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啮齿动物创伤后应激障碍的翻译相关模型构建

Translationally relevant modeling of PTSD in rodents.

作者信息

Matar Michael A, Zohar Joseph, Cohen Hagit

机构信息

Ministry of Health Beer-Sheva Mental Health Center, Anxiety and Stress Research Unit, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 4600, Beer-Sheva, 84170, Israel.

出版信息

Cell Tissue Res. 2013 Oct;354(1):127-39. doi: 10.1007/s00441-013-1687-6. Epub 2013 Aug 3.

Abstract

Post-traumatic stress disorder (PTSD) is clinically defined in DSM-4 by exposure to a significantly threatening and/or horrifying event and the presence of a certain number of symptoms from each of three symptom clusters at least one month after the event. Since humans clearly do not respond homogeneously to a potentially traumatic experience, the heterogeneity in animal responses might be regarded as confirming the validity of animal studies, rather than as representing a problem. A model of diagnostic criteria for psychiatric disorders could therefore be applied to animal responses to augment the validity of study data, providing that the criteria for classification are clearly defined, reliably reproducible and yield results that conform to findings in human subjects. The method described herein was developed in an attempt to model diagnostic criteria in terms of individual patterns of response by using behavioral measures and determining cut-off scores to distinguish between extremes of response or non-response, leaving a sizeable proportion of subjects in a middle group, outside each set of cut-off criteria. The cumulative results of our studies indicate that the contribution of animal models can be further enhanced by classifying individual animal study subjects according to their response patterns. The animal model also enables the researcher to go one step further and correlate specific anatomic, bio-molecular and physiological parameters with the degree and pattern of the individual behavioral response and introduces "prevalence rates" as a parameter. The translational value of the classification method and future directions are discussed.

摘要

创伤后应激障碍(PTSD)在《精神疾病诊断与统计手册》第四版(DSM - 4)中的临床定义为:经历重大威胁性和/或恐怖性事件,且在事件发生至少一个月后,出现来自三个症状群中每个症状群的一定数量的症状。由于人类显然不会对潜在的创伤经历做出同质化反应,动物反应的异质性可能被视为证实了动物研究的有效性,而非一个问题。因此,如果精神疾病诊断标准明确、可可靠重现且得出的结果与人类受试者的研究结果相符,那么该标准模型可应用于动物反应,以提高研究数据的有效性。本文所述方法的开发旨在通过行为测量并确定区分极端反应或无反应的临界分数,以个体反应模式为依据对诊断标准进行建模,从而使相当一部分受试者处于每组临界标准之外的中间组。我们研究的累积结果表明,通过根据动物研究个体的反应模式进行分类,动物模型的作用可得到进一步增强。动物模型还使研究人员能够更进一步,将特定的解剖学、生物分子和生理学参数与个体行为反应的程度和模式相关联,并引入“患病率 ”作为一个参数。本文讨论了分类方法的转化价值及未来方向。

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