Department of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
School of Psychiatry, Wenzhou Medical University, Wenzhou 325000, China.
Int J Biol Sci. 2023 Aug 28;19(14):4539-4551. doi: 10.7150/ijbs.84923. eCollection 2023.
Bipolar disorder (BD), a disabling mental disorder, is featured by the oscillation between episodes of depression and mania, along with disturbance in the biological rhythms. It is on an urgent demand to identify the intricate mechanisms of BD pathophysiology. Based on the continuous progression of neural science techniques, the dysfunction of circuits in the central nervous system was currently thought to be tightly associated with BD development. Yet, challenge exists since it depends on techniques that can manipulate spatiotemporal dynamics of neuron activity. Notably, the emergence of optogenetics has empowered researchers with precise timing and local manipulation, providing a possible approach for deciphering the pathological underpinnings of mental disorders. Although the application of optogenetics in BD research remains preliminary due to the scarcity of valid animal models, this technique will advance the psychiatric research at neural circuit level. In this review, we summarized the crucial aberrant brain activity and function pertaining to emotion and rhythm abnormities, thereby elucidating the underlying neural substrates of BD, and highlighted the importance of optogenetics in the pursuit of BD research.
双相情感障碍(BD)是一种使人丧失能力的精神障碍,其特征是抑郁和躁狂发作之间的波动,以及生物节律的紊乱。目前迫切需要确定 BD 病理生理学的复杂机制。基于神经科学技术的不断进步,目前认为中枢神经系统回路的功能障碍与 BD 的发展密切相关。然而,由于这取决于可以操纵神经元活动时空动力学的技术,因此存在挑战。值得注意的是,光遗传学的出现使研究人员能够进行精确的定时和局部操作,为破译精神障碍的病理基础提供了一种可能的方法。尽管由于缺乏有效的动物模型,光遗传学在 BD 研究中的应用仍处于初步阶段,但这项技术将推动神经回路水平的精神病学研究。在这篇综述中,我们总结了与情绪和节律异常相关的关键异常脑活动和功能,从而阐明了 BD 的潜在神经基础,并强调了光遗传学在探索 BD 研究中的重要性。