除了代谢信使:胆酸和TGR5作为精神疾病的药物治疗干预措施
Arief Gunawan Darmanto1, Ting-Lin Yen2, Jing-Shiun Jan3
1Department of Pharmacology, School of Medicine, College of Medicine, Taipei Medical University, No. 250, Wu Hsing St., Taipei 110, Taiwan, ROC; School of Medicine, Universitas Ciputra, Surabaya 60219, Indonesia.
Pharmacological research
|December 29, 2024
概括
改变胆汁酸代谢和肠-大脑轴中的TGR5受体信号与精神疾病有关. 调节这些途径为抑郁和焦虑等疾病提供了新的治疗策略.
科学领域:
- 神经科学是一个神经科学.
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 精神疾病是全球主要的健康负担,目前的治疗方法往往不足.
- 随着COVID-19的流行,心理健康挑战的局面进一步复杂化.
- 新兴研究强调肠-大脑轴是精神病的关键参与者.
研究的目的:
- 审查胆汁酸和TGR5受体在精神疾病病理生理学的作用.
- 探索与神经精神疾病相关的肠-大脑轴内的信号机制.
- 确定针对胆酸代谢和TGR5信号的潜在治疗干预措施.
主要方法:
- 关于胆汁酸,肠道微生物群和TGR5受体信号传导的综合文献综述.
- 分析失生症和改变胆酸代谢对神经精神疾病的影响.
- 检查调节TGR5信号的药理和非药理干预措施.
主要成果:
- 由肠道微生物群转变的胆酸显著影响主要抑郁症,焦虑症,精神分裂症,自闭症谱系障碍和双相情感障碍.
- 失生症和改变的胆酸代谢通过炎症,氧化应激和神经递质失调导致精神疾病.
- 在调节cAMP-PKA,NRF2抗氧化反应和神经炎症方面,TGR5激动剂和饮食干预措施显示出希望.
结论:
- 胆酸和TGR5受体信号传递是精神疾病中肠-大脑轴的组成部分.
- 准胆汁酸代谢和TGR5为心理健康状况提供了新的治疗途径.
- 整合肠道微生物群的动态,胆酸代谢和TGR5信号可以彻底改变精神疾病的治疗.
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