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Partial Dopamine D2/Serotonin 5-HT1A Receptor Agonists as New Therapeutic Agents~!2009-12-17~!2010-04-07~!2010-07-20~! 部分多巴胺D2/ 5-羟色胺5-HT1A受体激动剂作为新型治疗剂2009-12-17 2010-04-07 2010-07-20
Pub Date : 2010-07-01 DOI: 10.2174/1876523801003010001
A. Etiévant
The therapeutic efficacy of current antipsychotic or antidepressant agents still present important drawbacks such as delayed onset of action and a high percentage of non-responders. Despite significant advancements in the devel- opment of new drugs with more acceptable side-effect profiles, patients with schizophrenia or major depression experi- ence substantial disability and burden of disease. The present review discusses the usefulness of partial dopamine D2/serotonin 5-HT1A receptors agonists in the treatment of schizophrenia, major depression and bipolar disorder as well as in Parkinson's disease. Partial agonists can behave as modulators since their intrinsic activity or efficacy of a partial ago- nist depends on the target receptor population and the local concentrations of the natural neurotransmitter. Thus, these drugs may restore adequate neurotransmission while inducing less side effects. In schizophrenia, partial DA D2/5-HT1A receptor agonists (like aripiprazole or bifeprunox), by stabilizing DA system via a preferential reduction of phasic DA re- lease, reduce side effects i.e. extrapyramidal symptoms and improve cognition by acting on 5-HT1A receptors. Aripipra- zole appears also as a promising agent for the treatment of depression since it potentiates the effect of SSRIs in resistant treatment depression. Concerning bipolar disorders aripiprazole may have only a benefit effect in the treatment of manic episodes. Conversely, treatment of Parkinson's disease with partial DA D2/5-HT1A receptor agonists remains still experi- mental. However several studies suggest that these drugs decrease usually observed side effects (dyskinesia, psychotic- like symptoms) in Parkinson's disease treatment. Hence, these relatively recent researches provide an exciting future in the discovery of novel stabilizators agents for the management of the latter diseases.
目前的抗精神病或抗抑郁药物的治疗效果仍然存在重要的缺点,如延迟起效和高比例的无反应。尽管在开发副作用更可接受的新药方面取得了重大进展,但精神分裂症或重度抑郁症患者仍经历着严重的残疾和疾病负担。本综述讨论了部分多巴胺D2/ 5-羟色胺5-HT1A受体激动剂在治疗精神分裂症、重度抑郁症和双相情感障碍以及帕金森病中的作用。部分激动剂可以作为调节剂,因为它们的内在活性或部分前受体的有效性取决于目标受体群体和局部天然神经递质浓度。因此,这些药物可以恢复足够的神经传递,同时诱导较少的副作用。在精神分裂症中,部分DA D2/5-HT1A受体激动剂(如阿立哌唑或苯丙诺)通过优先减少DA的期相释放来稳定DA系统,减少锥体外系症状等副作用,并通过作用于5-HT1A受体改善认知。阿立哌唑似乎也是一种很有前景的治疗抑郁症的药物,因为它增强了ssri类药物在抗抑郁治疗中的作用。关于双相情感障碍,阿立哌唑在治疗躁狂发作时可能只有有益的效果。相反,部分DA D2/5-HT1A受体激动剂治疗帕金森病仍处于实验阶段。然而,一些研究表明,这些药物减少了帕金森病治疗中通常观察到的副作用(运动障碍,精神病样症状)。因此,这些相对较新的研究为发现用于治疗后一种疾病的新型稳定剂提供了令人兴奋的未来。
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引用次数: 13
Dopamine D3 Receptor Antagonist SB-277011A Influences Cell Firing in the Rat Ventral Tegmental Area, Parallel Role with the Cannabinoid System in Addiction and Neuropsychiatry Disorders? 多巴胺D3受体拮抗剂SB-277011A影响大鼠腹侧被盖区细胞放电,与大麻素系统在成瘾和神经精神疾病中的平行作用?
Pub Date : 2009-09-08 DOI: 10.2174/1876523800902020086
F. Formenti, Viviana Sonntag, F. Congestrì, F. Crespi
SB-277011A is a compound entering the brain with high affinity and selectivity for the dopamine (DA) D3 receptor. Recent electrophysiological study has shown that acute oral administration of SB-277011A significantly alters the spontaneous activity of DA neurons in the ventral tegmental area (VTA) but that intravenous administration has no effects. In that electrophysiological study hypotheses to explain this discrepancy involved either administration route- dependent timing for the compound to reach its active site or the formation of an active metabolite following oral administration that would sustain the activity of SB-277011A on DA cell firing. In an attempt to assess whether formation of a metabolite may account for the activity of the parent compound we conducted electrophysiological multi-unit field recordings of DA neurons in the VTA of anaesthetised rats following treatment with SB-277011A either systemically or locally in the VTA. The local dose (2.5� g) was selected based on brain exposure achieved following systemic i.p. administration of 10mg/kg. Results show that both administrations increased VTA neurons firing compared to vehicle administration. However, local injection of SB-277011A in the VTA induced a more rapid and higher increase of neuronal activity than systemic treatment. These results suggest that the increased VTA cell firing occurring following systemic administration of SB-277011A is likely due to the compound itself and not to a putative metabolite. Finally, since the growing evidence that cannabinoids (CBs) modulate DA release in the brain and in view of the fact that CB1 receptors are widely distributed over DA neurons, the interplay between these two systems in the context of the current findings is discussed.
SB-277011A是一种进入大脑的化合物,对多巴胺(DA) D3受体具有高亲和力和选择性。最近的电生理研究表明,急性口服SB-277011A可显著改变腹侧被盖区(VTA) DA神经元的自发活动,而静脉给药则无影响。在该电生理学研究中,解释这种差异的假设涉及化合物到达其活性部位的给药途径依赖的时间或口服给药后形成的活性代谢物,这将维持SB-277011A对DA细胞放电的活性。为了评估代谢物的形成是否可以解释母体化合物的活性,我们对麻醉大鼠在全身或局部使用SB-277011A治疗后的VTA内DA神经元进行了电生理多单位场记录。局部剂量(2.5 μ g)是根据全身ig给药10mg/kg后脑暴露情况选择的。结果表明,与给药相比,两种给药方式都增加了VTA神经元的放电。然而,在VTA局部注射SB-277011A可诱导比全身治疗更快、更高的神经元活性增加。这些结果表明,全身给药SB-277011A后VTA细胞放电增加可能是由于化合物本身,而不是假定的代谢物。最后,由于越来越多的证据表明大麻素(CBs)调节DA在大脑中的释放,并且考虑到CB1受体广泛分布在DA神经元上,因此在当前研究结果的背景下讨论了这两个系统之间的相互作用。
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引用次数: 0
Endocannabinoid Signaling in Early Neurodevelopment: Effect of Gestational Δ9-THC Exposure 内源性大麻素信号在早期神经发育:妊娠期Δ9-THC暴露的影响
Pub Date : 2009-09-08 DOI: 10.2174/1876523800902020064
Delphine Psychoyos, B. Hungund, R. Finnell
Marijuana is the most commonly abused illicit drug by pregnant women in the world. Its psychoactive cannabinoid, 9 -tetrahydrocannabinol, crosses the placenta and accumulates in the fetus, potentially harming its development. In humans, marijuana use in early pregnancy is associated with an increased risk for miscarriage, anencephaly, as well as subtle neurodevelopmental defects in the offspring, including ADHD, psychiatric disorders, learning disabilities and memory impairment. Little is known about the mechanisms by which marijuana exert its detrimental effects on the developing embryo, although recent evidence points to the possibility that 9 tetrahydrocannabinol might interfere with an endogenous endocannabinoid system present in the embryo during early stages of pregnancy. Here we review our current knowledge on evidence for an endocannabinoid system in early embryonic development and discuss a possible mechanism of action for 9 -tetrahydrocannabinol in early pregnancy.
大麻是世界上孕妇最常滥用的非法药物。它的精神活性大麻素,9 -四氢大麻酚,穿过胎盘,在胎儿体内积累,潜在地损害其发育。对人类来说,在怀孕早期吸食大麻会增加流产、无脑儿的风险,还会导致后代出现轻微的神经发育缺陷,包括多动症、精神障碍、学习障碍和记忆障碍。尽管最近的证据表明,四氢大麻酚可能会干扰胚胎在怀孕早期存在的内源性内源性大麻素系统,但大麻对发育中的胚胎产生有害影响的机制尚不清楚。在这里,我们回顾了目前关于内源性大麻素系统在早期胚胎发育中的证据的知识,并讨论了9 -四氢大麻酚在早期妊娠中的可能作用机制。
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引用次数: 2
Opioid and cannabinoid systems as therapeutic targets for the treatment of alcohol dependence: From animal models to clinical practice 阿片类药物和大麻素系统作为治疗酒精依赖的治疗靶点:从动物模型到临床实践
Pub Date : 2009-09-08 DOI: 10.2174/1876523800902020053
T. Femenía, Pablo Portillo, J. M. Pérez‐Ortiz, A. Aracil-Fernández, G. Rubio, J. Manzanares
The development of alcohol dependence is the result of a combination of various factors. Psychosocial and psychiatric conditions, together with functional alterations of the brain or genetic traits, contribute to the development of problems related to alcohol use or alcohol dependence. Clinical studies using neuroimaging techniques (PET, fMRI) and preclinical studies using different animal models of problems related to ethanol consumption have improved our knowledge of the neurochemical mechanisms involved in alcohol dependence. These studies have served to identify peptides or receptors modified by ethanol consumption, which are functionally altered in strains of rats or mice highly vulnerable to ethanol consumption. Such peptides or receptors may be interesting targets for the treatment of alcoholism. Among the different targets studied in recent years, the opioid and cannabinoid systems meet a number of conditions for eligibility as candidates for the treatment of alcohol dependence. The � -opioid receptor and cannabinoid CB1 receptor, in particular, are affected by ethanol consumption. In clinical studies, genetic polymorphisms of the � -opioid and CB1 receptors have been associated with increased vulnerability to alcohol consumption. Similarly, functional alterations in � - opioid and cannabinoid receptors have been identified in specific strains of rats or mice with high preference to ethanol consumption. Furthermore, several studies have shown that the manipulation of these receptors using agonists or antagonists may increase or decrease ethanol consumption, which confirms the validity of these receptors as targets for the treatment of alcohol dependence. In this review, we analyzed the genetic traits and psychiatric and/or psychosocial conditions that affect vulnerability to and the pharmacologic treatment of alcohol dependence, with special emphasis on the role of opioid and cannabinoid receptors. The use of animal models as important tools for identifying neurochemical mechanisms relevant to understanding and treating alcohol use problems was evaluated.
酒精依赖的发展是多种因素综合作用的结果。社会心理和精神状况,加上大脑功能或遗传特征的改变,导致出现与酒精使用或酒精依赖有关的问题。使用神经成像技术(PET, fMRI)的临床研究和使用不同动物模型的与乙醇消耗相关的问题的临床前研究提高了我们对涉及酒精依赖的神经化学机制的认识。这些研究用于鉴定乙醇消耗修饰的肽或受体,这些肽或受体在对乙醇消耗高度敏感的大鼠或小鼠品系中功能发生改变。这些多肽或受体可能是治疗酒精中毒的有趣靶点。在近年来研究的不同靶点中,阿片类药物和大麻素系统符合许多条件,可以作为治疗酒精依赖的候选者。特别是-阿片受体和大麻素CB1受体受到乙醇消耗的影响。在临床研究中,-阿片样物质和CB1受体的遗传多态性与饮酒易感性增加有关。类似地,在对乙醇消费有高度偏好的大鼠或小鼠的特定品系中,已经发现了-阿片样物质和大麻素受体的功能改变。此外,一些研究表明,使用激动剂或拮抗剂操纵这些受体可能会增加或减少乙醇消耗,这证实了这些受体作为治疗酒精依赖的靶点的有效性。在这篇综述中,我们分析了影响酒精依赖易感性和药物治疗的遗传特征、精神和/或社会心理状况,特别强调了阿片和大麻素受体的作用。使用动物模型作为识别与理解和治疗酒精使用问题相关的神经化学机制的重要工具进行了评估。
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引用次数: 2
Suppressing Effect of the Cannabinoid CB1 Receptor Antagonist, Rimonabant, on Alcohol Self-Administration in Alcohol-Preferring Rats 大麻素CB1受体拮抗剂利莫那班对嗜酒大鼠酒精自我给药的抑制作用
Pub Date : 2009-09-08 DOI: 10.2174/1876523800902020040
P. Maccioni, Noemi Fantini, M. Carai, G. Gessa, G. Colombo
Administration of the cannabinoid CB1 receptor antagonist, rimonabant (also known as SR 141716), has been reported to reduce alcohol intake (measured under the homecage 2-bottle "alcohol vs water" choice regimen) in selectively bred, Sardinian alcohol-preferring (sP) rats. The present study investigated whether rimonabant also had the capacity to decrease, in this rat line, alcohol's reinforcing properties. To this end, male sP rats were initially trained to lever-press (on a fixed ratio 4 schedule of reinforcement) to orally self-administer alcohol (15%, v/v) in daily 30-min sessions. Once lever-pressing and self-administration behaviors reached stable levels (150-200 responses/session and 0.8- 1 g/kg alcohol per session, respectively), the effect of rimonabant (0, 0.3, 1, and 3 mg/kg, i.p.) on responding for alcohol and amount of self-administered alcohol was determined. Pretreatment with rimonabant resulted in a significant, dose- dependent reduction in both variables; specifically, the total number of lever responses for alcohol and amount of self- administered alcohol in the rat groups treated with 0.3, 1, and 3 mg/kg rimonabant were approximately 20%, 35%, and 60% lower than those recorded in vehicle-treated rats. Pretreatment with 3 mg/kg rimonabant also resulted in a significant increase in the latency to the first response on the "alcohol" lever. These results demonstrate the capacity of rimonabant to suppress alcohol's reinforcing properties in alcohol-preferring sP rats. These data constitute a further piece of experimental evidence in support of the hypothesized role for the CB1 receptor in the control of alcohol drinking and reinforcement.
据报道,在选择性繁殖的撒丁岛嗜酒(sP)大鼠中,给予大麻素CB1受体拮抗剂利莫那班(也称为SR 141716)可以减少酒精摄入量(在家养2瓶“酒精与水”选择方案下测量)。本研究调查了利莫那班是否也有能力降低,在这个大鼠系中,酒精的增强特性。为此,雄性sP大鼠最初被训练为杠杆按压(固定比例4的强化计划),每天30分钟口服自我给予酒精(15%,v/v)。一旦杠杆按压和自我给药行为达到稳定水平(分别为150-200次反应/次和0.8- 1 g/kg酒精),则确定利莫那班(0,0.3,1和3 mg/kg, i.p)对酒精反应和自我给药酒精量的影响。利莫那班预处理导致两个变量显著的剂量依赖性降低;具体来说,在0.3、1和3 mg/kg利莫那班处理的大鼠组中,酒精杠杆反应的总数和自我给药酒精的量比用载药处理的大鼠低约20%、35%和60%。用3mg /kg利莫那班进行预处理也会显著增加对“酒精”杠杆产生第一反应的潜伏期。这些结果表明利莫那班能够抑制酒精对偏好酒精的sP大鼠的增强特性。这些数据构成了进一步的实验证据,支持CB1受体在控制饮酒和强化中的假设作用。
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引用次数: 7
Role of the Endocannabinoid System in Alcohol-Related Behaviors 内源性大麻素系统在酒精相关行为中的作用
Pub Date : 2009-09-08 DOI: 10.2174/1876523800902010031
B. Hungund, K. V. Yaragudri
Alcoholism is a psychiatric disorder characterized by impaired control over drinking, leading to tolerance, physical dependence, uncontrollable craving and relapse. The mechanism/s underlying this disorder is poorly understood at present. Ethanol (alcohol) effects are mediated through several signal transduction pathways involving many neurotransmitters and ion channels in various brain regions. There is a growing body of evidence now suggesting a critical role for the endocannabinoid (EC) system in alcohol-related behaviors. The EC system is comprised of endogenous cannabimimetic substances (endocannabinoids) and their receptors (cannabinoid (CB)) and the enzymes involved in the synthesis and degradation of the ECs. Recent studies have demonstrated that both the genetic and pharmacological manipulation of the EC system modulate the development of tolerance to and dependence on alcohol. The present article provides a review of the existing literature on the role of the EC system, and possible mechanisms and the therapeutic potential of the drugs targeted against this system in preventing alcohol addiction.
酒精中毒是一种精神疾病,其特征是对饮酒的控制受损,导致耐受性、身体依赖、无法控制的渴望和复发。目前对这种疾病的机制了解甚少。乙醇效应是通过多种信号转导途径介导的,涉及大脑不同区域的许多神经递质和离子通道。越来越多的证据表明,内源性大麻素(EC)系统在酒精相关行为中起着关键作用。EC系统由内源性大麻模拟物质(内源性大麻素)及其受体(大麻素(CB))和参与EC合成和降解的酶组成。最近的研究表明,EC系统的遗传和药理学操作调节了对酒精的耐受和依赖的发展。本文对EC系统的作用、可能的机制以及针对该系统的药物在预防酒精成瘾中的治疗潜力进行了综述。
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引用次数: 3
CNS Effects of CB2 Cannabinoid Receptors CB2大麻素受体对中枢神经系统的影响
Pub Date : 2009-09-08 DOI: 10.2174/1876523800902020045
E. Onaivi, H. Ishiguro, Qing-Rong Liu, J. Gong, P. Tagliaferro, A. Brusco, T. Arinami, G. Uhl
Cannabinoids, endocannabinoids and marijuana use activates two well characterized cannabinoid receptors (CBRs), CB1-Rs and CB2-Rs. The expression of CB1-Rs in the brain and periphery has been well studied, but CB2-Rs have received much less attention than CB1-Rs. CB2-Rs were previously thought to be predominantly expressed in immune cells in the periphery and were traditionally referred to as peripheral CB-Rs. We and others have now demonstrated the presence of CB2-Rs in neuronal, glial and endothelial cells in the brain, and this warrants a re-evaluation of the central nervous system (CNS) effects of CB2-Rs. However, many features of CB2-R gene structure, variants and regulation remain poorly characterized compared to the CB1-R. To further improve understanding of the role of CB2-Rs in the brain, we hypothesized that genetic variants of CB2-R (CNR2) gene might be associated with depression in a human population and that alteration in CNR2 gene expression may be involved in the effects of abused substances in rodents. In this review we show that our data and those of others reveal that CB2-Rs are expressed in neurons in the brain and play a role in depression and substance abuse beyond neuro-immuno-cannabinoid activity.
大麻素、内源性大麻素和大麻的使用激活了两种特征明确的大麻素受体(CBRs), CB1-Rs和CB2-Rs。CB1-Rs在脑和外周的表达已经得到了很好的研究,但与CB1-Rs相比,CB2-Rs受到的关注要少得多。以前认为CB2-Rs主要在外周免疫细胞中表达,传统上被称为外周CB-Rs。我们和其他人现在已经证明了CB2-Rs存在于大脑的神经元、胶质细胞和内皮细胞中,这就需要重新评估CB2-Rs对中枢神经系统(CNS)的影响。然而,与CB1-R相比,CB2-R基因的结构、变异和调控的许多特征仍然不清楚。为了进一步了解CB2-Rs在大脑中的作用,我们假设CB2-R (CNR2)基因的遗传变异可能与人类抑郁有关,并且CNR2基因表达的改变可能与滥用药物对啮齿动物的影响有关。在这篇综述中,我们展示了我们的数据和其他人的数据显示,CB2-Rs在大脑神经元中表达,并在抑郁和药物滥用中发挥作用,而不仅仅是神经免疫大麻素活性。
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引用次数: 4
Modulatory Effects of Cortexin and Cortagen on Locomotor Activity and Anxiety-Related Behavior in Mice 皮质素和皮质素对小鼠运动活动和焦虑相关行为的调节作用
Pub Date : 2009-07-28 DOI: 10.2174/1876523800902010022
W. Adriani, O. Granstrem, E. Romano, S. Koroleva, G. Laviola
Objective: Cortexin is a polypeptide extract, used in clinics for its effects on memory, attention, and brain cortical processes. A synthetic analog of one Cortexin fraction, Cortagen (i.e. Ala-Glu-Asp-Pro peptide), was developed. Both agents stimulate neural growth in vitro, presumably in association with neurotrophic factors. We assessed the psychoactive effects of Cortexin and cortagen, using elevated plus maze (EPM) and locomotor activity habituation (LAH) paradigms in CD-1 mice. In Exp. I, mice were injected with Cortexin (0, 0.25, 0.50, or 1.00 mg/kg i.p.) and tested in the EPM (acute) and the LAH (sub-chronic response). In Exp. II, separate mice were injected with cortagen (0, 0.01, 0.03, or 0.10 mg/kg i.p.) or a reference dose of Cortexin, and tested in the LAH (acute and sub-chronic) and the EPM (sub-chronic response). Results: Evidence of anxyolitic effects was found in the EPM for acute Cortexin treatment at the 0.25 and 1.00 mg/kg dosages. The Cortexin 0.25 mg/kg was selected as reference dose for Exp. II, since it had no locomotor effects over 4 days, whilst the 1.00 mg/kg dose led to the development of hyperactivity. When comparing to Cortexin reference, the 0.03 mg/kg dose of cortagen enhanced locomotion both upon acute and after sub-chronic treatment, also having few effects on anxiety-related behavior. Conversely, following a sub-chronic regimen (5 days), the Cortexin reference and the other doses of cortagen turned out to produce anxiogenic effects. Conclusion: Cortexin has anxiolytic-like effects when given acutely, and anxiogenic-like arousal emerges following repeated treatment. Conversely, acute and sub-chronic cortagen leads to motor stimulation with no side effects on emotional-affective profiles. Such behavioral stimulation may find beneficial employment in the treatment of affective / depressive symptoms in humans. Peptides are active in very low dosages with no side effects, and deserve deeper investigation for their promising role in therapy.
目的:皮质素是一种多肽提取物,因其对记忆、注意力和大脑皮质过程的影响而用于临床。合成了一种Cortexin的类似物,Cortagen(即Ala-Glu-Asp-Pro肽)。这两种药物刺激体外神经生长,可能与神经营养因子有关。我们在CD-1小鼠中使用升高+迷宫(EPM)和运动活动习惯(LAH)范式评估了皮质素和皮质素的精神活性作用。在实验1中,小鼠注射皮质素(0、0.25、0.50或1.00 mg/kg i.p),并在EPM(急性)和LAH(亚慢性反应)中进行测试。实验二分别给小鼠注射皮质素(0、0.01、0.03或0.10 mg/kg i.p.)或参考剂量的皮质素,并在LAH(急性和亚慢性)和EPM(亚慢性反应)中进行测试。结果:急性皮质素治疗时,0.25和1.00 mg/kg剂量的EPM有溶血作用。实验II选择0.25 mg/kg的皮质素作为参考剂量,因为它在4天内没有运动作用,而1.00 mg/kg的剂量会导致多动。与对照对照相比,0.03 mg/kg剂量的Cortexin在急性和亚慢性治疗后均能增强运动能力,对焦虑相关行为的影响也不大。相反,在亚慢性方案(5天)后,Cortexin参考和其他剂量的cortagen被证明产生焦虑效应。结论:皮质素在急性给药时具有抗焦虑样作用,反复给药后出现促焦虑样觉醒。相反,急性和亚慢性皮质素导致运动刺激,对情绪-情感剖面没有副作用。这种行为刺激可能在人类情感/抑郁症状的治疗中找到有益的应用。多肽在非常低的剂量下具有活性且无副作用,其在治疗中的前景值得深入研究。
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引用次数: 5
Family Illness History, Obstetric Complications and Age of Onset in Bipolar Patients 双相情感障碍患者的家族史、产科并发症和发病年龄
Pub Date : 2009-03-19 DOI: 10.2174/1876523800902010011
S. El-Badri, H. Ashton, I. Ferrier, P. B. Moore
The study examined the relationship between obstetric complications, genetic risk and age of illness onset in bipolar disorder. Thirty DSM-IV bipolar I patients in remission (ages 21-39yr, mean 30.7 + 6.1yr.) and twenty seven healthy controls (ages 19-39yr, mean 27.7 + 7.0yr.) were investigated using structured interview, life chart and pregnancy and birth complica- tions questionnaire. Family history, pregnancy and birth complications and age of illness onset were collected. Compari- sons were made between patients and controls and also between patient groups with age of illness onset before and after the age of 21 years. Obstetric complications were more common in patients (effect size= 0.48) than controls but this was not significant statis- tically (Fisher's exact test, p=0.13). There was a non-significant excess in early onset patients. Family histories of mood disorder were found in 22 out of 30 bipolar subjects, but rates in early and late onset groups did not differ (p=0.35). The study failed to find evidence of either increased rates of obstetric complications in bipolar disorder patients or of a link between age of illness onset and a family history of mood disorders. The power of the study was limited by a sample size and difficulties in obtaining unequivocal obstetric data. The finding is in agreement with a recent metanalysis. The large effect size indicates that larger study of obstetric complications in bipolar disorder subjects is justified, looking par- ticularly for subgroups for which there may be an association between complications and clinical variables.
该研究调查了双相情感障碍患者的产科并发症、遗传风险和发病年龄之间的关系。采用结构化访谈、生命图表和妊娠及分娩并发症问卷调查方法,对30例DSM-IV双相I型缓解患者(年龄21-39岁,平均30.7 + 6.1岁)和27例健康对照(年龄19-39岁,平均27.7 + 7.0岁)进行调查。收集家族史、妊娠和分娩并发症及发病年龄。对21岁前后发病年龄的两组患者和对照组进行比较。产科并发症在患者中比对照组更常见(效应值= 0.48),但这在统计学上不显著(Fisher精确检验,p=0.13)。在早发患者中没有明显的过量。30名双相情感障碍患者中有22人有情绪障碍家族史,但早发组和晚发组的比率没有差异(p=0.35)。该研究没有发现双相情感障碍患者产科并发症发生率增加的证据,也没有发现发病年龄与情绪障碍家族史之间的联系。该研究的力量受到样本量和难以获得明确的产科数据的限制。这一发现与最近的一项荟萃分析一致。大效应量表明,对双相情感障碍患者的产科并发症进行更大规模的研究是合理的,特别是在并发症和临床变量之间可能存在关联的亚组中。
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引用次数: 1
Regional Influence of Cannabinoid CB1 Receptors in the Regulation of Ethanol Self-Administration by Wistar Rats. 大麻素 CB1 受体对 Wistar 大鼠乙醇自我给药调节的区域影响
Pub Date : 2009-01-01 DOI: 10.2174/1876523800902020077
Lily Alvarez-Jaimes, Ilham Polis, Loren H Parsons

Substantial evidence suggests a facilitatory influence of cannabinoid CB1 receptors in the modulation of ethanol consumption by rodents. Studies performed in rats selectively bred for high alcohol preference point to an involvement of CB1 receptors in the nucleus accumbens (NAC), ventral tegmental area (VTA) and medial prefrontal cortex (mPFC) in the modulation ethanol self-administration. However, the neural mechanisms through which CB1 receptors regulate ethanol intake in out-bred Wistar rats have not been investigated. The present study evaluated alterations in ethanol self-administration induced by localized infusions of the CB1 receptor antagonist SR141716A (0, 1 and 3 μg/side) into the NAC, anterior and posterior VTA and mPFC. Separate groups of Wistar rats were trained to operantly respond for an oral ethanol solution and prepared with bilateral injection cannulae aimed at each brain region. Results revealed significant decreases in ethanol intake following intra-NAC SR141716A administration, consistent with our prior observation of ethanol-induced increases extracellular 2-arachidonoyl glycerol (2-AG) in this brain region. We also observed a significant dose-dependent reduction in ethanol intake following SR141716A administration into the posterior, but not anterior VTA, consistent with evidence of a specific involvement of the posterior VTA in the regulation of ethanol intake. Ethanol consumption was unaltered following intra-mPFC SR141716A administration and ethanol self-administration did not induce robust changes in anandamide or 2-AG levels in mPFC microdialysates. These findings implicate an involvement of CB1 receptors in the NAC and posterior VTA, but not anterior VTA and mPFC in the regulation of ethanol self-administration behavior by outbred Wistar rats.

大量证据表明,大麻素 CB1 受体对调节啮齿类动物的乙醇消耗有促进作用。在选择性繁殖的高酒精偏好大鼠身上进行的研究表明,伏隔核(NAC)、腹侧被盖区(VTA)和内侧前额叶皮层(mPFC)的 CB1 受体参与了对乙醇自我给药的调节。然而,关于 CB1 受体调节外育 Wistar 大鼠乙醇摄入量的神经机制尚未进行研究。本研究评估了在NAC、VTA前部和后部以及mPFC局部注射CB1受体拮抗剂SR141716A(0、1和3微克/侧)所诱导的乙醇自我给药的改变。对不同组别的 Wistar 大鼠进行训练,使其对乙醇口服溶液做出操作反应,并准备好针对每个脑区的双侧注射插管。结果显示,在 NAC SR141716A 内给药后,乙醇摄入量明显减少,这与我们之前观察到的乙醇诱导该脑区细胞外 2-arachidonoyl glycerol (2-AG) 增加的结果一致。我们还观察到 SR141716A 在后 VTA(而非前 VTA)给药后乙醇摄入量呈剂量依赖性显著减少,这与后 VTA 参与乙醇摄入调节的证据一致。在前脑皮质内注射 SR141716A 后,乙醇摄入量没有变化,乙醇自我给药也没有引起前脑皮质微透析液中苯甲酰胺或 2-AG 水平的显著变化。这些发现表明,NAC和VTA后部的CB1受体参与了对Wistar大鼠乙醇自我给药行为的调节,而VTA前部和mPFC的CB1受体则没有参与。
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The open neuropsychopharmacology journal
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