当代生物标志物在抑郁症中的作用探讨。

A cross talk on the role of contemporary biomarkers in depression.

机构信息

Department of Pharmacology, SVKM's Dr. Bhanuben Nanavati College of Pharmacy, Mumbai, India.

出版信息

Biomarkers. 2024 Feb;29(1):18-29. doi: 10.1080/1354750X.2024.2308834. Epub 2024 Jan 31.

Abstract

Biomarkers can be used to identify determinants of response to various treatments of mental disorders. Evidence to date demonstrates that markers of inflammatory, neurotransmitter, neurotrophic, neuroendocrine, and metabolic function can predict the psychological and physical consequences of depression in individuals, allowing for the development of new therapeutic targets with fewer side effects. Extensive research has included hundreds of potential biomarkers of depression, but their roles in depression, abnormal patients, and how bioinformatics can be used to improve diagnosis, treatment, and prognosis have not been determined or defined. To determine which biomarkers can and cannot be used to predict treatment response, classify patients for specific treatments, and develop targets for new interventions, proprietary strategies, and current research projects need to be tailored. This review article focuses on - biomarker systems that would help in the further development and expansion of newer targets - which holds great promise for reducing the burden of depression. Further, this review point to the inflammatory response, metabolic marker, and microribonucleic acids, long non-coding RNAs, HPA axis which are - related to depression and can serve as future targets.

摘要

生物标志物可用于识别各种精神障碍治疗反应的决定因素。迄今为止的证据表明,炎症、神经递质、神经营养、神经内分泌和代谢功能的标志物可以预测个体抑郁的心理和生理后果,从而开发出副作用更少的新治疗靶点。大量研究包括数百种潜在的抑郁症生物标志物,但它们在抑郁症、异常患者中的作用以及生物信息学如何用于改善诊断、治疗和预后尚未确定或定义。为了确定哪些生物标志物可以用于预测治疗反应、为特定治疗分类患者以及为新干预措施开发靶点,需要定制专有的策略和当前的研究项目。本文综述重点关注生物标志物系统,这些系统将有助于进一步开发和扩展新靶点,为减轻抑郁症负担带来巨大希望。此外,本文还指出与抑郁症相关的炎症反应、代谢标志物和 microRNA、长链非编码 RNA、HPA 轴,它们可以作为未来的靶点。

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