Instituto de Neurociencias, Universidad Miguel Hernández-CSIC, Avda. de Ramón y Cajal s/n, San Juan de Alicante, 03550 Alicante, Spain.
Redes de Investigación Cooperativa Orientada a Resultados en Salud (RICORS), Red de Investigación en Atención Primaria de Adicciones (RIAPAd), Instituto de Salud Carlos III, MICINN and FEDER, 28029 Madrid, Spain.
Int J Mol Sci. 2022 Apr 26;23(9):4764. doi: 10.3390/ijms23094764.
The therapeutic benefits of the current medications for patients with psychiatric disorders contrast with a great variety of adverse effects. The endocannabinoid system (ECS) components have gained high interest as potential new targets for treating psychiatry diseases because of their neuromodulator role, which is essential to understanding the regulation of many brain functions. This article reviewed the molecular alterations in ECS occurring in different psychiatric conditions. The methods used to identify alterations in the ECS were also described. We used a translational approach. The animal models reproducing some behavioral and/or neurochemical aspects of psychiatric disorders and the molecular alterations in clinical studies in brain tissue or peripheral tissues were analyzed. This article reviewed the most relevant ECS changes in prevalent psychiatric diseases such as mood disorders, schizophrenia, autism, attentional deficit, eating disorders (ED), and addiction. The review concludes that clinical research studies are urgently needed for two different purposes: (1) To identify alterations of the ECS components potentially useful as new biomarkers relating to a specific disease or condition, and (2) to design new therapeutic targets based on the specific alterations found to improve the pharmacological treatment in psychiatry.
当前用于治疗精神障碍患者的药物具有多种不良反应,相比之下,其治疗效果较好。内源性大麻素系统 (ECS) 成分因其作为治疗精神疾病的潜在新靶点的神经调节剂作用而受到高度关注,这对于理解许多大脑功能的调节至关重要。本文综述了不同精神疾病中 ECS 发生的分子改变。还描述了用于识别 ECS 改变的方法。我们使用了一种转化方法。分析了复制精神障碍某些行为和/或神经化学特征的动物模型,以及脑组织或外周组织中临床研究中的分子改变。本文综述了常见精神疾病(如心境障碍、精神分裂症、自闭症、注意力缺陷、饮食障碍 (ED) 和成瘾)中最相关的 ECS 变化。该综述得出的结论是,迫切需要进行临床研究,目的有二:(1) 鉴定 ECS 成分的改变,这些改变可能作为与特定疾病或病症相关的新型生物标志物有用;(2) 根据发现的特定改变设计新的治疗靶点,以改善精神药理学治疗。