Huang Bishan, Wu Yingyao, Li Chan, Tang Qingfa, Zhang Yuanwei
School of Life Sciences, Guangzhou University, Guangzhou 510006, China.
School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, China.
Chin Herb Med. 2023 Mar 15;15(2):201-213. doi: 10.1016/j.chmed.2022.10.004. eCollection 2023 Apr.
is empirically used as an antidepressant in clinical practice. Preclinical studies have indicated that its total extracts or bioactive constituents exerted antidepressant-like responses in animal models, providing the molecular basis to reveal its underlying mechanism of action. While attempts have been made to understand the antidepressant effect of , many fundamental questions regarding its mechanism of action remain to be addressed at the molecular and systems levels. In this review, we conclusively discussed the mechanism of action of and formulae by reviewing recent preclinical and clinical studies conducted by using depressive animal models and depressive patients. Several representative bioactive constituents and formulae were highlighted as examples, and their mechanisms of action were discussed. In addition, some representative formulae that have been shown to be compatible with conventional antidepressants in clinical practice were also reviewed. Furthermore, we discussed the future research directions to reveal the underlying mechanism of at the molecular and systems levels in depression treatment. The integrated study using both the molecular and systematic approaches is required not only for improving our understanding of its molecular basis and mechanisms of action, but also for providing a way to discover novel agents or approaches for the effective and systematic treatment of depression.
在临床实践中,它被经验性地用作抗抑郁药。临床前研究表明,其总提取物或生物活性成分在动物模型中表现出抗抑郁样反应,为揭示其潜在作用机制提供了分子基础。虽然人们已尝试了解其抗抑郁作用,但在分子和系统水平上,关于其作用机制的许多基本问题仍有待解决。在本综述中,我们通过回顾最近使用抑郁动物模型和抑郁患者进行的临床前和临床研究,最终讨论了其作用机制。文中突出了几种具有代表性的生物活性成分和配方作为示例,并讨论了它们的作用机制。此外,还回顾了一些在临床实践中已被证明与传统抗抑郁药兼容的代表性配方。此外,我们还讨论了未来的研究方向,以在抑郁症治疗的分子和系统水平上揭示其潜在机制。不仅需要采用分子和系统方法进行综合研究,以增进我们对其分子基础和作用机制的理解,还需要提供一种方法来发现用于有效和系统治疗抑郁症的新型药物或方法。