Li Yi-Ying, Hu Zhen-Zhen, Huang Zhi-Li, Yang Su-Rong
Department of Pharmacology, Shanghai Medical College, Fudan University, Shanghai 200032, China.
Yao Xue Xue Bao. 2012 Jan;47(1):1-6.
Depression and insomnia are intimately related. Depressed patients usually manifest sleep discontinuity and early awakening, reduced or no slow wave sleep (SWS) and shortened latency of rapid eye movement (REM) sleep. These sleep abnormalities are very similar to those caused by over activated hypothalamic-pituitary-adrenal (HPA) axis with stress. Therefore, the animal models developed by post-traumatic stress disorder or chronic unpredictable mild stress could be used to evaluate drugs which have effects of both anti-depression and improvement of sleep quality, and to provide a more reliable platform for further studis on the mechanisms of depression and accompanied insomnia. This review mainly focuses on the typical features of sleep disturbance of depression, possible pathophysiological mechanisms, establishment of animal stress models and analysis of their abnormal sleep characteristics.
抑郁症与失眠密切相关。抑郁症患者通常表现为睡眠中断和早醒,慢波睡眠(SWS)减少或缺失,以及快速眼动(REM)睡眠潜伏期缩短。这些睡眠异常与应激导致的下丘脑-垂体-肾上腺(HPA)轴过度激活所引起的异常非常相似。因此,由创伤后应激障碍或慢性不可预测轻度应激所建立的动物模型可用于评估具有抗抑郁和改善睡眠质量双重作用的药物,并为进一步研究抑郁症及伴发失眠的机制提供更可靠的平台。本综述主要聚焦于抑郁症睡眠障碍的典型特征、可能的病理生理机制、动物应激模型的建立及其异常睡眠特征分析。