Takebayashi Minoru
National Hospital Organization Kure Medical Center, Chugoku Cancer Center, Department of Psychiatry, Division of Psychiatry and Neuroscience, Institute for Clinical Research.
Seishin Shinkeigaku Zasshi. 2013;115(12):1186-93.
Glia is a collective term for cell types other than neurons, including large glial (astrocyte, oligodendrocyte) and small glial cells (microglia). The human brain consists of the same number of glial cells as neurons. Recent evidence suggests that the active brain should no longer be regarded solely as a network of neuronal contacts, rather as a circuit of integrated, interactive neurons and glial cells. Researchers have proposed that glial cells should receive much greater attention when attempting to understand the underlying biological mechanism of psychiatric disorders because the hypothesis of a monoamine neuron system could partially explain this phenomenon. Postmortem and imaging evidence for reductions in glial cell numbers and glia-related gene expressions and for abnormal hyperactivity of specific glia exist in the brain of psychiatric patients. Further, psychotropic drugs, such as antidepressants and antipsychotics, are reported to have a direct action on astrocyte and microglia through the expression of neurotrophic factors and inhibition of excess cytokines, which suggests these medication themselves could regulate mental function via the interaction between neuron and glia. Therefore, a perspective of glia contributes to a novel strategy for resolution of the biological mechanism in psychiatric disorders.
神经胶质细胞是指除神经元以外的其他细胞类型的统称,包括大胶质细胞(星形胶质细胞、少突胶质细胞)和小胶质细胞。人类大脑中胶质细胞的数量与神经元数量相同。最近的证据表明,活跃的大脑不应再仅仅被视为一个神经元连接网络,而应被看作是一个由整合的、相互作用的神经元和胶质细胞组成的回路。研究人员提出,在试图理解精神障碍的潜在生物学机制时,胶质细胞应受到更多关注,因为单胺神经元系统假说只能部分解释这一现象。在精神疾病患者的大脑中,存在死后尸检和影像学证据,表明胶质细胞数量减少、与胶质细胞相关的基因表达降低以及特定胶质细胞的异常过度活跃。此外,据报道,抗抑郁药和抗精神病药等精神药物可通过神经营养因子的表达和对过量细胞因子的抑制,对星形胶质细胞和小胶质细胞产生直接作用,这表明这些药物本身可通过神经元与胶质细胞之间的相互作用来调节心理功能。因此,从神经胶质细胞的角度出发有助于为解决精神障碍的生物学机制提供新的策略。