Panksepp Jaak
Department of Integrative Physiology and Neuroscience, College of Veterinary Medicine, Washington State University, Pullman, Washington, USA.
Dialogues Clin Neurosci. 2015 Dec;17(4):363-79. doi: 10.31887/DCNS.2015.17.4/jpanksepp.
Preclinical animal models of psychiatric disorders are of critical importance for advances in development of new psychiatric medicine. Regrettably, behavior-only models have yielded no novel targeted treatments during the past half-century of vigorous deployment. This may reflect the general neglect of experiential aspects of animal emotions, since affective mental states of animals supposedly cannot be empirically monitored. This supposition is wrong-to the extent that the rewarding and punishing aspects of emotion circuit arousals reflect positive and negative affective states. During the past decade, the use of such affective neuroscience-based animal modeling has yielded three novel antidepressants (i) via the alleviation of psychic pain with low doses of buprenorphine; (ii) via the amplification of enthusiasm by direct stimulation of the medial forebrain bundle); and (iii) via the facilitation of the capacity for social joy with play facilitators such as rapastinel (GLYX13). All have progressed to successful human testing. For optimal progress, it may be useful for preclinical investigators to focus on the evolved affective foundations of psychiatrically relevant brain emotional disorders for optimal animal modeling.
精神疾病的临床前动物模型对于新型精神药物研发的进展至关重要。遗憾的是,在过去半个世纪大力应用的仅基于行为的模型并未产生新的靶向治疗方法。这可能反映出对动物情感体验方面的普遍忽视,因为动物的情感心理状态据推测无法通过实证进行监测。这种推测是错误的——就情感回路激发的奖惩方面反映积极和消极情感状态而言。在过去十年中,基于这种情感神经科学的动物模型的应用已经产生了三种新型抗抑郁药:(i)通过低剂量丁丙诺啡减轻精神痛苦;(ii)通过直接刺激内侧前脑束增强热情;(iii)通过使用如rapastinel(GLYX13)等游戏促进剂促进社交愉悦能力。所有这些都已成功进入人体试验阶段。为了实现最佳进展,临床前研究人员专注于精神相关脑情感障碍的进化情感基础以进行最佳动物建模可能是有益的。