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肾素-血管紧张素系统:抑郁症和焦虑症的潜在机制和有前景的治疗靶点。

Renin-angiotensin system: The underlying mechanisms and promising therapeutical target for depression and anxiety.

机构信息

Department of Neurology, First Affiliated Hospital of Jilin University, Changchun, China.

出版信息

Front Immunol. 2023 Jan 24;13:1053136. doi: 10.3389/fimmu.2022.1053136. eCollection 2022.


DOI:10.3389/fimmu.2022.1053136
PMID:36761172
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9902382/
Abstract

Emotional disorders, including depression and anxiety, contribute considerably to morbidity across the world. Depression is a serious condition and is projected to be the top contributor to the global burden of disease by 2030. The role of the renin-angiotensin system (RAS) in hypertension and emotional disorders is well established. Evidence points to an association between elevated RAS activity and depression and anxiety, partly through the induction of neuroinflammation, stress, and oxidative stress. Therefore, blocking the RAS provides a theoretical basis for future treatment of anxiety and depression. The evidence for the positive effects of RAS blockers on depression and anxiety is reviewed, aiming to provide a promising target for novel anxiolytic and antidepressant medications and/or for improving the efficacy of currently available medications used for the treatment of anxiety and depression, which independent of blood pressure management.

摘要

情绪障碍,包括抑郁和焦虑,在全球范围内导致了大量的发病率。抑郁症是一种严重的疾病,预计到 2030 年将成为全球疾病负担的首要原因。肾素-血管紧张素系统 (RAS) 在高血压和情绪障碍中的作用已得到充分证实。有证据表明,RAS 活性升高与抑郁和焦虑之间存在关联,部分原因是诱导了神经炎症、应激和氧化应激。因此,阻断 RAS 为未来治疗焦虑和抑郁提供了理论依据。本文综述了 RAS 阻滞剂对抑郁和焦虑的积极作用的证据,旨在为新型抗焦虑和抗抑郁药物提供一个有前途的靶点,或者提高目前用于治疗焦虑和抑郁的药物的疗效,而这些药物与血压管理无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d1/9902382/087b20804cce/fimmu-13-1053136-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d1/9902382/087b20804cce/fimmu-13-1053136-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d1/9902382/087b20804cce/fimmu-13-1053136-g001.jpg

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本文引用的文献

[1]
Correlation of brain-derived neurotrophic factor with severity of depression and treatment response.

Med J Armed Forces India. 2023

[2]
Association of depression and parasympathetic activation with glycemic control in type 2 diabetes mellitus.

J Diabetes Complications. 2022-8

[3]
Brain-derived neurotrophic factor and inflammation in depression: Pathogenic partners in crime?

World J Psychiatry. 2022-1-19

[4]
Losartan enhances cognitive and structural neuroplasticity impairments in spontaneously hypertensive rats.

J Chem Neuroanat. 2022-3

[5]
Association between common cardiovascular drugs and depression.

Chin Med J (Engl). 2021-11-10

[6]
The renin-angiotensin system, mood, and suicide: Are there associations?

World J Psychiatry. 2021-9-19

[7]
SARS-CoV-2 Coronavirus Spike Protein-Induced Apoptosis, Inflammatory, and Oxidative Stress Responses in THP-1-Like-Macrophages: Potential Role of Angiotensin-Converting Enzyme Inhibitor (Perindopril).

Front Immunol. 2021

[8]
Impact of ACE2 genetic variant on antidepressant efficacy of SSRIs.

Acta Neuropsychiatr. 2022-2

[9]
Angiotensin II induces cognitive decline and anxiety-like behavior via disturbing pattern of theta-gamma oscillations.

Brain Res Bull. 2021-9

[10]
Onset and recurrence of psychiatric disorders associated with anti-hypertensive drug classes.

Transl Psychiatry. 2021-5-26

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