神经药理学报 ›› 2013, Vol. 3 ›› Issue (2): 49-57.

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Brain-Derived Neurotrophic Factor: a Link between Posttraumatic Stress Disorder and Major Depressive Disorder

Luo Yi, Chen Jian-guo, Wang Fang   

  1. 1华中科技大学同济医学院基础医学院药理系,武汉,430030,中国
    2华中科技大学脑研究所神经与精神疾病研究室,武汉,430030,中国
    3神经系统重大疾病教育部重点实验室,武汉,430030,中国
    4湖北省药物靶点研究与药效学评价重点实验室,武汉,430030,中国
  • 出版日期:2013-04-26 发布日期:2014-06-27
  • 通讯作者: Dr. Wang Fang,Female, Born in 1975,Professor, Doctoral tutor;Research direction:Neuropsychopharmacology;Fax: +86 27 83692608;Tel: +86 27 83692636; E-mail addresses: wangfangtj0322@163.com
  • 作者简介:Luo Yi,Male,PhD student; Research direction:Neuroscience;E-mail:luoyitj@126.com
  • 基金资助:

    National Basic Research Program of China (the 973 Program, No. 2013CB531303 to Dr. J.G.C.; No. 2014CB744601 to F.W.) and the National Natural Scientific Foundation of China (NSFC, No. 81222048 to F.W.). It was also supported by the International Science & Technology Cooperation Program of China (No. 2011DFA32670 to J.G.C.) and PCSIRT (No. IRT13016).

Brain-Derived Neurotrophic Factor: a Link between Posttraumatic Stress Disorder and Major Depressive Disorder

Luo Yi, Chen Jian-guo, Wang Fang   

  1. 1 Department of Pharmacology, School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
    2 Laboratory of Neuropsychiatric Diseases, The Institute of Brain Research,Huazhong University of Science and Technology, Wuhan 430030,China
    3 Key Laboratory of Neurological Diseases (HUST), Ministry of Education of China, Wuhan, Hubei 430030, China
    4 The Key Laboratory for Drug Target Researches and Pharmacodynamic Evaluation of Hubei Province, Wuhan 430030, China
  • Online:2013-04-26 Published:2014-06-27
  • Contact: Dr. Wang Fang,Female, Born in 1975,Professor, Doctoral tutor;Research direction:Neuropsychopharmacology;Fax: +86 27 83692608;Tel: +86 27 83692636; E-mail addresses: wangfangtj0322@163.com
  • About author:Luo Yi,Male,PhD student; Research direction:Neuroscience;E-mail:luoyitj@126.com
  • Supported by:

    National Basic Research Program of China (the 973 Program, No. 2013CB531303 to Dr. J.G.C.; No. 2014CB744601 to F.W.) and the National Natural Scientific Foundation of China (NSFC, No. 81222048 to F.W.). It was also supported by the International Science & Technology Cooperation Program of China (No. 2011DFA32670 to J.G.C.) and PCSIRT (No. IRT13016).

摘要: 在经历过创伤性事件的人群中,常常会出现创伤后应激综合症以及重度抑郁症并发的现象。但是创伤后应激综合症后易发重度抑郁症的细胞分子机制还未见报道。在这篇综述中,我们从突触可塑性的角度,将创伤后应激综合症以及重度抑郁症中下丘脑-垂体-肾上腺素轴、皮质醇、炎症因子以及神经营养因子等指标的改变进行了比较。这些研究结果提示神经营养因子、尤其是脑源性的神经营养因子极有可能是联系创伤后应激综合症以及重度抑郁症的关键因子。后续的研究应该侧重于脑源性的神经营养因子在创伤后应激综合症后易发抑郁症的作用机制中。调控脑源性神经营养因子的药物将可以用来预防创伤后应激综合症后重度抑郁症的发生。

关键词: 创伤后应激综合症, 重度抑郁症, 下丘脑-垂体-肾上腺轴, 皮质醇, 炎症因子, 神经营养因子

Abstract: Posttraumatic stress disorder and major depressive disorder are usually comorbid in individuals who experience traumatic events. The molecular and cellular mechanisms of high morbidity of major depressive disorder after post-traumatic stress disorder have not been elucidated. In this review, hypothalamic-pituitary-adrenal axis, cortisol, inflammation and neurotrophic factors have been compared between posttraumatic stress disorder and major depressive disorder in the view of neuronal plasticity. Neurotrophic factors, especially brain- derived neurotrophic factor, are potential candidates of the link between posttraumatic stress disorder and major depressive disorder. Moreover, future researches need to focus on the molecular and cellular mechanisms of brain derived neurotrophic factor affecting on major depressive disorder after posttraumatic stress disorder. Traditional Chinese medicine monomers that initiate brain derived neurotrophic factor signaling or drugs modulating the release of brain derived neurotrophic factor could be used to prevent major depressive disorder after posttraumatic stress disorder.

Key words: posttraumatic stress disorder, major depressive disorder, hypothalamic-pituitary-adrenal axis, cortisol, inflammatory factors, neurotrophic factors