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催产素、免疫系统与重度抑郁症之间的复杂关联。

Intertwined associations between oxytocin, immune system and major depressive disorder.

机构信息

Department of Orthopedics and Traumatology, Affiliated Hospital of Yunnan University, Yunnan University, Kunming, China; Department of Critical Care Medicine and Neurosurgery of Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Institutes of Brain Science, Fudan University, Shanghai, China.

Department of Critical Care Medicine and Neurosurgery of Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Institutes of Brain Science, Fudan University, Shanghai, China.

出版信息

Biomed Pharmacother. 2023 Jul;163:114852. doi: 10.1016/j.biopha.2023.114852. Epub 2023 May 8.

Abstract

Major depressive disorder (MDD) is a prominent psychiatric disorder with a high prevalence rate. The recent COVID-19 pandemic has exacerbated the already high prevalence of MDD. Unfortunately, a significant proportion of patients are unresponsive to conventional treatments, necessitating the exploration of novel therapeutic strategies. Oxytocin, an endogenous neuropeptide, has emerged as a promising candidate with anxiolytic and antidepressant properties. Oxytocin has been shown to alleviate emotional disorders by modulating the hypothalamic-pituitary-adrenal (HPA) axis and the central immune system. The dysfunction of the immune system has been strongly linked to the onset and progression of depression. The central immune system is believed to be a key target of oxytocin in ameliorating emotional disorders. In this review, we examine the evidence regarding the interactions between oxytocin, the immune system, and depressive disorder. Moreover, we summarize and speculate on the potential roles of the intertwined association between oxytocin and the central immune system in treating emotional disorders.

摘要

重度抑郁症(MDD)是一种常见的精神疾病,其发病率很高。最近的 COVID-19 大流行使 MDD 的高发病率进一步恶化。不幸的是,相当一部分患者对传统治疗方法没有反应,这需要探索新的治疗策略。催产素是一种内源性神经肽,具有抗焦虑和抗抑郁作用,是一种很有前途的候选药物。催产素通过调节下丘脑-垂体-肾上腺(HPA)轴和中枢免疫系统来缓解情绪障碍。免疫系统功能障碍与抑郁症的发生和发展密切相关。中枢免疫系统被认为是催产素改善情绪障碍的关键靶点。在这篇综述中,我们研究了催产素、免疫系统和抑郁症之间相互作用的证据。此外,我们总结并推测了催产素和中枢免疫系统之间相互关联在治疗情绪障碍中的潜在作用。

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