抗炎性细胞因子与抑郁症
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中国科学院心理研究所心理健康重点实验室;中国科学院大学,中国科学院心理研究所心理健康重点实验室

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国家自然科学基金(30770718,31170987)和中国科学院知识创新工程(KSCX2-EW-J-8)资助项目


Anti-inflammatory Cytokines and Depression
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Key Laboratory of Mental Health,Institute of Psychology,Chinese Academy of Sciences; University of Chinese Academy of Sciences,Key Laboratory of Mental Health,Institute of Psychology,Chinese Academy of Sciences

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This work was supported by grants from The National Natural Science Foundation of China(30770718,31170987), and The Innovative Program of Chinese Academy of Sciences(KSCX2-EW-J-8)

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    摘要:

    细胞因子假说是关于抑郁症发病机理的重要假说,为探讨抑郁症的发病机理和临床治疗方法提供了新方向.细胞因子分为前炎性细胞因子和抗炎性细胞因子.前炎性细胞因子与抑郁症的发病密切相关,而抗炎性细胞因子可能具有抗抑郁的作用.本文着重综述抗炎性细胞因子与抑郁症的关系.抗炎性细胞因子如白介素10、白介素1受体拮抗剂、白介素4、白介素13、转化生长因子β和脂联素等,在抑郁症中表达下降;补充外源抗炎性细胞因子则具有一定的抗抑郁作用.抗炎性细胞因子可通过拮抗前炎性细胞因子的作用,并与MAPK信号通路、神经递质和糖皮质激素相互作用而参与到抑郁症中.抗抑郁药能使抗炎性细胞因子的表达上升,这可能是药物起效的机制之一.抗炎策略在抑郁症的治疗中有重要应用前景.

    Abstract:

    In recent years, the cytokine hypothesis of depression has received considerable research attention, providing insights on the mechanism study and the therapeutic treatment of depressive disorders. Two classes of cytokines, pro-inflammatory cytokines and anti-inflammatory cytokines, are proven to be associated with depression. In this review, the focus is on the research of anti-inflammatory cytokines, which are believed to have a key role in alleviating depression-related symptoms. Anti-inflammatory cytokines, such as interleukin-10, interleukin-1 receptor antagonist, interleukin-4, interleukin-13, transforming growth factor-β, and adiponectin, show decreased concentrations during depressive episodes. Anti-inflammatory cytokines participate in the regulation mechanism of depression through antagonizing pro-inflammatory cytokines and interacting with MAPK signaling, neurotransmitters, and glucocorticoids. Various kinds of antidepressants can lead to an increased secretion of anti-inflammatory cytokines, which might be the action mechanism of antidepressants. Overall, accumulating evidences from the literature demonstrate positive prospects of using anti-inflammatory cytokines as a therapeutic alternative to treat depression.

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引用本文

徐说,林文娟.抗炎性细胞因子与抑郁症[J].生物化学与生物物理进展,2014,41(11):1099-1108

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  • 收稿日期:2013-11-18
  • 最后修改日期:2014-04-15
  • 接受日期:2014-04-18
  • 在线发布日期: 2014-11-21
  • 出版日期: 2014-11-20