叶酸及其对抑郁症和自杀倾向的影响:综合叙述审查
Timur Liwinski1, Undine E Lang1
1Clinic for Adult Psychiatry, University Psychiatric Clinics, University of Basel, Wilhelm Klein-Strasse 27, CH-4002 Basel, Switzerland.
Nutrients
|September 9, 2023
概括
叶酸和L-甲基叶酸可能有助于治疗抑郁症并通过支持大脑功能和情绪调节来降低自杀风险. 进一步的研究探讨了它们的神经生物学机制和治疗潜力.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 营养科学 营养科学
背景情况:
- 抑郁症和自杀是全球公共卫生面临的挑战.
- 目前用于治疗抑郁症的药物治疗方法的成功程度有限.
- 不理想的营养,特别是低叶酸水平,与抑郁症的病理学有关.
研究的目的:
- 审查叶酸和相关化合物的抑郁症治疗潜力.
- 探索它们在缓解自杀倾向方面的作用.
- 为了阐明底层的神经生物学机制.
主要方法:
- 对现有研究的综合文献综述和系统综述.
- 对叶酸和L-甲基叶酸在抑郁症中的有效性研究的分析.
- 检查最近关于一碳循环,神经炎症和肠道微生物组在情绪调节中的发现.
主要成果:
- 证据通常支持叶酸和L-甲基叶酸作为抑郁症的治疗方法,尽管发现是混合的.
- 低血清和红细胞叶酸水平在抑郁症患者中很常见.
- 新兴的研究将一碳循环,免疫功能,NMDA受体活性和肠道健康与情绪调节联系起来.
结论:
- 叶酸和相关化合物显示出治疗抑郁症和自杀念头的前景.
- 涉及叶酸代谢,homocysteine,免疫力,谷氨酸和肠道微生物组的神经生物学途径对情绪至关重要.
- 进一步的研究是有必要的,以充分理解和利用这些化合物在心理健康治疗.
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