Department of Toxicology, Faculty of Pharmacy, Jagiellonian University, College of Medicum, Medyczna 9, PL 30-688 Kraków, Poland.
Laboratory of Drug Addiction Pharmacology, Department of Pharmacology, Institute of Pharmacology, Polish Academy of Sciences, Smętna 12, PL 31-343 Kraków, Poland.
Curr Neuropharmacol. 2014 Sep;12(5):462-74. doi: 10.2174/1570159X12666140923205412.
Depression is one of the most frequent causes of disability in the 21st century. Despite the many preclinical and clinical studies that have addressed this brain disorder, the pathophysiology of depression is not well understood and the available antidepressant drugs are therapeutically inadequate in many patients. In recent years, the potential role of lipid-derived molecules, particularly endocannabinoids (eCBs) and endovanilloids, has been highlighted in the pathogenesis of depression and in the action of antidepressants. There are many indications that the eCB/endovanilloid system is involved in the pathogenesis of depression, including the localization of receptors, modulation of monoaminergic transmission, inhibition of the stress axis and promotion of neuroplasticity in the brain. Preclinical pharmacological and genetic studies of eCBs in depression also suggest that facilitating the eCB system exerts antidepressant-like behavioral responses in rodents. In this article, we review the current knowledge of the role of the eCB/endovanilloid system in depression, as well as the effects of its ligands, models of depression and antidepressant drugs in preclinical and clinical settings.
抑郁症是 21 世纪最常见的致残原因之一。尽管有许多针对这种脑部疾病的临床前和临床研究,但抑郁症的病理生理学仍未得到很好的理解,而且现有的抗抑郁药物在许多患者中治疗效果不足。近年来,脂质衍生分子(特别是内源性大麻素 (eCBs) 和内源性香草素)在抑郁症的发病机制和抗抑郁药的作用中的潜在作用已得到强调。有许多迹象表明,eCB/内源性香草素系统参与了抑郁症的发病机制,包括受体定位、单胺能传递的调节、应激轴的抑制以及大脑中神经可塑性的促进。抑郁症中 eCB 的临床前药理学和遗传学研究也表明,促进 eCB 系统可在啮齿动物中产生抗抑郁样行为反应。在本文中,我们回顾了 eCB/内源性香草素系统在抑郁症中的作用以及其配体、抑郁症模型和抗抑郁药物在临床前和临床环境中的作用的现有知识。
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