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重度抑郁症概述:内源性大麻素系统作为潜在治疗靶点

An overview of major depression disorder: The endocannabinoid system as a potential target for therapy.

作者信息

Zarazúa-Guzmán Sergio, Vicente-Martínez Jorge Genaro, Pinos-Rodríguez Juan Manuel, Arevalo-Villalobos Jaime Iván

机构信息

Laboratorio de Neurotoxicología, Facultad de Ciencias Químicas, Universidad Autónoma de San Luis Potosí, San Luis Potosí, Mexico.

Facultad de Medicina Veterinaria y Zootecnia, Universidad Veracruzana, Veracruz, Mexico.

出版信息

Basic Clin Pharmacol Toxicol. 2024 Dec;135(6):669-684. doi: 10.1111/bcpt.14089. Epub 2024 Oct 6.

Abstract

Major depressive disorder is the psychiatric disease with the highest global prevalence, impacting social functioning and decreasing the quality of life. The partial pathophysiological knowledge of the disease, the economic burden and the low remission rates are sufficient justification to carry out an update on the subject in the search for new therapeutic approaches and targets. The endocannabinoid system has been linked to the development of depression, and its stimulation or antagonism is a promising approach in the treatment of major depressive disorder. Cannabidiol (CBD) and its properties have been widely studied recently; its analgesic, anti-inflammatory, antineoplastic and neuroprotective roles have even been reported in animal models and clinical trials, achieving its approved use for certain neurodegenerative pathologies. The use of CBD in depression biomodels and clinical trials has not been the exception, and here we contrast the current evidence of its administration and pharmacology against the pathological mechanisms of major depressive disorder.

摘要

重度抑郁症是全球患病率最高的精神疾病,影响社会功能并降低生活质量。该疾病部分病理生理学知识、经济负担以及低缓解率,足以成为对该主题进行更新的理由,以寻找新的治疗方法和靶点。内源性大麻素系统与抑郁症的发生有关,对其进行刺激或拮抗是治疗重度抑郁症的一种有前景的方法。大麻二酚(CBD)及其特性最近得到了广泛研究;其镇痛、抗炎、抗肿瘤和神经保护作用甚至在动物模型和临床试验中都有报道,并已获批用于某些神经退行性疾病。CBD在抑郁症生物模型和临床试验中的应用也不例外,在此我们将其给药和药理学的现有证据与重度抑郁症的病理机制进行对比。

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