抑郁症患者的脑源性神经营养因子(BDNF):临床和临床前证据综述

Owen R. Thornton
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引用次数: 0

摘要

抑郁症是一种复杂的精神疾病,严重影响着全世界数百万人。尽管我们对其神经生物学基础的理解有所进步,但治疗选择仍然有限,并不是所有患者对现有疗法都有充分的反应。越来越多的证据表明,脑源性神经营养因子(BDNF)是神经元可塑性的重要调节因子,在抑郁症的病理生理和治疗中起着重要作用。本文综述了BDNF在大脑中的作用,在临床前和临床研究中与抑郁症的关系,以及它作为诊断和预后生物标志物和治疗靶点的潜力。我们讨论了各种抗抑郁治疗对BDNF的影响,包括药物和非药物干预。最后,我们讨论了靶向BDNF治疗抑郁症的挑战和未来方向。通过加深我们对BDNF及其与抑郁症的关系的理解,我们可以朝着更有效和个性化的干预这种使人衰弱的疾病迈进。
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Brain-Derived Neurotrophic Factor (BDNF) in Depression: A Mini Review of Clinical and Preclinical Evidence
Depression is a complex psychiatric disorder that significantly impacts millions of individuals worldwide. Despite advances in our understanding of its neurobiological underpinnings, treatment options remain limited, and not all patients respond adequately to available therapies. Emerging evidence has implicated brain-derived neurotrophic factor (BDNF), a critical regulator of neuronal plasticity, in the pathophysiology and treatment of depression. This review examines the role of BDNF in the brain, its relationship to depression in preclinical and clinical studies, and its potential as a diagnostic and prognostic biomarker and therapeutic target. We discuss the impact of various antidepressant treatments on BDNF, including pharmacological and non-pharmacological interventions. Finally, we address the challenges and future directions in targeting BDNF for depression treatment. By deepening our understanding of BDNF and its relationship with depression, we can move towards more effective and personalized interventions for this debilitating disorder.
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