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精神疾病中的炎症通路:以精神分裂症和抑郁症为例。

Inflammatory Pathways in Psychiatric Disorders: The case of Schizophrenia and Depression.

作者信息

Feng Tami, Tripathi Ashutosh, Pillai Anilkumar

机构信息

Department of Psychiatry and Health Behavior, Augusta University, Augusta, GA, USA.

Research and Development, Charlie Norwood VA Medical Center, Augusta, GA, USA.

出版信息

Curr Behav Neurosci Rep. 2020 Sep;7(3):128-138. doi: 10.1007/s40473-020-00207-4. Epub 2020 Jul 26.

Abstract

PURPOSE OF REVIEW

A better understanding of the key molecules/pathways underlying the pathophysiology of depression and schizophrenia may contribute to novel therapeutic strategies. In this review, we have discussed the recent developments on the role of inflammatory pathways in the pathogenesis of depression and schizophrenia.

RECENT FINDINGS

Inflammation is an innate immune response that can be triggered by various factors, including pathogens, stress and injury. Under normal conditions, the inflammatory responses quiet after pathogen clearance and tissue repair. However, abnormal long-term or chronic inflammation can lead to damaging effects. Accumulating evidence suggest that dysregulated inflammation is linked to the pathogenesis of neuropsychiatric disorders. In this review, we have discussed the roles of complement system, infiltration of peripheral immune cells into the central nervous system (CNS), the gut-brain axis, and the kynurenine pathway in depression and schizophrenia.

SUMMARY

There is a large body of compelling evidence on the role of inflammatory pathways in depression and schizophrenia. Although most of these findings show their roles in the pathophysiology of the above disorders, additional studies are warranted to investigate the therapeutic potential of various immune signaling targets discussed in this article.

摘要

综述目的

更好地理解抑郁症和精神分裂症病理生理学背后的关键分子/途径可能有助于开发新的治疗策略。在本综述中,我们讨论了炎症途径在抑郁症和精神分裂症发病机制中的作用的最新进展。

最新发现

炎症是一种先天性免疫反应,可由多种因素触发,包括病原体、压力和损伤。在正常情况下,病原体清除和组织修复后炎症反应会平息。然而,异常的长期或慢性炎症会导致损害作用。越来越多的证据表明,炎症失调与神经精神疾病的发病机制有关。在本综述中,我们讨论了补体系统、外周免疫细胞向中枢神经系统(CNS)的浸润、肠脑轴以及犬尿氨酸途径在抑郁症和精神分裂症中的作用。

总结

有大量令人信服的证据表明炎症途径在抑郁症和精神分裂症中起作用。尽管这些发现大多显示了它们在上述疾病病理生理学中的作用,但仍需要进一步研究来探讨本文讨论的各种免疫信号靶点的治疗潜力。

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