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阿尔茨海默病中抑郁症的发病机制。

Pathogenesis of Depression in Alzheimer's Disease.

作者信息

Zhan Qingyang, Kong Fanyi, Shao Shuai, Zhang Bo, Huang Shuming

机构信息

Institute of Chinese Medicine, Heilongjiang University of Chinese Medicine, Harbin, 150040, China.

出版信息

Neurochem Res. 2024 Mar;49(3):548-556. doi: 10.1007/s11064-023-04061-0. Epub 2023 Nov 28.

Abstract

Depression is a prevalent occurrence among Alzheimer's disease (AD) patients, yet its underlying mechanism remains unclear. Recent investigations have revealed that several pathophysiological changes associated with Alzheimer's disease can lead to mood disorders. These alterations include irregularities in monoamine neurotransmitters, disruptions in glutamatergic synaptic transmission, neuro-inflammation, dysfunction within the hypothalamic-pituitary-adrenocortical (HPA) axis, diminished levels of brain-derived neurotrophic factor (BDNF), and hippocampal atrophy. This review consolidates research findings from pertinent fields to elucidate the mechanisms underlying depression in Alzheimer's disease, aiming to provide valuable insights for the study of its mechanisms and clinical treatment.

摘要

抑郁症在阿尔茨海默病(AD)患者中普遍存在,但其潜在机制仍不清楚。最近的研究表明,与阿尔茨海默病相关的几种病理生理变化可导致情绪障碍。这些改变包括单胺类神经递质异常、谷氨酸能突触传递紊乱、神经炎症、下丘脑-垂体-肾上腺皮质(HPA)轴功能障碍、脑源性神经营养因子(BDNF)水平降低以及海马萎缩。本综述整合了相关领域的研究结果,以阐明阿尔茨海默病中抑郁症的潜在机制,旨在为其机制研究和临床治疗提供有价值的见解。

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