Third Xiangya Hospital of Central South University, Changsha, 410013, China.
Mol Neurobiol. 2024 Jan;61(1):385-396. doi: 10.1007/s12035-023-03574-7. Epub 2023 Aug 23.
Postpartum depression is a serious disease with a high incidence and severe impact on pregnant women and infants, but its mechanism remains unclear. Recent studies have shown that GABA receptors, especially extrasynaptic receptors, are closely associated with postpartum depression. There are many different structures of GABA receptors, so different types of receptors have different functions, even though they transmit information primarily through GABA. In this review, we focus on the function of GABA receptors, especially extrasynaptic GABA receptors, and their association with postpartum depression. We have shown that the extrasynaptic GABA receptor has a significant impact on the activity and function of neurons through tonic inhibition. The extrasynaptic receptor and its ligands undergo drastic changes during pregnancy and childbirth. Abnormal changes or the body's inability to adjust and recover may be an important cause of postpartum depression. Finally, by reviewing the mechanisms of several novel antidepressants, we suggest that extrasynaptic receptors may be potential targets for the treatment of postpartum depression.
产后抑郁症是一种发病率高、对孕妇和婴儿影响严重的疾病,但发病机制尚不清楚。最近的研究表明,γ-氨基丁酸(GABA)受体,尤其是突触外受体,与产后抑郁症密切相关。GABA 受体有许多不同的结构,因此不同类型的受体具有不同的功能,尽管它们主要通过 GABA 传递信息。在本综述中,我们重点介绍 GABA 受体,尤其是突触外 GABA 受体的功能及其与产后抑郁症的关系。我们已经表明,通过紧张性抑制,突触外 GABA 受体对神经元的活动和功能有显著影响。突触外受体及其配体在妊娠和分娩期间会发生剧烈变化。异常变化或机体无法调节和恢复可能是产后抑郁症的一个重要原因。最后,通过对几种新型抗抑郁药的作用机制进行综述,我们提出突触外受体可能是治疗产后抑郁症的潜在靶点。