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多巴胺与抑郁症:近期证据综述。III. 抗抑郁治疗的效果

Dopamine and depression: a review of recent evidence. III. The effects of antidepressant treatments.

作者信息

Willner P

出版信息

Brain Res. 1983 Dec;287(3):237-46. doi: 10.1016/0165-0173(83)90007-3.

Abstract

This paper reviews the effects of antidepressants on brain dopamine (DA) function in people and animals. Acute antidepressant treatments have no consistent effect on DA. Chronic treatment does not appear to change DA synthesis or turnover, or to affect post-synaptic DA receptors. However, there is considerable evidence of increased DA function following chronic antidepressant treatments; the site of these effects is at present unclear, but appears to be beyond the DA receptors. There is also evidence for decreased sensitivity of pre-synaptic DA autoreceptors, though this effect is less well established.

摘要

本文综述了抗抑郁药对人和动物脑内多巴胺(DA)功能的影响。急性抗抑郁治疗对DA没有一致的影响。慢性治疗似乎不会改变DA的合成或周转率,也不会影响突触后DA受体。然而,有大量证据表明,慢性抗抑郁治疗后DA功能增强;这些效应的位点目前尚不清楚,但似乎在DA受体之外。也有证据表明突触前DA自身受体的敏感性降低,尽管这一效应尚未得到充分证实。

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