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氧化应激是治疗神经精神疾病的新途径:炒作还是希望?

Oxidative Stress is a New Avenue for Treatment of Neuropsychiatric Disorders: Hype of Hope?

机构信息

Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Neuroscience, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Curr Mol Med. 2024;24(12):1494-1505. doi: 10.2174/1566524023666230904150907.

Abstract

The biochemical integrity of the brain is critical in maintaining normal central nervous system (CNS) functions. One of the factors that plays an important role in causing biochemical impairment of the brain is known as oxidative stress. Oxidative stress is generally defined as the excessive formation of free radicals relative to antioxidant defenses. The brain is particularly susceptible to oxidative stress because of its high oxygen consumption and lipid-rich content. Therefore, oxidative stress damage is associated with abnormal CNS function. Psychiatric disorders are debilitating diseases. The underlying pathophysiology of psychiatric disorders is poorly defined and may involve the interplay of numerous clinical factors and mechanistic mechanisms. Considerable evidence suggests that oxidative stress plays a complex role in several neuropsychiatric disorders, including anxiety, bipolar disorder, depression, obsessivecompulsive disorder, panic disorder, and schizophrenia. To address these issues, we reviewed the literature and considered the role of oxidative stress as one of the first pathological changes in the course of neuropsychiatric disorders, which should receive more attention in future research.

摘要

大脑的生物化学完整性对于维持正常的中枢神经系统(CNS)功能至关重要。导致大脑生物化学损伤的因素之一是氧化应激。氧化应激通常被定义为自由基的过度形成相对于抗氧化防御。由于大脑的耗氧量高且富含脂质,因此特别容易受到氧化应激的影响。因此,氧化应激损伤与 CNS 功能异常有关。精神疾病是使人衰弱的疾病。精神疾病的潜在病理生理学尚未明确,可能涉及许多临床因素和机制的相互作用。大量证据表明,氧化应激在多种神经精神疾病中起着复杂的作用,包括焦虑症、双相情感障碍、抑郁症、强迫症、惊恐障碍和精神分裂症。为了解决这些问题,我们回顾了文献,并考虑了氧化应激作为神经精神疾病过程中最早的病理变化之一的作用,这在未来的研究中应得到更多关注。

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