University Lille, Inserm, CHU Lille, Lille Neuroscience & Cognition, Degenerative and vascular cognitive disorders, Department of Pharmacology, Faculty of Medicine, 1, place de Verdun, 59045 Lille cedex, France.
University Lille, Inserm, CHU Lille, Lille Neuroscience & Cognition, Degenerative and vascular cognitive disorders, Department of Pharmacology, Faculty of Medicine, 1, place de Verdun, 59045 Lille cedex, France.
Therapie. 2021 Mar-Apr;76(2):87-99. doi: 10.1016/j.therap.2021.02.001. Epub 2021 Feb 3.
Cognitive disorders and symptoms are key features of many mental and neurological diseases, with a large spectrum of impaired domains. Because of their possible evolution and detrimental functioning impact, they are a major pharmacological target for both symptomatic and disease-modifier drugs, while few cognitive enhancers have been marketed with an insufficient efficiency. It explains the need to model these cognitive disorders beyond the modelization of mental or neurological diseases themselves. According to the experimental strategy used to induce cognitive impairment, three categories of models have been identified: neurotransmission-driven models; pathophysiology-driven models; environment-driven models. These three categories of models reflect different levels of integration of endogenous and exogenous mechanisms underlying cognitive disorders in humans. Their comprehensive knowledge and illustration of their pharmacological modulation could help to propose a renewing strategy of drug development in central nervous system (CNS) field at a time when the academic and industrial invest seems to be declining despite the medical and social burden of brain diseases.
认知障碍和症状是许多精神和神经疾病的主要特征,涉及广泛的受损领域。由于它们可能的发展和对功能的不良影响,它们是对症和疾病修饰药物的主要药理学靶点,而市场上销售的认知增强剂却很少,效率也不够高。这就解释了为什么需要在对精神或神经疾病本身进行建模之外,对这些认知障碍进行建模。根据用于诱导认知障碍的实验策略,已经确定了三类模型:神经传递驱动模型;病理生理学驱动模型;环境驱动模型。这三类模型反映了人类认知障碍相关的内源性和外源性机制在不同层次上的整合。对它们的综合了解和药理学调节的说明,可以帮助在中枢神经系统(CNS)领域提出一种新的药物开发策略,因为尽管脑疾病的医疗和社会负担很重,但学术和工业投资似乎正在下降。