抑郁症中的氧化应激:与应激反应、神经炎症、血清素、神经发生及突触可塑性的联系
Oxidative Stress in Depression: The Link with the Stress Response, Neuroinflammation, Serotonin, Neurogenesis and Synaptic Plasticity.
作者信息
Correia Ana Salomé, Cardoso Armando, Vale Nuno
机构信息
OncoPharma Research Group, Center for Health Technology and Services Research (CINTESIS), Rua Doutor Plácido da Costa, 4200-450 Porto, Portugal.
Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto, Rua de Jorge Viterbo Ferreira, 228, 4050-313 Porto, Portugal.
出版信息
Antioxidants (Basel). 2023 Feb 13;12(2):470. doi: 10.3390/antiox12020470.
Depression is a prevalent, complex, and highly debilitating disease. The full comprehension of this disease is still a global challenge. Indeed, relapse, recurrency, and therapeutic resistance are serious challenges in the fight against depression. Nevertheless, abnormal functioning of the stress response, inflammatory processes, neurotransmission, neurogenesis, and synaptic plasticity are known to underlie the pathophysiology of this mental disorder. The role of oxidative stress in disease and, particularly, in depression is widely recognized, being important for both its onset and development. Indeed, excessive generation of reactive oxygen species and lack of efficient antioxidant response trigger processes such as inflammation, neurodegeneration, and neuronal death. Keeping in mind the importance of a detailed study about cellular and molecular mechanisms that are present in depression, this review focuses on the link between oxidative stress and the stress response, neuroinflammation, serotonergic pathways, neurogenesis, and synaptic plasticity's imbalances present in depression. The study of these mechanisms is important to lead to a new era of treatment and knowledge about this highly complex disease.
抑郁症是一种常见、复杂且极具致残性的疾病。对这种疾病的全面理解仍是一项全球性挑战。事实上,复发、反复以及治疗抵抗是抗击抑郁症过程中的严峻挑战。然而,已知应激反应、炎症过程、神经传递、神经发生和突触可塑性的异常功能是这种精神障碍病理生理学的基础。氧化应激在疾病尤其是抑郁症中的作用已得到广泛认可,对其发病和发展都很重要。的确,活性氧的过度产生和有效抗氧化反应的缺乏会引发炎症、神经退行性变和神经元死亡等过程。鉴于详细研究抑郁症中存在的细胞和分子机制的重要性,本综述聚焦于氧化应激与抑郁症中存在的应激反应、神经炎症、血清素能通路、神经发生以及突触可塑性失衡之间的联系。对这些机制的研究对于开启关于这种高度复杂疾病的治疗和认知的新时代至关重要。