Barone Pascal
UMR 1253, iBrain, University of Tours, Inserm, Tours, France.
Behav Pharmacol. 2019 Apr;30(2 and 3-Spec Issue):163-186. doi: 10.1097/FBP.0000000000000477.
The amino-acid tryptophan (TRY) is converted into kynurenine (KYN) and subsequent metabolites by the tryptophan/catabolites (TRY/CAT) pathway (kynurenine pathway). 'Excito-toxic' and 'neuro-protective' metabolites are produced, which modulate the glutamatergic neurotransmission. The TRY/CAT pathway is activated by hypothalamic-pituitary-adrenal endocrine induction during stress by corticoids hormones, and the excitotoxic branch of the TRY/CAT pathway is activated by proinflammatory cytokines. During stress and major depressive disorders, it is generally accepted that inflammation induces an imbalance toward the excitotoxic branch of the TRY/CAT pathway, causing changes in brain connectivity in corticolimbic structures and therefore psychocognitive abnormalities. In neurodegenerative diseases, the activation of the oxidative branch of the TRY/CAT pathway has been frequently reported. We propose a comprehensive survey of the TRY/CAT pathway (kynurenine pathway) abnormalities in stress and inflammation-induced MDD and neurodegenerative diseases. As TRY/CAT pathway is a common feature of stress, inflammation, affective disorders, and neurodegenerative diseases, we discuss the status of the TRY/CAT pathway as a possible link among chronic stress, inflammation, depressive disorders and neurodegenerative diseases. This review does not claim to be exhaustive, but in a pharmacological perspective, it will be proposed that modulation of the excitotoxicity/neuroprotection balance is a valuable strategy for new and more effective treatments of mood disorders.
色氨酸(TRY)通过色氨酸/分解代谢物(TRY/CAT)途径(犬尿氨酸途径)转化为犬尿氨酸(KYN)及后续代谢产物。该过程会产生“兴奋毒性”和“神经保护”代谢产物,从而调节谷氨酸能神经传递。在应激状态下,TRY/CAT途径会被皮质类固醇激素诱导的下丘脑-垂体-肾上腺内分泌激活,而TRY/CAT途径的兴奋毒性分支则由促炎细胞因子激活。在应激和重度抑郁症期间,人们普遍认为炎症会导致TRY/CAT途径的兴奋毒性分支失衡,引起皮质边缘结构的脑连接性变化,进而导致心理认知异常。在神经退行性疾病中,也经常报道TRY/CAT途径的氧化分支被激活。我们建议对TRY/CAT途径(犬尿氨酸途径)在应激和炎症诱导的重度抑郁症及神经退行性疾病中的异常情况进行全面综述。由于TRY/CAT途径是应激、炎症、情感障碍和神经退行性疾病的共同特征,我们将讨论TRY/CAT途径作为慢性应激、炎症、抑郁症和神经退行性疾病之间可能联系的现状。本综述并不力求详尽无遗,但从药理学角度来看,我们将提出调节兴奋毒性/神经保护平衡是治疗情绪障碍的新的更有效策略。
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