当星星失去火力:重度抑郁症中的星形胶质细胞功能障碍

When the Stars Misfire: Astrocytic Dysfunctions in Major Depressive Disorder.

作者信息

González-Arias Candela, Perea Gertrudis

机构信息

Cajal Institute, CSIC, Av. Doctor Arce, 37, Madrid, 28002, Spain.

出版信息

Neurochem Res. 2025 Jul 12;50(4):231. doi: 10.1007/s11064-025-04483-y.

Abstract

Major depressive disorder (MDD) is a global public health concern and the leading cause of disability worldwide. It severely impairs cognitive, emotional, and social functioning, and is associated with attention, memory, and executive function deficits. MDD was traditionally considered as a neuropsychiatric disorder focused on neuronal dysfunction; however, growing evidence recognizes glial cells, particularly astrocytes, as crucial cells for the pathophysiology and pathogenesis of MDD. Astrocytes play essential roles in the central nervous system, including neurotransmitter uptake, metabolic support, neurotrophic factor production, and synaptic regulation. Evidence from MDD human patients, as well as studies involving animal models have revealed the astrocytic dysfunction as a critical factor in the pathophysiology of MDD, pointing to widespread alterations in astrocyte density, morphology, and function. This review summarizes current knowledge regarding astrocytes and MDD and discuss the potential of targeting astrocytes as a novel avenue for antidepressant development.

摘要

重度抑郁症(MDD)是一个全球性的公共卫生问题,也是全球致残的主要原因。它严重损害认知、情感和社会功能,并与注意力、记忆力和执行功能缺陷有关。MDD传统上被认为是一种专注于神经元功能障碍的神经精神疾病;然而,越来越多的证据表明,神经胶质细胞,尤其是星形胶质细胞,是MDD病理生理学和发病机制中的关键细胞。星形胶质细胞在中枢神经系统中发挥着重要作用,包括神经递质摄取、代谢支持、神经营养因子产生和突触调节。来自MDD人类患者的证据以及涉及动物模型的研究表明,星形胶质细胞功能障碍是MDD病理生理学中的一个关键因素,这表明星形胶质细胞密度、形态和功能存在广泛改变。本综述总结了关于星形胶质细胞和MDD的当前知识,并讨论了将星形胶质细胞作为抗抑郁药开发新途径的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a51/12255599/f6708dc3036f/11064_2025_4483_Fig1_HTML.jpg

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