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海马体突触可塑性与中风后抑郁的新视角。

A new perspective on hippocampal synaptic plasticity and post-stroke depression.

作者信息

Sun Ning, Cui Wen-Qiang, Min Xiao-Man, Zhang Guang-Ming, Liu Jia-Zheng, Wu Hong-Yun

机构信息

First College of Clinical Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.

Department of Neurology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.

出版信息

Eur J Neurosci. 2023 Aug;58(4):2961-2984. doi: 10.1111/ejn.16093. Epub 2023 Jul 30.

Abstract

Post-stroke depression, a common complication after stroke, severely affects the recovery and quality of life of patients with stroke. Owing to its complex mechanisms, post-stroke depression treatment remains highly challenging. Hippocampal synaptic plasticity is one of the key factors leading to post-stroke depression; however, the precise molecular mechanisms remain unclear. Numerous studies have found that neurotrophic factors, protein kinases and neurotransmitters influence depressive behaviour by modulating hippocampal synaptic plasticity. This review further elaborates on the role of hippocampal synaptic plasticity in post-stroke depression by summarizing recent research and analysing possible molecular mechanisms. Evidence for the correlation between hippocampal mechanisms and post-stroke depression helps to better understand the pathological process of post-stroke depression and improve its treatment.

摘要

中风后抑郁是中风后常见的并发症,严重影响中风患者的恢复和生活质量。由于其机制复杂,中风后抑郁的治疗仍然极具挑战性。海马体突触可塑性是导致中风后抑郁的关键因素之一;然而,确切的分子机制尚不清楚。众多研究发现,神经营养因子、蛋白激酶和神经递质通过调节海马体突触可塑性来影响抑郁行为。本综述通过总结近期研究并分析可能的分子机制,进一步阐述海马体突触可塑性在中风后抑郁中的作用。海马体机制与中风后抑郁之间相关性的证据有助于更好地理解中风后抑郁的病理过程并改善其治疗。

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