Mendez-David I, Hen R, Gardier A M, David D J
EA 3544 pharmacologie des troubles anxio-dépressifs et neurogenèse, faculté de pharmacie, université Paris-Sud, Tour D1, 2(e) étage, 5, rue J.-B.-Clement, 92296 Chatenay-Malabry cedex, France.
Ann Pharm Fr. 2013 May;71(3):143-9. doi: 10.1016/j.pharma.2013.02.006. Epub 2013 Apr 4.
Depression and anxiety are psychiatric illnesses that are major burdens in society and affect as much as 7% of the world's population. The heterogeneous nature of depression suggests an involvement of multiple distinct brain regions including amygdala, prefrontal cortex and the hippocampus, which may be responsible for the diversity of the symptoms. Besides its critical role in learning and memory, the hippocampus is one of only two areas in mammalian brain where adult neurogenesis occurs. Of the current leading hypotheses of the pathophysiology and treatment of depression, the neurogenesis hypothesis of depression deserves particular attention because changes in neurogenesis are only seen after chronic, but not acute, antidepressant treatment. This review revisits the role of adult hippocampal neurogenesis in the pathophysiology of mood disorders, especially anxiety/depression, and also in the antidepressant-like responses, especially in stressed rodents.
抑郁症和焦虑症是给社会带来重大负担的精神疾病,影响着全球多达7%的人口。抑郁症的异质性表明多个不同脑区参与其中,包括杏仁核、前额叶皮质和海马体,这些脑区可能导致了症状的多样性。除了在学习和记忆中起关键作用外,海马体是哺乳动物大脑中仅有的两个发生成年神经发生的区域之一。在目前关于抑郁症病理生理学和治疗的主要假说中,抑郁症的神经发生假说值得特别关注,因为神经发生的变化仅在慢性而非急性抗抑郁治疗后才会出现。本综述重新审视了成年海马神经发生在情绪障碍,尤其是焦虑/抑郁的病理生理学中的作用,以及在抗抑郁样反应中的作用,特别是在应激啮齿动物中的作用。