Hashimoto Kenji
Division of Clinical Neuroscience, Chiba University Center for Forensic Mental Health, 1-8-1 Inohana, Chiba 260-7680, Japan.
Int J Mol Sci. 2015 Apr 8;16(4):7796-801. doi: 10.3390/ijms16047796.
Although antidepressants are generally effective in the treatment of major depressive disorder (MDD), it can still take weeks before patients feel the full antidepressant effects. Despite the efficacy of standard treatments, approximately two-thirds of patients with MDD fail to respond to pharmacotherapy. Therefore, the identification of blood biomarkers that can predict the treatment response to antidepressants would be highly useful in order to improve this situation. This article discusses inflammatory molecules as predictive biomarkers for antidepressant responses to several classes of antidepressants, including the N-methyl-d-aspartate (NMDA) receptor antagonist ketamine.
尽管抗抑郁药通常对治疗重度抑郁症(MDD)有效,但患者仍可能需要数周时间才能感受到完全的抗抑郁效果。尽管标准治疗方法有效,但约三分之二的MDD患者对药物治疗无反应。因此,识别能够预测抗抑郁药治疗反应的血液生物标志物,对于改善这种情况将非常有用。本文讨论了炎症分子作为几类抗抑郁药(包括N-甲基-D-天冬氨酸(NMDA)受体拮抗剂氯胺酮)抗抑郁反应的预测生物标志物。