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作用于神经系统的药物会影响发育中大脑的细胞增殖吗?

Do drugs acting on the nervous system affect cell proliferation in the developing brain.

作者信息

Patel A J, Béndek G, Balazs R

出版信息

Lancet. 1977 Feb 19;1(8008):399-401.

PMID:65514
Abstract

Drugs which alter the balance of neurotransmitter activity may, while failing to cause gross structural malformations of the brain, produce long-lasting functional disturbances if given when the brain is developing. Subtle anatomical changes may underlie such disturbances; reserpine has been shown to interfere with cell proliferation in the brain of suckling rats, and long-term alterations in behaviour reported after treatment with reserpine may be related to this effect of the drug. Neurotransmitters, apart from their conventional role, may also function as neurohumours and be involved in the regulation of cell proliferation in the nervous system. Thus drugs influencing central neurotransmitter activity, such as phenothiazines and adrenergic agonists and antagonists, which in clinical practice are often given to pregnant mothers, may affect the developing brain through mechanisms similar to those reported for reserpine. More experimental information is needed about the influence of such drugs on cell proliferation in the brain, and about their "behavioural teratogenicity".

摘要

改变神经递质活性平衡的药物,在大脑发育期间使用时,即便不会导致大脑出现明显的结构畸形,也可能产生持久的功能障碍。细微的解剖学变化可能是此类功能障碍的基础;已证实利血平会干扰乳鼠大脑中的细胞增殖,用利血平治疗后所报告的行为长期改变可能与此药的这一作用有关。神经递质除了具有传统作用外,还可能作为神经体液发挥作用,并参与神经系统中细胞增殖的调节。因此,影响中枢神经递质活性的药物,如临床实践中常给予孕妇的吩噻嗪类药物以及肾上腺素能激动剂和拮抗剂,可能通过与利血平所报告的类似机制影响发育中的大脑。关于此类药物对大脑细胞增殖的影响及其“行为致畸性”,还需要更多的实验信息。

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