Boullin D J
Encephale. 1979;5(5 Suppl):521-31.
Defects in brain neurotransmitter function are believed to be involved in the aetiology of mood disorders, and model systems are based on this concept. Abnormalities in synthesis, storage, release, reuptake or catabolism of monamines, GABA, glycine, taurine, peptides and purines may occur. There may also be an endogenous psychotogen--an aberrant metabolite of a transmitter. Models are divided into two groups. 1. Human. Brain, CSF, blood cells (platelets, erythrocytes), plasma and urine have been analysed for neurotransmitters or metabolites. Particular emphasis has been given to serotonin (5-HT) and the catecholamines, dopamine and noradrenaline. 2. Animal. Human mood disorders may be stimulated by drug-induced behavioural changes in animals (hyperactivity, stereotyped behaviour sedation). The above biochemical parameters relating to neuronal function can then be assessed. Brain neuronal pathways can be stimulated in animals with monoamine precursors and MAO inhibitor drugs. This drug-induced hyperactivity can be used to "evaluate" therapeutic techniques such as electroconvulsive therapy (ECT). Model analogues of mood disorder have limited use until human disease aetiology is known, currently the best use of models may be for demonstration and evaluation of particular similarities between human mood disorders and drug-induced alterations of animal behavioural patterns.
大脑神经递质功能缺陷被认为与情绪障碍的病因有关,模型系统就是基于这一概念建立的。单胺、γ-氨基丁酸(GABA)、甘氨酸、牛磺酸、肽类和嘌呤的合成、储存、释放、再摄取或分解代谢可能会出现异常。也可能存在内源性精神原——一种递质的异常代谢产物。模型分为两类。1. 人类。已对大脑、脑脊液、血细胞(血小板、红细胞)、血浆和尿液中的神经递质或代谢产物进行了分析。特别强调了血清素(5-羟色胺,5-HT)以及儿茶酚胺、多巴胺和去甲肾上腺素。2. 动物。人类情绪障碍可能由药物诱导的动物行为变化(多动、刻板行为、镇静)引发。然后可以评估上述与神经元功能相关的生化参数。可以用单胺前体和单胺氧化酶(MAO)抑制药物刺激动物的脑神经元通路。这种药物诱导的多动可用于“评估”诸如电休克疗法(ECT)等治疗技术。在了解人类疾病病因之前,情绪障碍的模型类似物用途有限,目前模型的最佳用途可能是用于证明和评估人类情绪障碍与药物诱导的动物行为模式改变之间的特定相似性。