探索阿提诺洛使用和抑郁症之间的关系:使用NHANES数据的网络药理方法
Yuhan Cao1, Ziqi Wang1, Yan Li2
1Institute of Translational Medicine, Medical College, Yangzhou University, Yangzhou 225001, China.
Journal of affective disorders
|June 14, 2025
概括
阿诺洛尔的使用与更高的抑郁症风险有关,特别是在中年成人中. 这项研究使用网络药理学探索了潜在的机制,建议对阿提诺洛尔患者进行仔细的心理健康监测.
科学领域:
- 心血管药理学心血管药理学
- 神经精神病学是一种神经精神病学.
- 计算生物学 计算生物学
背景情况:
- 阿提诺洛尔是一种β-阻断剂,广泛用于心血管疾病.
- 阿提诺洛和抑郁症之间的关联尚未得到充分证实.
- 了解这种联系对于患者安全至关重要.
研究的目的:
- 为了调查阿提诺洛尔使用与抑郁症之间的关系.
- 通过网络药理学探索潜在的分子机制,以此为基础,通过网络药理学探索阿提诺洛尔相关抑郁症的潜在分子机制.
主要方法:
- 来自NHANES数据库 (2005-2018) 的大量队列 (11,057名成年人) 的分析.
- 使用患者健康问卷-9 (PHQ-9) 尺度对抑郁症的评估.
- 应用物流回归和网络药理学来识别目标和途径.
主要成果:
- 在使用阿提诺洛和抑郁症 (OR=2.02) 之间发现了显著的关联.
- 这种关联在40-64岁年龄组中更为明显.
- 网络药理学确定了关键目标 (例如,MAOB,ADRB2,DRD2) 和途径 (例如,GPCR信号传递,单胺运输).
结论:
- 阿提诺洛尔的使用与抑郁症具有积极的相关性,特别是在中年人群中.
- 网络药理学提供了对潜在神经精神病学影响的见解.
- 临床建议:在处方阿诺洛尔时,监测患者的心理健康.
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