Karhson D S, Hardan A Y, Parker K J
Center for Interdisciplinary Brain Sciences Research, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Transl Psychiatry. 2016 Sep 27;6(9):e905. doi: 10.1038/tp.2016.169.
Core deficits in social functioning are associated with various neuropsychiatric and neurodevelopmental disorders, yet biomarker identification and the development of effective pharmacological interventions has been limited. Recent data suggest the intriguing possibility that endogenous cannabinoids, a class of lipid neuromodulators generally implicated in the regulation of neurotransmitter release, may contribute to species-typical social functioning. Systematic study of the endogenous cannabinoid signaling could, therefore, yield novel approaches to understand the neurobiological underpinnings of atypical social functioning. This article provides a critical review of the major components of the endogenous cannabinoid system (for example, primary receptors and effectors-Δ9-tetrahydrocannabinol, cannabidiol, anandamide and 2-arachidonoylglycerol) and the contributions of cannabinoid signaling to social functioning. Data are evaluated in the context of Research Domain Criteria constructs (for example, anxiety, chronic stress, reward learning, motivation, declarative and working memory, affiliation and attachment, and social communication) to enable interrogation of endogenous cannabinoid signaling in social functioning across diagnostic categories. The empirical evidence reviewed strongly supports the role for dysregulated cannabinoid signaling in the pathophysiology of social functioning deficits observed in brain disorders, such as autism spectrum disorder, schizophrenia, major depressive disorder, posttraumatic stress disorder and bipolar disorder. Moreover, these findings indicate that the endogenous cannabinoid system holds exceptional promise as a biological marker of, and potential treatment target for, neuropsychiatric and neurodevelopmental disorders characterized by impairments in social functioning.
社交功能的核心缺陷与多种神经精神和神经发育障碍相关,但生物标志物的识别以及有效药物干预措施的开发一直很有限。最近的数据表明了一种有趣的可能性,即内源性大麻素(一类通常参与调节神经递质释放的脂质神经调节剂)可能有助于物种典型的社交功能。因此,对内源性大麻素信号传导进行系统研究可能会产生新的方法来理解非典型社交功能的神经生物学基础。本文对内源性大麻素系统的主要组成部分(例如,主要受体和效应物——Δ9-四氢大麻酚、大麻二酚、花生四烯酸乙醇胺和2-花生四烯酸甘油)以及大麻素信号传导对社交功能的作用进行了批判性综述。在研究领域标准结构(例如,焦虑、慢性应激、奖赏学习、动机、陈述性和工作记忆、归属与依恋以及社交沟通)的背景下对数据进行评估,以便能够探究跨诊断类别的社交功能中的内源性大麻素信号传导。所综述的实证证据有力地支持了大麻素信号传导失调在诸如自闭症谱系障碍、精神分裂症、重度抑郁症、创伤后应激障碍和双相情感障碍等脑部疾病中观察到的社交功能缺陷的病理生理学中的作用。此外,这些发现表明,内源性大麻素系统作为以社交功能受损为特征的神经精神和神经发育障碍的生物学标志物和潜在治疗靶点具有巨大的前景。