Grzesińska Anna Dorota
Collegium Medicum, Jan Dlugosz University in Czestochowa, ul. Waszyngtona 4/8, 42-200 Częstochowa, Poland.
Int J Mol Sci. 2025 Jun 20;26(13):5929. doi: 10.3390/ijms26135929.
Post-traumatic stress disorder (PTSD) is a debilitating mental health condition that develops in response to traumatic events. The endocannabinoid, glutamatergic, and GABAergic systems play crucial roles in the neurobiological mechanisms of PTSD. Both the endocannabinoid, glutamatergic, and GABAergic systems are involved in synaptic remodeling and neuronal differentiation, ensuring efficient information transmission in the brain. Their interplay influences motivation, behavior, sensory perception, pain regulation, and visual processing. Additionally, these systems regulate processes such as cellular proliferation, adhesion, apoptosis, and immune responses. This article explores the involvement of the endocannabinoid, glutamatergic, and GABAergic systems in PTSD pathogenesis. A literature review was conducted on studies examining the relationship between the endocannabinoid, glutamatergic, and GABAergic systems in PTSD. Relevant publications were sourced from the Web of Science and Scopus databases, covering research up to 29 February 2025. Neurobiological mechanisms underlying PTSD may share common pathways with other mental and somatic disorders, particularly those involving inflammatory processes. The identification of biomarkers is crucial for assessing PTSD risk and implementing targeted interventions to improve patient outcomes. A deeper understanding of these mechanisms could enhance therapeutic strategies, ultimately improving the quality of life for individuals affected by PTSD.
创伤后应激障碍(PTSD)是一种因创伤性事件而引发的使人衰弱的心理健康状况。内源性大麻素系统、谷氨酸能系统和γ-氨基丁酸能系统在创伤后应激障碍的神经生物学机制中发挥着关键作用。内源性大麻素系统、谷氨酸能系统和γ-氨基丁酸能系统均参与突触重塑和神经元分化,确保大脑中高效的信息传递。它们之间的相互作用影响动机、行为、感官知觉、疼痛调节和视觉处理。此外,这些系统还调节细胞增殖、黏附、凋亡和免疫反应等过程。本文探讨内源性大麻素系统、谷氨酸能系统和γ-氨基丁酸能系统在创伤后应激障碍发病机制中的作用。对研究创伤后应激障碍中内源性大麻素系统、谷氨酸能系统和γ-氨基丁酸能系统之间关系的研究进行了文献综述。相关出版物来自科学网和Scopus数据库,涵盖截至2025年2月29日的研究。创伤后应激障碍的神经生物学机制可能与其他精神和躯体疾病有共同的途径,特别是那些涉及炎症过程的疾病。生物标志物的识别对于评估创伤后应激障碍风险和实施针对性干预以改善患者预后至关重要。对这些机制的更深入理解可以加强治疗策略,最终提高受创伤后应激障碍影响个体的生活质量。