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精神分裂症作为一种前列腺素缺乏症。

Schizophrenia as a prostaglandin deficiency disease.

作者信息

Horrobin D F

出版信息

Lancet. 1977 Apr 30;1(8018):936-7. doi: 10.1016/s0140-6736(77)92228-0.

Abstract

Evidence that schizophrenia may be a prostaglandin deficiency disease comes from three main sources: (1) all effective antischizophrenic drugs stimulate prolactin secretion and prolactin is a potent stimulator of prostaglandin synthesis; (2) schizophrenics are resistant to pain and inflammation and are free of rheumatoid arthritis and there is increasing evidence that prostaglandins play important roles in pain, inflammation, and rheumatoid arthritis; (3) high doses of drugs recently shown to be prostaglandin antagonists cause schizophrenia-like syndromes. The hypothesis is not necessarily inconsistent with current transmitter theories of schizophrenia since prostaglandins modify transmitter secretion and action. It does indicate radically new approaches to investigation, treatment, and drug design not suggested by the transmitter concepts.

摘要

精神分裂症可能是一种前列腺素缺乏症的证据主要来自三个方面

(1)所有有效的抗精神分裂症药物都会刺激催乳素分泌,而催乳素是前列腺素合成的强力刺激物;(2)精神分裂症患者对疼痛和炎症有抵抗力,且没有类风湿性关节炎,并且越来越多的证据表明前列腺素在疼痛、炎症和类风湿性关节炎中起重要作用;(3)最近显示高剂量的药物作为前列腺素拮抗剂会导致精神分裂症样综合征。该假说不一定与当前精神分裂症的递质理论相矛盾,因为前列腺素会改变递质的分泌和作用。它确实表明了与递质概念所未提示的研究、治疗和药物设计的全新方法。

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