宁波大学医学院,浙江省病理生理学技术研究重点实验室,宁波 315211
国家自然科学基金(31800874),浙江省自然科学基金 (LY21C090001)和宁波大学王宽诚幸福基金资助项目.
Zhejiang Key Laboratory of Pathophysiology, Medical School, Ningbo University, Ningbo 315211, China
This work was supported by grants from The National Natural Science Foundation of China (31800874), Natural Science Foundation of Zhejiang Province (LY21C090001) and K. C. Wong Magna Fund in Ningbo University.
抑郁症是以显著而持久的情绪或心境低落为主要表现的精神疾病. 在各种治疗抑郁症的手段中,光疗因副作用小、成本低而受到越来越多的关注. 光疗作为一种物理治疗方法,利用人工光源或自然光源,通过不同时长和不同强度的光线照射达到防治疾病和辅助治疗的目的. 动物实验和临床试验均验证了光疗能有效缓解抑郁症状. 然而,目前光疗抗抑郁作用的神经机制还未完全明确,光疗的应用范式也尚存争议. 本文简述了光疗在抑郁症中的临床应用及光疗抗抑郁的神经机制,为光疗抗抑郁的优化及推广提供理论支持.
Depression is a significant and persistent mood or low state of mind as the main performance of mental illness. Light therapy has attracted more and more attention due to its low side effects and low cost. Light therapy is a physical therapy method that uses artificial or natural light to prevent and cure diseases by using light of different duration and intensity. Animal and clinical trials have shown that light therapy can effectively relieve depressive symptoms. However, the neural mechanism of the antidepressant effect of light therapy is still not fully understood, and the application paradigm of light therapy is still controversial. This paper briefly introduces the clinical application light therapy in the seasonal depressive disorder (SDD), bipolar disorder (BD), sub-threshold depression (SD), major depressive disorder (MDD), perinatal depression (PPD), post stroke depression (PSD), and the underlying mechanisms of those effects of light therapy in anti-depression. Animal studies reveal that the effects of light on mood via intrinsically photosensitive retinal ganglion cells to perihabenular nucleus (ipRGC-PHb) pathway. A recent report demonstrated that activation of the disynaptic retina-vLGN/IGL-LHb pathway underlies the anti-depressive effects of light therapy. Monoamine neurotransmitter as well as cortisol are also involved in regulating depressive-like behaviors during light therapy. The current review provides potentially theoretical basis for the optimization and promotion of light therapy in anti-depression.
崔可可,金磊,金彬杰,王郅恺,王祥群,邹丹丹,王正春.光疗抗抑郁及其作用机制的研究进展[J].生物化学与生物物理进展,2021,48(12):1429-1438
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