Massachusetts General Hospital, 149 - 13th Street, Room 4433, Charlestown, MA 02129, USA.
CNS Neurol Disord Drug Targets. 2013 Jun;12(4):460-5. doi: 10.2174/1871527311312040004.
The mammalian brain and central nervous system are especially dependent on the omega-3 (n-3) fatty acid docosahexaenoic acid (DHA) for normative signaling and function, and research suggests that n-3 fatty acid deficiencies are one contributing factor in the increasing prevalence of depressive disorders. However, the reasons for which n-3 fatty acids and mood are connected remain unknown. Atrophy in the hippocampus is one of the most significant neuroanatomical findings in depressed patients, and current therapies for depression tend to increase hippocampal neurogenesis. We recently discovered that the fat-1 transgenic mouse, which has enriched levels of DHA in the brain because it can convert n-6 to n-3 fatty acids, exhibits increased hippocampal neurogenesis. This finding suggests a mechanism by which omega-3 could influence depression and mood; here we expand on the argument that n-3 fatty acids, and DHA in particular, may help prevent and treat depression by virtue of their effects on neurogenesis in the hippocampus. Because DHA can be obtained through the diet, increasing DHA intake in depressed patients or those at risk for depression may be one way of managing the disease and perhaps providing aid to those who have not been able to achieve remission via pharmacological means.
哺乳动物的大脑和中枢神经系统特别依赖ω-3(n-3)脂肪酸二十二碳六烯酸(DHA)来实现正常的信号传递和功能,研究表明,n-3 脂肪酸缺乏是抑郁障碍发病率不断上升的一个因素。然而,n-3 脂肪酸和情绪之间联系的原因仍不清楚。海马体萎缩是抑郁症患者最显著的神经解剖学发现之一,目前治疗抑郁症的方法往往会增加海马体神经发生。我们最近发现,转 fat-1 基因的小鼠由于能够将 n-6 转化为 n-3 脂肪酸,大脑中的 DHA 含量丰富,表现出增加的海马体神经发生。这一发现表明了一种 omega-3 可能影响抑郁和情绪的机制;在这里,我们扩展了这样一种观点,即 n-3 脂肪酸,特别是 DHA,可能通过其对海马体神经发生的影响来帮助预防和治疗抑郁症。由于 DHA 可以通过饮食获得,在抑郁症患者或有患抑郁症风险的人群中增加 DHA 的摄入量可能是一种管理疾病的方法,也许可以为那些通过药物治疗无法缓解的人提供帮助。