Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430030 Wuhan, Hubei, China.
Department of Anesthesiology, Zhongnan Hospital, Wuhan University, East Lake Road, 430071 Wuhan, Hubei, China.
Neuroscience. 2021 Aug 21;470:88-99. doi: 10.1016/j.neuroscience.2021.06.037. Epub 2021 Jul 6.
It is well known that the central nervous system (CNS) is a complex neuronal network and its function depends on the balance between excitatory and inhibitory neurons. Disruption of the excitatory/inhibitory (E/I) balance is the main cause for the majority of the CNS diseases. In this review, we will discuss roles of the inhibitory system in the CNS diseases. The GABAergic system as the main inhibitory system, is essential for the appropriate functioning of the CNS, especially as it is engaged in the formation of learning and memory. Many researchers have reported that the GABAergic system is involved in regulating synaptic plasticity, cognition and long-term potentiation. Some clinical manifestations (such as cognitive dysfunctions, attention deficits, etc.) have also been shown to emerge after abnormalities in the GABAergic system accompanied with concomitant diseases, that include Alzheimer's disease (AD), Parkinson's disease (PD), Autism spectrum disorder (ASD), Schizophrenia, etc. The GABAergic system consists of GABA, GABA transporters, GABAergic receptors and GABAergic neurons. Changes in any of these components may contribute to the dysfunctions of the CNS. In this review, we will synthesize studies which demonstrate how the GABAergic system participates in the pathogenesis of the CNS disorders, which may provide a new idea that might be used to treat the CNS diseases.
众所周知,中枢神经系统(CNS)是一个复杂的神经元网络,其功能取决于兴奋和抑制神经元之间的平衡。兴奋/抑制(E/I)平衡的破坏是大多数 CNS 疾病的主要原因。在这篇综述中,我们将讨论抑制系统在 CNS 疾病中的作用。γ-氨基丁酸能系统作为主要的抑制系统,对 CNS 的正常功能至关重要,尤其是在形成学习和记忆方面。许多研究人员报告说,γ-氨基丁酸能系统参与调节突触可塑性、认知和长时程增强。一些临床表现(如认知功能障碍、注意力缺陷等)也已被证明在 GABA 能系统异常伴随着包括阿尔茨海默病(AD)、帕金森病(PD)、自闭症谱系障碍(ASD)、精神分裂症等疾病出现。γ-氨基丁酸能系统由 GABA、GABA 转运体、GABA 能受体和 GABA 能神经元组成。这些成分中的任何变化都可能导致 CNS 功能障碍。在这篇综述中,我们将综合研究表明 GABA 能系统如何参与 CNS 疾病的发病机制,这可能为治疗 CNS 疾病提供一个新的思路。