Department of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Department of Neurologic Surgery, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Exp Mol Med. 2021 Mar;53(3):358-368. doi: 10.1038/s12276-021-00587-x. Epub 2021 Mar 30.
Psychiatric illness is a prevalent and highly debilitating disorder, and more than 50% of the general population in both middle- and high-income countries experience at least one psychiatric disorder at some point in their lives. As we continue to learn how pervasive psychiatric episodes are in society, we must acknowledge that psychiatric disorders are not solely relegated to a small group of predisposed individuals but rather occur in significant portions of all societal groups. Several distinct brain regions have been implicated in neuropsychiatric disease. These brain regions include corticolimbic structures, which regulate executive function and decision making (e.g., the prefrontal cortex), as well as striatal subregions known to control motivated behavior under normal and stressful conditions. Importantly, the corticolimbic neural circuitry includes the hippocampus, a critical brain structure that sends projections to both the cortex and striatum to coordinate learning, memory, and mood. In this review, we will discuss past and recent discoveries of how neurobiological processes in the hippocampus and corticolimbic structures work in concert to control executive function, memory, and mood in the context of mental disorders.
精神疾病是一种普遍且高度致残的障碍,中高收入国家超过 50%的普通人群在其一生中的某个阶段至少经历过一种精神障碍。随着我们继续了解精神障碍在社会中的普遍性,我们必须认识到精神障碍不仅局限于一小部分易患人群,而是发生在所有社会群体的很大一部分人群中。几个不同的大脑区域与神经精神疾病有关。这些大脑区域包括调节执行功能和决策的皮质边缘结构(例如前额叶皮层),以及已知在正常和应激条件下控制动机行为的纹状体亚区。重要的是,皮质边缘神经回路包括海马体,这是一个关键的大脑结构,它向皮质和纹状体发送投射,以协调学习、记忆和情绪。在这篇综述中,我们将讨论过去和最近的发现,即海马体和皮质边缘结构中的神经生物学过程如何协同工作,以控制精神障碍背景下的执行功能、记忆和情绪。