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重度抑郁症中的认知功能障碍:该疾病动物模型的转化性综述

Cognitive Dysfunction in Major Depressive Disorder. A Translational Review in Animal Models of the Disease.

作者信息

Darcet Flavie, Gardier Alain M, Gaillard Raphael, David Denis J, Guilloux Jean-Philippe

机构信息

Université Paris-Saclay, University Paris-Sud, Faculté de Pharmacie, CESP, INSERM UMRS1178, Chatenay-Malabry 92296, France.

Laboratoire de "Physiopathologie des maladies Psychiatriques", Centre de Psychiatrie et Neurosciences U894, INSERM, Université Paris Descartes, Sorbonne Paris Cité, Paris 75014, France.

出版信息

Pharmaceuticals (Basel). 2016 Feb 17;9(1):9. doi: 10.3390/ph9010009.

Abstract

Major Depressive Disorder (MDD) is the most common psychiatric disease, affecting millions of people worldwide. In addition to the well-defined depressive symptoms, patients suffering from MDD consistently complain about cognitive disturbances, significantly exacerbating the burden of this illness. Among cognitive symptoms, impairments in attention, working memory, learning and memory or executive functions are often reported. However, available data about the heterogeneity of MDD patients and magnitude of cognitive symptoms through the different phases of MDD remain difficult to summarize. Thus, the first part of this review briefly overviewed clinical studies, focusing on the cognitive dysfunctions depending on the MDD type. As animal models are essential translational tools for underpinning the mechanisms of cognitive deficits in MDD, the second part of this review synthetized preclinical studies observing cognitive deficits in different rodent models of anxiety/depression. For each cognitive domain, we determined whether deficits could be shared across models. Particularly, we established whether specific stress-related procedures or unspecific criteria (such as species, sex or age) could segregate common cognitive alteration across models. Finally, the role of adult hippocampal neurogenesis in rodents in cognitive dysfunctions during MDD state was also discussed.

摘要

重度抑郁症(MDD)是最常见的精神疾病,影响着全球数百万人。除了明确的抑郁症状外,MDD患者还一直抱怨存在认知障碍,这显著加重了这种疾病的负担。在认知症状中,注意力、工作记忆、学习与记忆或执行功能的损害经常被报道。然而,关于MDD患者的异质性以及MDD不同阶段认知症状严重程度的现有数据仍然难以总结。因此,本综述的第一部分简要概述了临床研究,重点关注取决于MDD类型的认知功能障碍。由于动物模型是阐明MDD认知缺陷机制的重要转化工具,本综述的第二部分综合了在不同焦虑/抑郁啮齿动物模型中观察认知缺陷的临床前研究。对于每个认知领域,我们确定了不同模型之间是否存在共同的缺陷。特别是,我们确定了特定的应激相关程序或非特定标准(如物种、性别或年龄)是否能区分不同模型间常见的认知改变。最后,还讨论了成年啮齿动物海马神经发生在MDD状态下认知功能障碍中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7707/4812373/d49819db6797/pharmaceuticals-09-00009-g001.jpg

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