Department of Psychology, Vanderbilt University, Nashville, TN, 37240, USA.
Neuroscience Program, Vanderbilt University, Nashville, TN, 37240, USA.
Transl Psychiatry. 2021 Jul 5;11(1):373. doi: 10.1038/s41398-021-01494-5.
Bipolar disorders (BDs) exhibit high heritability and symptoms typically first occur during late adolescence or early adulthood. Affected individuals may experience alternating bouts of mania/hypomania and depression, with euthymic periods of varying lengths interspersed between these extremes of mood. Clinical research studies have consistently demonstrated that BD patients have disturbances in circadian and seasonal rhythms, even when they are free of symptoms. In addition, some BD patients display seasonal patterns in the occurrence of manic/hypomanic and depressive episodes as well as the time of year when symptoms initially occur. Finally, the age of onset of BD symptoms is strongly influenced by the distance one lives from the equator. With few exceptions, animal models useful in the study of BD have not capitalized on these clinical findings regarding seasonal patterns in BD to explore molecular mechanisms associated with the expression of mania- and depression-like behaviors in laboratory animals. In particular, animal models would be especially useful in studying how rates of change in photoperiod that occur during early spring and fall interact with risk genes to increase the occurrence of mania- and depression-like phenotypes, respectively. Another unanswered question relates to the ways in which seasonally relevant changes in photoperiod affect responses to acute and chronic stressors in animal models. Going forward, we suggest ways in which translational research with animal models of BD could be strengthened through carefully controlled manipulations of photoperiod to enhance our understanding of mechanisms underlying seasonal patterns of BD symptoms in humans. In addition, we emphasize the value of incorporating diurnal rodent species as more appropriate animal models to study the effects of seasonal changes in light on symptoms of depression and mania that are characteristic of BD in humans.
双相情感障碍 (BDs) 具有很高的遗传性,其症状通常在青少年后期或成年早期首次出现。受影响的个体可能会经历躁狂/轻躁狂和抑郁的交替发作,在这些情绪极端之间穿插着不同长度的心境稳定期。临床研究一致表明,即使没有症状,BD 患者的昼夜节律和季节性节律也会出现紊乱。此外,一些 BD 患者在躁狂/轻躁狂和抑郁发作的发生以及症状最初出现的时间上显示出季节性模式。最后,BD 症状的发病年龄受到与赤道距离的强烈影响。除了少数例外,在研究 BD 方面有用的动物模型并没有利用这些关于 BD 季节性模式的临床发现来探索与实验室动物的躁狂和抑郁样行为表达相关的分子机制。特别是,动物模型在研究光周期在早春和秋季发生的变化率如何与风险基因相互作用,从而分别增加躁狂和抑郁样表型的发生方面将特别有用。另一个未解决的问题涉及季节性相关的光周期变化如何影响动物模型对急性和慢性应激源的反应。展望未来,我们建议通过对光周期进行精心控制的操作,加强 BD 动物模型的转化研究,以增强我们对人类 BD 症状季节性模式的机制的理解。此外,我们强调将昼夜节律啮齿动物物种作为更合适的动物模型纳入研究季节性光照变化对人类 BD 特征的抑郁和躁狂症状的影响的价值。