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重度抑郁症的动物模型及其对药物研发的影响。

Animal models of major depressive disorder and the implications for drug discovery and development.

机构信息

a Institute of Experimental Medicine , Almazov National Medical Research Centre , St. Petersburg , Russia.

b Institute of Translational Biomedicine , St. Petersburg State University , St. Petersburg , Russia.

出版信息

Expert Opin Drug Discov. 2019 Apr;14(4):365-378. doi: 10.1080/17460441.2019.1575360. Epub 2019 Feb 22.

Abstract

Depression is a highly debilitating psychiatric disorder that affects the global population and causes severe disabilities and suicide. Depression pathogenesis remains poorly understood, and the disorder is often treatment-resistant and recurrent, necessitating the development of novel therapies, models and concepts in this field. Areas covered: Animal models are indispensable for translational biological psychiatry, and markedly advance the study of depression. Novel approaches continuously emerge that may help untangle the disorder heterogeneity and unclear categories of disease classification systems. Some of these approaches include widening the spectrum of model species used for translational research, using a broader range of test paradigms, exploring new pathogenic pathways and biomarkers, and focusing more closely on processes beyond neural cells (e.g. glial, inflammatory and metabolic deficits). Expert opinion: Dividing the core symptoms into easily translatable, evolutionarily conserved phenotypes is an effective way to reevaluate current depression modeling. Conceptually novel approaches based on the endophenotype paradigm, cross-species trait genetics and 'domain interplay concept', as well as using a wider spectrum of model organisms and target systems will enhance experimental modeling of depression and antidepressant drug discovery.

摘要

抑郁症是一种严重的精神障碍,影响全球人口,导致严重残疾和自杀。抑郁症的发病机制仍不清楚,而且这种疾病常常难以治疗且容易复发,因此需要在该领域开发新的治疗方法、模型和概念。

涵盖领域

动物模型对于转化生物精神病学至关重要,并极大地促进了抑郁症的研究。新的方法不断涌现,可能有助于理清疾病分类系统中疾病异质性和不明确的类别。其中一些方法包括扩大用于转化研究的模型物种的范围,使用更广泛的测试范例,探索新的发病途径和生物标志物,并更密切地关注神经细胞以外的过程(例如神经胶质、炎症和代谢缺陷)。

专家意见

将核心症状划分为易于转化、进化上保守的表型是重新评估当前抑郁症模型的有效方法。基于内表型范式、跨物种特征遗传学和“域相互作用概念”的新概念方法,以及使用更广泛的模型生物和靶系统,将增强抑郁症的实验模型和抗抑郁药物的发现。

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