Department of Pharmacy, The Second People's Hospital of Nantong, Nantong, China.
Department of Pharmacology, Pharmacy College, Nantong University, Nantong 226001, Jiangsu, China.
Life Sci. 2024 Mar 15;341:122507. doi: 10.1016/j.lfs.2024.122507. Epub 2024 Feb 18.
Annually, the frequency of morbidity in depression has increased progressively in response to life stressors, and there is an increasing trend toward younger morbidity. The pathogenesis of depression is complicated and includes factors such as genetic inheritance and variations in physiological functions induced by various environmental factors. Currently, drug therapy has wide adaptability in clinical practice and plays an important role in the treatment of patients with mild depression. However, the therapeutic effects of most antidepressants are typically not significant and are associated with considerable adverse effects and addiction. Therefore, it is imperative to identify the deeper mechanisms of depression and search for alternative drug targets. Growth differentiation factor 11 (GDF11) is described as an anti-ageing molecule that belongs to a member of the transforming growth factor β family. Additionally, the latest research findings suggested that GDF11 positively regulates neurogenesis and enhances neuronal activity, thereby attenuating depression-like behaviours. Although an increasing number of studies have focused on the multiple functions of GDF11 in skeletal dysplasia and carcinogenesis, its precise mechanism of action in depression remains unknown. Thus, in this review, we discuss the role of GDF11 and its mechanistic pathways in the pathogenesis of depression to develop novel therapies for depression.
每年,随着生活应激源的增加,抑郁症的发病率呈逐渐上升趋势,且发病年龄有年轻化的趋势。抑郁症的发病机制复杂,包括遗传因素以及各种环境因素引起的生理功能变化等因素。目前,药物治疗在临床实践中具有广泛的适应性,在治疗轻度抑郁症患者方面发挥着重要作用。然而,大多数抗抑郁药的治疗效果通常不明显,且存在较大的不良反应和成瘾性。因此,必须深入研究抑郁症的发病机制,寻找替代药物靶点。生长分化因子 11(GDF11)被描述为一种抗衰老分子,属于转化生长因子β家族的成员。此外,最新的研究结果表明,GDF11 可正向调节神经发生并增强神经元活性,从而减轻抑郁样行为。虽然越来越多的研究集中在 GDF11 在骨骼发育不良和癌症发生中的多种功能,但它在抑郁症中的确切作用机制尚不清楚。因此,在本综述中,我们讨论了 GDF11 在抑郁症发病机制中的作用及其机制途径,以期为抑郁症的治疗开发新的疗法。