Laboratory of Structural Physiology, Center for Disease Biology and Integrative Medicine, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
Psychiatry Clin Neurosci. 2020 Feb;74(2):91-98. doi: 10.1111/pcn.12942. Epub 2019 Oct 23.
Pharmacological studies of antidepressants and atypical antipsychotics have suggested a role of dopamine and serotonin signaling in depression. However, depressive symptoms and treatment effects are difficult to explain based simply on brain-wide decrease or increase in the concentrations of these molecules. Recent animal studies using advanced neuronal manipulation and observation techniques have revealed detailed dopamine and serotonin dynamics that regulate diverse aspects of motivation-related behavior. Dopamine and serotonin transiently modulate moment-to-moment behavior at timescales ranging from sub-second to minutes and also produce persistent effects, such as reward-related learning and stress responses that last longer than several days. Transient and sustained effects often exhibit specific roles depending on the projection sites, where distinct synaptic and cellular mechanisms are required to process the neurotransmitters for each transient and sustained timescale. Therefore, it appears that specific aspects of motivation-related behavior are regulated by distinct synaptic and cellular mechanisms in specific brain regions that underlie the transient and sustained effects of dopamine and serotonin signaling. Recent clinical studies have implied that subjects with depressive symptoms show impaired transient and sustained signaling functions; moreover, they exhibit heterogeneity in depressive symptoms and neuronal dysfunction. Depressive symptoms may be explained by the dysfunction of each transient and sustained signaling mechanism, and distinct patterns of impairment in the relevant mechanisms may explain the heterogeneity of symptoms. Thus, detailed understanding of dopamine and serotonin signaling may provide new insight into depressive symptoms.
抗抑郁药和非典型抗精神病药的药理学研究表明,多巴胺和血清素信号在抑郁症中起作用。然而,仅仅基于这些分子在大脑中的广泛减少或增加,就很难解释抑郁症状和治疗效果。最近的动物研究使用先进的神经元操作和观察技术,揭示了调节与动机相关行为的不同方面的详细多巴胺和血清素动力学。多巴胺和血清素在从亚秒到分钟的时间尺度上短暂地调节瞬间行为,并且还产生持久的影响,例如与奖励相关的学习和持续数天以上的应激反应。短暂和持续的影响通常根据投射部位表现出特定的作用,其中需要不同的突触和细胞机制来处理每个短暂和持续时间尺度的神经递质。因此,似乎与动机相关的行为的特定方面受到特定脑区中不同的突触和细胞机制的调节,这些机制是多巴胺和血清素信号的短暂和持续作用的基础。最近的临床研究表明,有抑郁症状的患者表现出短暂和持续信号功能受损;此外,他们还表现出抑郁症状和神经元功能障碍的异质性。抑郁症状可能是由每个短暂和持续信号机制的功能障碍引起的,相关机制中的不同损伤模式可能解释症状的异质性。因此,对多巴胺和血清素信号的详细了解可能为抑郁症状提供新的见解。