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米诺环素治疗重度抑郁症:综述,兼论治疗抵抗及与其他精神障碍的比较

Minocycline in Major Depressive Disorder: And overview with considerations on treatment-resistance and comparisons with other psychiatric disorders.

作者信息

Nettis Maria Antonietta

机构信息

King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, London, UK.

National Institute for Health Research Mental Health Biomedical Research Centre, South London and Maudsley NHS Foundation Trust and King's College London, London, UK.

出版信息

Brain Behav Immun Health. 2021 Aug 24;17:100335. doi: 10.1016/j.bbih.2021.100335. eCollection 2021 Nov.

Abstract

Evidence on the link between the immune system and Major Depressive Disorder (MDD) has led to explore antidepressant properties of anti-inflammatory drugs. Among these, minocycline has been identified as a potential novel treatment for MDD, in particular for treatment-resistant depression. The aim of the current paper is to review current pre-clinical and clinical evidence on the antidepressant efficacy of minocycline. The review includes considerations on the role of both peripheral and central inflammation in the response to minocycline and comparisons of minocycline efficacy across different psychiatric disorders (i.e., unipolar depression, bipolar depression, and schizophrenia).

摘要

免疫系统与重度抑郁症(MDD)之间联系的证据促使人们探索抗炎药物的抗抑郁特性。其中,米诺环素已被确定为治疗MDD的一种潜在新疗法,尤其是对于难治性抑郁症。本文的目的是综述目前关于米诺环素抗抑郁疗效的临床前和临床证据。该综述包括对周围炎症和中枢炎症在米诺环素反应中的作用的考量,以及米诺环素在不同精神疾病(即单相抑郁症、双相抑郁症和精神分裂症)中的疗效比较。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3c8/8474155/eb38ca0ba6a1/gr1.jpg

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