,包括精神分裂症、自闭症、注意力缺陷多动障碍、情绪和焦虑障碍以及药物滥用。然而,对于引导这些神经发育变化的细胞和分子变化以及它们如何导致精神疾病,我们知之甚少。在这篇综述中,我们认为在人类中阐明这一过程需要使用模式生物。此外,我们主张这种转化研究工作应聚焦于基因和/或环境因素在调节成年期特定生理和行为结果的神经回路发育中所起的作用。这种对神经回路发育的强调,作为理解行为的基本单元,在两个重要方面与目前在动物中模拟精神疾病的方法不同。首先,它提议用可测量的内表型取代精神疾病诊断与统计手册(DSM)诊断系统,作为在动物中模拟人类精神病理学的基础。我们认为建立有效动物模型的一个主要困难在于它们对DSM/国际疾病分类概念框架的依赖,并建议美国国立精神卫生研究所最近提出的研究领域标准项目提供了一个更合适的系统来在动物中模拟人类精神病理学。其次,这一提议强调了许多(尽管显然不是所有)精神疾病的发育起源,而这一问题在目前的精神疾病动物模型中常常被忽视。我们认为动物模型对于阐明神经发育变化如何在成年期编程复杂行为的机制至关重要。在动物中更好地理解这个问题,是定义人类精神病理学以及开发更早、更有效的精神疾病干预措施的关键。