Translational Neuroscience Program, Department of Psychiatry, Center for Neuroscience, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Curr Opin Neurobiol. 2023 Dec;83. doi: 10.1016/j.conb.2023.102801. Epub 2023 Oct 27.
This review focuses on recent advances made towards understanding the neurobiology of bipolar disorder (BD), a chronic neuropsychiatric illness characterized by altered mood and energy states. The past few years have seen the completion of the largest genetic studies by far, which have emphasized the polygenic nature of BD as well as it's connection to other psychiatric illnesses. Furthermore, the use of inducible pluripotent stem cells has rapidly expanded. These studies support previous work that implicates dysregulation of neurodevelopment, mitochondria, and calcium homeostasis, while also allowing for investigation into the underlying mechanisms of individual responsivity to lithium. Sleep and circadian rhythms have also been heavily implicated in BD, from disruptions in activity patterns to molecular abnormalities.
这篇综述重点介绍了在理解双相情感障碍(BD)神经生物学方面的最新进展,BD 是一种慢性神经精神疾病,其特征为情绪和能量状态改变。在过去的几年中,迄今完成了最大规模的基因研究,这些研究强调了 BD 的多基因性质及其与其他精神疾病的联系。此外,诱导多能干细胞的应用也迅速扩大。这些研究支持了先前的工作,即表明神经发育、线粒体和钙稳态的失调,同时也允许研究个体对锂的反应的潜在机制。睡眠和昼夜节律也与 BD 密切相关,从活动模式的中断到分子异常。