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幸运基因5-羟色胺转运体基因连锁多态性区域(5-HTTLPR)与产后抑郁症:一项系统评价

Lucky gene 5-HTTLPR and postpartum depression: A systematic review.

作者信息

Yang Yang, Fang Marong, Du Xiaoxue, Hu Zhiying

机构信息

Institute of Neuroscience, Zhejiang University School of Medicine, Hangzhou, China.

Department of Obstetrics and Gynecology, Integrated Chinese and West Medicine Hospital affiliated to Zhejiang Chinese Medicine University, Hangzhou, China.

出版信息

Neuro Endocrinol Lett. 2017 Oct;38(5):316-320.

Abstract

BACKGROUND

Postpartum depression (PPD) should be given more attention for its increasing incidences, severe complications and complex pathogenesis. Previous studies of PPD have mainly been focused on the social contributions to its etiology such as age, marriage and economic status, whilst less attention has been given to inner biological factors. Currently, emerging researches have endeavored to explore 5-HTT related pathogenesis of PPD.

OBJECTIVE

This report was aimed at proffering updates on some research advancements in the field of PPD through the reviewing published papers concerning postpartum depression, with prime focus on the role of 5-HTT.

SEARCH STRATEGY

This review report dug into articles containing both PPD and 5-HTTLPR. Web of Science, Pubmed and CNKI (National Knowledge Infrastructure) were employed for searching relevant publications.

SELECTION CRITERIA

There was a strong association between 5-HTTLPR polymorphism and the pathogenesis of PPD, with established evidence showing that L allele (Long allele) in 5-HTTLPR was associated with reduced susceptibility to PPD.

LIMITATIONS

All things considered, sufficient clinical experiments are needed to ascertain the feasibility of our theoretical statements. In addition, relevant articles are comparatively scarce presently.

摘要

背景

产后抑郁症(PPD)发病率不断上升、并发症严重且发病机制复杂,应予以更多关注。以往关于产后抑郁症的研究主要集中在其病因的社会因素,如年龄、婚姻和经济状况,而对内在生物学因素关注较少。目前,新出现的研究致力于探索产后抑郁症与5-羟色胺转运体(5-HTT)相关的发病机制。

目的

本报告旨在通过回顾已发表的关于产后抑郁症的论文,提供产后抑郁症领域一些研究进展的最新情况,主要关注5-HTT的作用。

检索策略

本综述报告深入研究了包含产后抑郁症和5-羟色胺转运体基因启动子区域多态性(5-HTTLPR)的文章。利用科学网、PubMed和中国知网检索相关出版物。

入选标准

5-HTTLPR多态性与产后抑郁症的发病机制之间存在密切关联,已有证据表明5-HTTLPR中的L等位基因(长等位基因)与产后抑郁症易感性降低有关。

局限性

综合考虑,需要充分的临床实验来确定我们理论陈述的可行性。此外,目前相关文章相对较少。

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