Center of Experimental Medicine, Institute of Normal and Pathological Physiology, Slovak Academy of Sciences, 841 04 Bratislava, Slovakia.
Faculty of Medicine, Comenius University, 813 72 Bratislava, Slovakia.
Molecules. 2020 Mar 5;25(5):1172. doi: 10.3390/molecules25051172.
Increasing prevalence and burden of major depressive disorder presents an unavoidable problem for psychiatry. Existing antidepressants exert their effect only after several weeks of continuous treatment. In addition, their serious side effects and ineffectiveness in one-third of patients call for urgent action. Recent advances have given rise to the concept of psychoplastogens. These compounds are capable of fast structural and functional rearrangement of neural networks by targeting mechanisms previously implicated in the development of depression. Furthermore, evidence shows that they exert a potent acute and long-term positive effects, reaching beyond the treatment of psychiatric diseases. Several of them are naturally occurring compounds, such as psilocybin, ,-dimethyltryptamine, and 7,8-dihydroxyflavone. Their pharmacology and effects in animal and human studies were discussed in this article.
主要抑郁症的患病率和负担不断增加,这对精神病学来说是一个不可避免的问题。现有的抗抑郁药只有在连续治疗数周后才会发挥作用。此外,它们严重的副作用和对三分之一患者的无效性需要紧急采取行动。最近的进展提出了精神塑性化合物的概念。这些化合物能够通过靶向先前与抑郁症发展有关的机制,快速进行神经网络的结构和功能重排。此外,有证据表明,它们具有强大的急性和长期积极作用,不仅限于治疗精神疾病。其中一些是天然存在的化合物,如裸盖菇素、二甲基色胺和 7,8-二羟基黄酮。本文讨论了它们在动物和人类研究中的药理学和作用。