Department of Psychiatry, Center for Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA 19104, USA.
Science. 2012 Oct 5;338(6103):75-9. doi: 10.1126/science.1222940.
Advances in characterizing the neuropathology and functional dysconnectivity of depression and promising trials with emerging circuit-targeted and fast-onset therapeutics are providing unprecedented opportunities to gain deeper insight into the neurobiology of this devastating and pervasive disorder. Because of practical and ethical limitations to dissecting these mechanisms in humans, continued progress will critically depend on our ability to emulate aspects of depressive symptomatology and treatment response in nonhuman organisms. Although various experimental models are currently available, they often draw skepticism from both clinicians and basic research scientists. We review recent progress and highlight some of the best leads to diversify and improve discovery end points for preclinical depression research.
神经病理学和抑郁症功能连接障碍的研究进展,以及新兴的针对特定回路的、快速起效的治疗方法的临床试验,为深入了解这一破坏性强、普遍存在的疾病的神经生物学机制提供了前所未有的机会。由于在人类身上剖析这些机制存在实际和伦理上的限制,因此,持续的进展将极大地依赖于我们在非人类生物中模拟抑郁症状和治疗反应的能力。虽然目前有各种实验模型,但它们常常引起临床医生和基础研究科学家的怀疑。我们回顾了最近的进展,并强调了一些最佳线索,以丰富和改善临床前抑郁症研究的发现终点。