Abelaira Helena M, Maciel Amanda L, Quevedo Joao, Reus Gislaine Z
Laboratory of Neurosciences, Graduate Program in Health Sciences, Health Sciences Unit, University of Southern Santa Catarina, Criciúma, SC, Brazil.
Translational Psychiatry Program, Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, United States.
CNS Neurol Disord Drug Targets. 2017;16(4):398-406. doi: 10.2174/1871527316666170404141620.
Major depressive disorder (MDD) is associated with high mortality and morbidity rates, and currently, approximately 340 million people worldwide suffer from depression at some point in life. In view of the growing socio-economic and clinical impact, several studies have focused on the etiopathology of MDD, suggesting that not only the monoaminergic system but also other brain mechanisms may be involved in the pathophysiology of MDD. Recent studies have shown a link between inflammation and MDD and have also demonstrated that antidepressants and antiinflammatory drugs can act to reduce inflammation, thereby improving depressive symptoms. Animal models of depression are indispensable for studying the pathophysiology of this disorder and new treatments for it. Further, studies have shown that rodent models of depression are also associated with elevated levels of inflammation in the periphery and brain.
This review will highlight the role of immune inflammation in MDD and the significance of immune system modulators with antidepressant effects in the treatment of MDD, based on studies using animal models of depression.
重度抑郁症(MDD)与高死亡率和发病率相关,目前全球约有3.4亿人在生命中的某个阶段患有抑郁症。鉴于其日益增长的社会经济和临床影响,多项研究聚焦于MDD的病因病理学,表明不仅单胺能系统,其他脑机制也可能参与MDD的病理生理学。最近的研究显示炎症与MDD之间存在联系,还表明抗抑郁药和抗炎药可通过减轻炎症来改善抑郁症状。抑郁症动物模型对于研究该疾病的病理生理学及新治疗方法不可或缺。此外,研究表明抑郁症啮齿动物模型在外周和大脑中也伴有炎症水平升高。
基于使用抑郁症动物模型的研究,本综述将强调免疫炎症在MDD中的作用以及具有抗抑郁作用的免疫系统调节剂在MDD治疗中的意义。