精神疾病的炎症途径:精神分裂症和抑郁症的案例。

IF 2.1 Q3 NEUROSCIENCES
Current Behavioral Neuroscience Reports Pub Date : 2020-09-01 Epub Date: 2020-07-26 DOI:10.1007/s40473-020-00207-4
Tami Feng, Ashutosh Tripathi, Anilkumar Pillai
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引用次数: 17

摘要

综述目的:更好地了解抑郁症和精神分裂症病理生理学的关键分子/途径可能有助于新的治疗策略。在这篇综述中,我们讨论了炎症通路在抑郁症和精神分裂症发病机制中的作用的最新进展。最新发现:炎症是一种先天免疫反应,可由多种因素触发,包括病原体、压力和损伤。在正常情况下,炎症反应在病原体清除和组织修复后平静下来。然而,不正常的长期或慢性炎症可导致破坏性影响。越来越多的证据表明,失调的炎症与神经精神疾病的发病机制有关。本文就补体系统、外周免疫细胞向中枢神经系统(CNS)的浸润、肠脑轴和犬尿氨酸通路在抑郁症和精神分裂症中的作用作一综述。总结:有大量令人信服的证据表明炎症通路在抑郁症和精神分裂症中的作用。虽然这些发现大多显示了它们在上述疾病的病理生理学中的作用,但需要进一步的研究来调查本文中讨论的各种免疫信号靶点的治疗潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Inflammatory Pathways in Psychiatric Disorders: The case of Schizophrenia and Depression.

Purpose of review: A better understanding of the key molecules/pathways underlying the pathophysiology of depression and schizophrenia may contribute to novel therapeutic strategies. In this review, we have discussed the recent developments on the role of inflammatory pathways in the pathogenesis of depression and schizophrenia.

Recent findings: Inflammation is an innate immune response that can be triggered by various factors, including pathogens, stress and injury. Under normal conditions, the inflammatory responses quiet after pathogen clearance and tissue repair. However, abnormal long-term or chronic inflammation can lead to damaging effects. Accumulating evidence suggest that dysregulated inflammation is linked to the pathogenesis of neuropsychiatric disorders. In this review, we have discussed the roles of complement system, infiltration of peripheral immune cells into the central nervous system (CNS), the gut-brain axis, and the kynurenine pathway in depression and schizophrenia.

Summary: There is a large body of compelling evidence on the role of inflammatory pathways in depression and schizophrenia. Although most of these findings show their roles in the pathophysiology of the above disorders, additional studies are warranted to investigate the therapeutic potential of various immune signaling targets discussed in this article.

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来源期刊
Current Behavioral Neuroscience Reports
Current Behavioral Neuroscience Reports Medicine-Public Health, Environmental and Occupational Health
CiteScore
3.60
自引率
0.00%
发文量
11
期刊介绍: Under the leadership of Emil Coccaro, Current Behavioral Neuroscience Reports will provide an in-depth review of topics covering personality and impulse control disorders, psychosis, mood and anxiety disorders, genetics and neuroscience, geropsychiatry and cognitive disorders of late life, child and developmental psychiatry, addictions, and neuromodulation.We accomplish this aim by inviting international authorities to contribute review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists.  By providing clear, insightful balanced contributions, the journal intends to serve those involved in the field of behavioral neuroscience.
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