Lin Jianwen, Liu Wenxin, Guan Jing, Cui Jianing, Shi Ruolin, Wang Lu, Chen Dong, Liu Yi
Department of Neurology, Dalian Municipal Central Hospital, Central Hospital of Dalian University of Technology, Dalian, China.
Department of Graduate Studies, Dalian Medical University, Dalian, China.
Front Synaptic Neurosci. 2023 May 9;15:1124112. doi: 10.3389/fnsyn.2023.1124112. eCollection 2023.
Psychiatric disorders are among the leading causes of global health burden, with depression and anxiety being the most disabling subtypes. The two common disorders, depression and anxiety, usually coexist and are pathologically polygenic with complicated etiologies. Current drug-based therapies include selective serotonin reuptake inhibitors, serotonin and norepinephrine reuptake inhibitors, and 5-hydroxytryptamine partial agonists. However, these modalities share common limitations, such as slow onset and low efficacy, which is why potential mechanistic insights for new drug targets are needed. In this review, we summarize recent advances in brain localization, pathology, and therapeutic mechanisms of the serotonergic system in depression and anxiety.
精神疾病是全球健康负担的主要原因之一,其中抑郁症和焦虑症是最具致残性的亚型。抑郁症和焦虑症这两种常见疾病通常并存,并且在病理上是多基因的,病因复杂。目前基于药物的治疗方法包括选择性5-羟色胺再摄取抑制剂、5-羟色胺和去甲肾上腺素再摄取抑制剂以及5-羟色胺部分激动剂。然而,这些治疗方式都有共同的局限性,比如起效慢、疗效低,这就是为什么需要对新的药物靶点进行潜在的机制研究。在这篇综述中,我们总结了抑郁症和焦虑症中血清素能系统在脑定位、病理学和治疗机制方面的最新进展。