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催产素与焦虑症:转化与治疗方面

Oxytocin and Anxiety Disorders: Translational and Therapeutic Aspects.

作者信息

Naja Wadih Jean, Aoun Michaelangelo Pietro

机构信息

Department of Psychiatry, Lebanese University, Beirut, Lebanon.

Gharios Medical Center, Mount Lebanon Hospital, Hazmieh, Beirut, Lebanon.

出版信息

Curr Psychiatry Rep. 2017 Aug 15;19(10):67. doi: 10.1007/s11920-017-0819-1.

DOI:10.1007/s11920-017-0819-1
PMID:28808909
Abstract

PURPOSE OF REVIEW

This review aims to evaluate the most recent literature examining the oxytocin (OXT) system's role in human anxiety by surveying various fields of preclinical and clinical research supporting this role, and queries whether the OXT system might be a target for novel anxiolytics.

RECENT FINDINGS

Evidence from the diverse body of literature presented here, from translational research, genetic and neuroimaging studies, to clinical trials of intranasal (IN) OXT reveals a positive association. In addition, some moderators (e.g., sex, specificities to cues) of OXT's anxiolytic effects can have an important influence on its outcomes, awaiting further research. Evidence for the role of OXT in regulating anxiety is undeniable. We expect that the diverse particularities of the OXT system will help broaden our understanding of anxiety and stress-related disorders. We conclude that OXT promises an enticing treatment option for human anxiety disorders especially those associated with socio-emotional dysfunctions.

摘要

综述目的

本综述旨在通过调查支持催产素(OXT)系统在人类焦虑中作用的临床前和临床研究的各个领域,评估研究催产素系统在人类焦虑中作用的最新文献,并探讨催产素系统是否可能成为新型抗焦虑药物的靶点。

最新发现

此处呈现的来自不同文献的证据,从转化研究、基因和神经影像学研究到鼻内(IN)催产素的临床试验,均显示出正相关。此外,催产素抗焦虑作用的一些调节因素(如性别、对线索的特异性)可对其结果产生重要影响,有待进一步研究。催产素在调节焦虑中的作用证据确凿。我们预计,催产素系统的各种特殊性将有助于拓宽我们对焦虑和应激相关障碍的理解。我们得出结论,催产素有望为人类焦虑症,尤其是那些与社会情感功能障碍相关的焦虑症提供一种诱人的治疗选择。

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Preventing PTSD with oxytocin: effects of oxytocin administration on fear neurocircuitry and PTSD symptom development in recently trauma-exposed individuals.用催产素预防创伤后应激障碍:催产素给药对近期遭受创伤个体的恐惧神经回路及创伤后应激障碍症状发展的影响。
Eur J Psychotraumatol. 2017 Apr 11;8(1):1302652. doi: 10.1080/20008198.2017.1302652. eCollection 2017.
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Oxytocin differentially modulates pavlovian cue and context fear acquisition.催产素对巴甫洛夫条件线索和情境性恐惧习得具有不同的调节作用。
Soc Cogn Affect Neurosci. 2017 Jun 1;12(6):976-983. doi: 10.1093/scan/nsx028.
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Oxytocin reduces amygdala responses during threat approach.
室旁核中的催产素神经元对慢性睡眠剥夺介导的焦虑相关行为至关重要。
CNS Neurosci Ther. 2025 Jun;31(6):e70465. doi: 10.1111/cns.70465.
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Activation of the Oxytocin System in the Hypothalamic Paraventricular Nucleus Improves Stress-Induced Postpartum Depression-Like Behavior in Rats.下丘脑室旁核中催产素系统的激活可改善应激诱导的大鼠产后抑郁样行为。
Actas Esp Psiquiatr. 2025 May;53(3):504-515. doi: 10.62641/aep.v53i3.1773.
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Prenatal maternal life adversity impacts on learning and memory in offspring: implication to transgenerational epigenetic inheritance.产前母亲生活逆境对后代学习和记忆的影响:对跨代表观遗传继承的启示。
Front Neurosci. 2025 Feb 13;19:1518046. doi: 10.3389/fnins.2025.1518046. eCollection 2025.
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Fam172a Mediates the Stimulation of Hypothalamic Oxytocin Neurons to Suppress Obesity-Induced Anxiety.Fam172a介导对下丘脑催产素神经元的刺激以抑制肥胖诱导的焦虑。
Adv Sci (Weinh). 2025 Apr;12(14):e2414723. doi: 10.1002/advs.202414723. Epub 2025 Feb 17.
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Front Endocrinol (Lausanne). 2024 Jun 11;15:1380779. doi: 10.3389/fendo.2024.1380779. eCollection 2024.
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The application of virtual reality exposure versus relaxation training in music performance anxiety: a randomized controlled study.虚拟现实暴露与放松训练在音乐表演焦虑中的应用:一项随机对照研究。
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The neural connections of oxytocin-mediated parental behavior in male mice.雄性小鼠中催产素介导的亲代行为的神经连接。
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A Cortical Circuit for Sexually Dimorphic Oxytocin-Dependent Anxiety Behaviors.一种用于性二态性催产素依赖性焦虑行为的皮质回路。
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