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抑郁症的神经受体成像。

Neuroreceptor imaging in depression.

机构信息

Laureate Institute for Brain Research, Tulsa, OK 74136, USA.

出版信息

Neurobiol Dis. 2013 Apr;52:49-65. doi: 10.1016/j.nbd.2012.06.001. Epub 2012 Jun 9.

Abstract

The in vivo study of receptor binding potential in the human brain is made possible by positron emission tomography (PET) imaging. Here we review PET studies of neuroreceptor function in mood disorders - specifically, major depressive disorder (MDD) and bipolar disorder (BD). We concentrate on the most widely studied receptors of the serotonergic and dopaminergic systems. Specifically, the serotonin 1A (5-HT(1A)), serotonin 2A (5-HT(2A)), serotonin 1B (5-HT(1B)), dopamine 1 (D1), and dopamine 2/3 (D2/3) receptors. We also review PET studies of the serotonin transporter (5-HTT), the dopamine transporter (DAT), monoamine oxidase A (MAO-A), and the muscarinic 2 receptor (M2). On the basis of the PET literature as well as supporting genetic studies, postmortem data, and preclinical models of depression, and several models of how monoaminergic function is altered in mood disorders are discussed with respect to inflammation, endocrine dysfunction, depression subtypes, and altered neurocircuitry.

摘要

正电子发射断层扫描(PET)成像使得对人脑中受体结合势的体内研究成为可能。在这里,我们综述了神经受体功能在心境障碍(尤其是重性抑郁障碍和双相障碍)中的 PET 研究。我们集中研究了研究最广泛的 5-羟色胺能和多巴胺能系统的受体。具体而言,包括 5-羟色胺 1A(5-HT1A)、5-羟色胺 2A(5-HT2A)、5-羟色胺 1B(5-HT1B)、多巴胺 1(D1)和多巴胺 2/3(D2/3)受体。我们还综述了 5-羟色胺转运体(5-HTT)、多巴胺转运体(DAT)、单胺氧化酶 A(MAO-A)和毒蕈碱 2 受体(M2)的 PET 研究。基于 PET 文献以及支持的遗传研究、尸检数据和抑郁的临床前模型,讨论了几种关于单胺能功能在心境障碍中改变的模型,涉及炎症、内分泌功能障碍、抑郁亚型和改变的神经回路。

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