催产素在广泛性焦虑和社交恐惧中的作用:一种转化研究方法。

Oxytocin in General Anxiety and Social Fear: A Translational Approach.

机构信息

Department of Behavioral and Molecular Neurobiology, University of Regensburg, Regensburg, Germany.

Department of Behavioral and Molecular Neurobiology, University of Regensburg, Regensburg, Germany.

出版信息

Biol Psychiatry. 2016 Feb 1;79(3):213-21. doi: 10.1016/j.biopsych.2015.06.004. Epub 2015 Jun 10.

Abstract

The neuropeptide oxytocin (OXT) has been revealed as a profound anxiolytic and antistress factor of the brain, besides its many prosocial and reproductive effects. Therefore, there is substantial scientific and medical interest in its potential therapeutic use for the treatment of psychopathologies associated with anxiety, fear, and social dysfunctions, such as generalized anxiety disorder, posttraumatic stress disorder, and social anxiety disorder, as well as autism and schizophrenia, among others. Focusing on preclinical studies, we review the existing evidence for the regulatory capacity of OXT to fine-tune general and social anxiety-related behaviors, as well as cued and social fear conditioning from a translational perspective. The available evidence from animal and human studies substantiates the hypothesis of an imbalance of the endogenous brain OXT system in the etiology of anxiety disorders, particularly those with a social component such as social anxiety disorder. In addition, such an imbalance of the OXT system is also likely to be the consequence of chronic OXT treatment resulting in a dose-dependent reduction in OXT receptor availability and increased anxiety.

摘要

神经肽催产素(OXT)除了具有许多促进社交和生殖的作用外,还被揭示为大脑中的一种强效抗焦虑和抗应激因子。因此,人们对其在治疗与焦虑、恐惧和社交功能障碍相关的精神病理学方面的潜在治疗用途产生了浓厚的科学和医学兴趣,例如广泛性焦虑障碍、创伤后应激障碍和社交焦虑障碍,以及自闭症和精神分裂症等。本文侧重于临床前研究,从转化的角度回顾了 OXT 调节一般和社交焦虑相关行为以及提示和社交恐惧条件反射的现有证据。来自动物和人类研究的现有证据证实了内源性大脑 OXT 系统失衡在焦虑障碍发病机制中的假设,特别是那些具有社交成分的障碍,如社交焦虑障碍。此外,OXT 系统的这种失衡也可能是由于慢性 OXT 治疗导致 OXT 受体可用性呈剂量依赖性降低和焦虑增加的结果。

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