Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
J Steroid Biochem Mol Biol. 2024 May;239:106485. doi: 10.1016/j.jsbmb.2024.106485. Epub 2024 Feb 17.
Neurosteroids are steroids produced by endocrine glands and subsequently entering the brain, and also include steroids synthesis in the brain. It has been widely known that neurosteroids influence many neurological functions, including neuronal signaling, synaptic adaptations, and neuroprotective effects. In addition, abnormality in the synthesis and function of neurosteroids has been closely linked to neuropsychiatric disorders, such as Alzheimer's disease (AD), schizophrenia (SZ), and epilepsy. Given their important role in brain pathophysiology and disorders, neurosteroids offer potential therapeutic targets for a variety of neuropsychiatric diseases, and that therapeutic strategies targeting neurosteroids probably exert beneficial effects. We therefore summarized the role of neurosteroids in brain physiology and neuropsychiatric disorders, and introduced the recent findings of synthetic neurosteroid analogues for potential treatment of neuropsychiatric disorders, thereby providing insights for further research in the future.
神经甾体是由内分泌腺产生并随后进入大脑的甾体,也包括大脑中的甾体合成。人们已经广泛认识到,神经甾体影响许多神经功能,包括神经元信号传递、突触适应和神经保护作用。此外,神经甾体的合成和功能异常与神经精神疾病密切相关,如阿尔茨海默病(AD)、精神分裂症(SZ)和癫痫。鉴于它们在大脑病理生理学和疾病中的重要作用,神经甾体为各种神经精神疾病提供了潜在的治疗靶点,针对神经甾体的治疗策略可能产生有益的效果。因此,我们总结了神经甾体在大脑生理学和神经精神疾病中的作用,并介绍了合成神经甾体类似物用于治疗神经精神疾病的最新发现,为未来的进一步研究提供了思路。