Centro de Investigación en Reproduccion Animal (CIRA), Universidad Autónoma de Tlaxcala-CINVESTAV, Tlaxcala, México.
Expert Opin Drug Discov. 2013 Jul;8(7):865-77. doi: 10.1517/17460441.2013.797959. Epub 2013 May 8.
The extensive comorbidity among psychiatric disorders underscores the need for a fundamental change in the way psychopathology is classified. An alternative 'dimensional' system classifies disorders based on relationships with respect to heritability patterns and comorbidity. It is from this 'dimensional view' that mouse modeling of neuropsychiatric disorders is presently discussed.
This review describes three proposed dimensions of psychopathology: internalizing (disorders of negative emotions), externalizing (disorders of impulsivity) and schizophrenic. The article, furthermore, presents and explains the concept of endophenotype and discusses the possible endophenotypes relevant to each of these dimensions. Finally, the article also describes mouse behavioral tests that are used for quantifying these endophenotypes and presents examples of recent studies that have used these tests.
Considering animal models within the context of endophenotypes associated with psychopathological 'dimensions', rather than focusing on modeling specific disorders, might facilitate the discovery of new pharmacotherapies. Mouse models will be powerful tools for exploring how environmental factors interact with genetic vulnerability to cause psychopathology, possibly leading to novel preventative treatment strategies. Future pharmacotherapies for neuropsychiatric disorders such as depression might comprise drugs or drug combinations that target key components of multiple systems, including neurotransmitter systems, cytokine production, oxidative stress and the HPA axis.
精神障碍之间广泛的共病现象突出表明,需要从根本上改变精神病理学的分类方式。一种替代的“维度”系统根据遗传性模式和共病与疾病的关系对疾病进行分类。正是从这种“维度观点”出发,目前讨论了神经精神疾病的小鼠模型。
本文描述了精神病理学的三个拟议维度:内表型(负性情绪障碍)、外表型(冲动障碍)和精神分裂症。文章进一步提出并解释了内表型的概念,并讨论了与这些维度相关的可能的内表型。最后,文章还描述了用于量化这些内表型的小鼠行为测试,并介绍了最近使用这些测试的研究示例。
考虑到与精神病理学“维度”相关的内表型背景下的动物模型,而不是专注于特定疾病的建模,可能有助于发现新的药物治疗方法。小鼠模型将是探索环境因素如何与遗传易感性相互作用导致精神病理学的有力工具,可能会导致新的预防治疗策略。针对抑郁症等神经精神疾病的未来药物治疗可能包括针对多个系统关键成分的药物或药物组合,包括神经递质系统、细胞因子产生、氧化应激和 HPA 轴。