Huang Xinyuejia, Xiao Linglong, Wang Mengqi, Wu Yang, Deng Hao, Wang Wei
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Brain Sci. 2025 Jan 4;15(1):43. doi: 10.3390/brainsci15010043.
Obsessive-compulsive disorder (OCD) is a prevalent, chronic, and severe neuropsychiatric disorder that leads to illness-related disability. Despite the availability of several treatments, many OCD patients respond inadequately, because the underlying neural mechanisms remain unclear, necessitating the establishment of many animal models, particularly mouse models, to elucidate disease mechanisms and therapeutic strategies better. Although the development of animal models is ongoing, there remain many comprehensive summaries and updates in recent research, hampering efforts to develop novel treatments and enhance existing interventions. This review summarizes the phenotypes of several commonly used models and mechanistic insights from transgenic models of OCD, such as knockout mouse models. In addition, we present the advantages and limitations of these models and discuss their future in helping further understand the pathophysiology and advanced treatment. Here, we highlight current frontline treatment approaches for OCD, including neuromodulation and surgical interventions, and propose potential future directions. By studying gene mutations and observing phenotypes from available OCD animal models, researchers have classified the molecular signatures of each model reminiscent of changes in brain areas and neural pathways, with the hope of guiding the future selection of the most appropriate models for specific research in the OCD field.
强迫症(OCD)是一种常见、慢性且严重的神经精神疾病,会导致与疾病相关的残疾。尽管有多种治疗方法,但许多强迫症患者的反应并不理想,因为其潜在的神经机制仍不清楚,这就需要建立许多动物模型,尤其是小鼠模型,以更好地阐明疾病机制和治疗策略。尽管动物模型的开发仍在进行中,但近期研究仍有许多全面的总结和更新,这阻碍了开发新疗法和改进现有干预措施的努力。本综述总结了几种常用模型的表型以及强迫症转基因模型(如基因敲除小鼠模型)的机制见解。此外,我们还介绍了这些模型的优缺点,并讨论了它们在帮助进一步理解病理生理学和推进治疗方面的未来前景。在这里,我们重点介绍了强迫症当前的一线治疗方法,包括神经调节和手术干预,并提出了潜在的未来方向。通过研究基因突变并观察现有强迫症动物模型的表型,研究人员对每个模型的分子特征进行了分类,这些特征让人联想到脑区和神经通路的变化,希望能指导未来为强迫症领域的特定研究选择最合适的模型。