姜黄素抗抑郁作用的系统评价:超越单胺理论。

A systematic review of the antidepressant effects of curcumin: Beyond monoamines theory.

机构信息

Department of Biochemistry and Pharmacology, Faculdade de Medicina de Marília, UNIMAR, São Paulo, Brazil.

出版信息

Aust N Z J Psychiatry. 2021 May;55(5):451-462. doi: 10.1177/0004867421998795. Epub 2021 Mar 5.

Abstract

BACKGROUND

Depression is a severe, chronic, and recurring mental health disorder, which prevalence and morbimortality have increased in recent years. Several theories are proposed to elucidate the mechanisms of depression, such as the involvement of inflammation and the release of cytokines. Alternative treatments have been developed to improve outcomes of the commonly used drugs, and the use of stands out. Its primary compound is named curcumin that exhibits antioxidant and anti-inflammatory effects.

AIMS

Several studies have shown that curcumin may play antidepressant actions and, therefore, this study aimed to perform a systematic review of the antidepressant effects of curcumin to evaluate the impact of this compound in the treatment of this condition.

METHODS

This systematic review has included studies available in MEDLINE-PubMed, EMBASE, and Cochrane databases, and the final selection included 10 randomized clinical trials.

CONCLUSION

Curcumin improves depressant and anxiety behavior in humans. It can increase monoamines and brain-derived neurotrophic factor levels and may inhibit the production of pro-inflammatory cytokines and neuronal apoptosis in the brain. Systemically, curcumin enhanced insulin sensitivity, reduced cortisol levels, and reversed metabolic abnormalities. Studies with larger samples and standardized dose and formulation are required to demonstrate the benefits of curcumin in depression treatment since there are many variations in this compound's use.

摘要

背景

抑郁症是一种严重、慢性且反复发作的精神健康障碍,近年来其患病率和病死率有所上升。有几种理论被提出来阐明抑郁症的发病机制,例如炎症的参与和细胞因子的释放。已经开发出了替代疗法来改善常用药物的治疗效果,而 的使用尤为突出。它的主要化合物名为姜黄素,具有抗氧化和抗炎作用。

目的

多项研究表明,姜黄素可能具有抗抑郁作用,因此,本研究旨在对姜黄素的抗抑郁作用进行系统评价,以评估该化合物在治疗这种疾病中的作用。

方法

本系统评价纳入了 MEDLINE-PubMed、EMBASE 和 Cochrane 数据库中的研究,最终选择了 10 项随机临床试验。

结论

姜黄素可改善人类的抑郁和焦虑行为。它可以增加单胺类和脑源性神经营养因子的水平,并且可能抑制大脑中促炎细胞因子的产生和神经元凋亡。在全身范围内,姜黄素增强了胰岛素敏感性,降低了皮质醇水平,并逆转了代谢异常。需要进行更多的大样本、标准化剂量和配方的研究,以证明姜黄素在抑郁症治疗中的益处,因为该化合物的使用存在很多变化。

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