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多不饱和脂肪酸在预防和治疗神经精神疾病中的可能性。

Possibility of polyunsaturated fatty acids for the prevention and treatment of neuropsychiatric illnesses.

机构信息

Department of Environmental Physiology, Shimane University Faculty of Medicine, Japan.

出版信息

J Pharmacol Sci. 2014;124(3):294-300. doi: 10.1254/jphs.13r14cp. Epub 2014 Feb 22.

Abstract

Increasing evidence from the fields of neurophysiology and neuropathology has uncovered the role of polyunsaturated fatty acids (PUFA) in protecting neuronal cells from oxidative damage, controlling inflammation, regulating neurogenesis, and preserving neuronal function. Numerous epidemiological studies have shown that deficits in the dietary PUFA docosahexaenoic acid and eicosapentaenoic acid are associated with the onset and progression of neuropsychiatric illnesses such as dementia, schizophrenia, depression, and posttraumatic stress disorder (PTSD). Recent clinical trials have offered compelling evidence that suggests that n-3 PUFA could reduce depressive, psychotic, and suicidal symptoms, as well as aggression. Although many studies have had the validity of their results questioned because of small sample size, several studies have indicated that n-3 PUFA are useful therapeutic tools for the treatment of dementia, major depression, bipolar disorder, and PTSD. These findings suggest that the pharmacological and nutritional actions of n-3 PUFA may be beneficial in certain neuropsychiatric illnesses. This review article outlines the role of PUFA in neurodevelopment and the regulatory mechanisms in neuronal stem cell differentiation and also the possible use of PUFA as a prescription medicine for the prophylaxis or treatment of neuropsychiatric illnesses such as dementia, mood disorder, and PTSD.

摘要

越来越多来自神经生理学和神经病理学领域的证据揭示了多不饱和脂肪酸(PUFA)在保护神经元细胞免受氧化损伤、控制炎症、调节神经发生和维持神经元功能方面的作用。许多流行病学研究表明,膳食中多不饱和脂肪酸二十二碳六烯酸和二十碳五烯酸的缺乏与神经精神疾病的发生和进展有关,如痴呆、精神分裂症、抑郁症和创伤后应激障碍(PTSD)。最近的临床试验提供了令人信服的证据,表明 n-3PUFA 可以减少抑郁、精神病和自杀症状,以及攻击性。尽管由于样本量小,许多研究的结果有效性受到质疑,但有几项研究表明,n-3PUFA 是治疗痴呆、重度抑郁症、双相情感障碍和 PTSD 的有用治疗工具。这些发现表明,n-3PUFA 的药理学和营养作用可能对某些神经精神疾病有益。本文综述了 PUFA 在神经发育中的作用及其在神经干细胞分化中的调节机制,以及将 PUFA 作为预防或治疗痴呆、情绪障碍和 PTSD 等神经精神疾病的处方药的可能性。

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