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Negative efficacy of antidepressants in pharmacotherapy of child and adolescent depression 被引量:2
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作者 Min Xu Hai-Ying Jin +1 位作者 Feng-Li Sun Wei-Dong Jin 《World Journal of Psychiatry》 SCIE 2025年第1期32-36,共5页
Antidepressants are the main drugs used to treat depression,but they have not been shown to be effective in the treatment of child and adolescent depression.However,many adolescent depression treatment guidelines stil... Antidepressants are the main drugs used to treat depression,but they have not been shown to be effective in the treatment of child and adolescent depression.However,many adolescent depression treatment guidelines still recommend the use of antidepressants,especially specific serotonin re-uptake inhibitors.Previous studies have suggested that antidepressants have little therapeutic effect but many side effects,such as switching to mania,suicide,and non-suicidal self injury(NSSI),in the treatment of child and adolescent depression.In the process of developing guidelines,drug recommendations should not only focus on impro-ving symptoms,but they should also consider potential side effects.This review discusses the serious side effects of antidepressants,including switching to mania,suicide,and NSSI. 展开更多
关键词 Child depression Adolescent depression antidepressant Switch SUICIDE Non-suicidal self injury
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Chemical Proteomics Unraveling the Contribution of Covalent Protein Modifications to Antidepressant Effects of Ketamine
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作者 Xiaolan Hu Jiwei Liu +2 位作者 Jianlin Wu Zhiqi Xiong Na Li 《Journal of Analysis and Testing》 2025年第4期668-675,共8页
Ketamine is recognized for its rapid-onset and longer-term antidepressant actions,but the molecular mechanisms underlying these outcomes are not fully comprehended.Our prior research indicated that the covalent modifi... Ketamine is recognized for its rapid-onset and longer-term antidepressant actions,but the molecular mechanisms underlying these outcomes are not fully comprehended.Our prior research indicated that the covalent modification of ketamine or its metabolites on hippocampus protein may contribute to its antidepressant actions,however,the specific molecular mechanisms are yet to be elucidated.In this research,we employed chemical proteomics approaches to investigate comprehensively the covalent interactions between ketamine or its metabolites and hippocampus proteins in vivo.We discovered that ketamine could covalently bind to lysine residues on proteins after bioactivation,complementing our previous finding of cysteine modification.Moreover,comprehensive chemical proteomics analysis revealed that 21 proteins were modified by ketamine or its metabolites in mouse hippocampus.Finally,bioinformatics analysis revealed that ketamine exerted antidepressant effects via multi-target and multi-pathway mechanism especially involved in synaptic plasticity.These findings offer a novel perspective for understanding the underlying molecular mechanism of antidepressant action. 展开更多
关键词 molecular mechanisms covalent modification chemical proteomics approaches covalent interactions antidepressant effects hippocampus protein covalent protein modifications KETAMINE
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Hippocampal PACAP signaling activation triggers a rapid antidepressant response
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作者 Hai-Lou Zhang Yan Sun +10 位作者 Zhang-Jie Wu Ying Yin Rui-Yi Liu Ji-Chun Zhang Zhang-Jin Zhang Suk-Yu Yau Hao-Xin Wu Ti-Fei Yuan Li Zhang Miroslav Adzic Gang Chen 《Military Medical Research》 2025年第4期512-527,共16页
Background:The development of ketamine-like rapid antidepressants holds promise for enhancing the therapeutic efficacy of depression,but the underlying cellular and molecular mechanisms remain unclear.Implicated in de... Background:The development of ketamine-like rapid antidepressants holds promise for enhancing the therapeutic efficacy of depression,but the underlying cellular and molecular mechanisms remain unclear.Implicated in depression regulation,the neuropeptide pituitary adenylate cyclase-activating polypeptide(PACAP)is investigated here to examine its role in mediating the rapid antidepressant response.Methods:The onset of antidepressant response was assessed through depression-related behavioral paradigms.The signaling mechanism of PACAP in the hippocampal dentate gyrus(DG)was evaluated by utilizing site-directed gene knockdown,pharmacological interventions,or optogenetic manipulations.Overall,446 mice were used for behavioral and molecular signaling testing.Mice were divided into control or experimental groups randomly in each experiment,and the experimental manipulations included:chronic paroxetine treatments(4 d,9 d,14 d)or a single treatment of ketamine;social defeat or lipopolysaccharides-injection induced depression models;different doses of PACAP(0.4 ng/site,2 ng/site,4 ng/site;microinjected into the hippocampal DG);pharmacological intra-DG interventions(CALM and PACAP6-38);intra-DG viral-mediated PACAP RNAi;and opotogenetics using channelrhodopsins 2(ChR2)or endoplasmic natronomonas halorhodopsine 3.0(eNpHR3.0).Behavioral paradigms included novelty suppressed feeding test,tail suspension test,forced swimming test,and sucrose preference test.Western blotting,ELISA,or quantitative real-time PCR(RT-PCR)analysis were used to detect the expressions of proteins/peptides or genes in the hippocampus.Results:Chronic administration of the slow-onset antidepressant paroxetine resulted in an increase in hippocampal PACAP expression,and intra-DG blockade of PACAP attenuated the onset of the antidepressant response.The levels of hippocampal PACAP expression were reduced in both two distinct depression animal models and intra-DG knockdown of PACAP induced depression-like behaviors.Conversely,a single infusion of PACAP into the DG region produced a rapid and sustained antidepressant response in both normal and chronically stressed mice.Optogenetic intra-DG excitation of PACAP-expressing neurons instantly elicited antidepressant responses,while optogenetic inhibition induced depression-like behaviors.The longer optogenetic excitation/inhibition elicited the more sustained antidepressant/depression-like responses.Intra-DG PACAP infusion immediately facilitated the signaling for rapid antidepressant response by inhibiting calcium/calmodulin-dependent protein kinaseⅡ(CaM KⅡ)-eukaryotic elongation factor 2(eEF2)and activating the mammalian target of rapamycin(mTOR).Pre-activation of CaMKⅡsignaling within the DG blunted PACAP-induced rapid antidepressant response as well as eEF2-mTOR-brain-derived neurotrophic factor(BDNF)signaling.Finally,acute ketamine treatment upregulated hippocampal PACAP expression,whereas intraDG blockade of PACAP signaling attenuated ketamine’s rapid antidepressant response.Conclusions:Activation of hippocampal PACAP signaling induces a rapid antidepressant response through the regulation of CaMKⅡinhibition-governed eEF2-mTOR-BDNF signaling. 展开更多
关键词 antidepressant response Pituitary adenylate cyclase-activating polypeptide(PACAP) KETAMINE Optogenetic Novelty suppressed feeding(NSF)
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Prevalence and characteristics of offlabel use of antidepressants in paediatric patients in China
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作者 Xinyan Zhang Jie Li +4 位作者 Ning Zhang Tiebang Liu Tianmei Si Xiaoyan Nie Luwen Shi 《General Psychiatry》 2025年第6期498-502,共5页
To the editor:Using drugs off-label in paediatric patients(age:0-18 years)has drawn increasing attention worldwide.Off-label use of drugs implies using drugs beyond the scope of their approved market authorisation(eg,... To the editor:Using drugs off-label in paediatric patients(age:0-18 years)has drawn increasing attention worldwide.Off-label use of drugs implies using drugs beyond the scope of their approved market authorisation(eg,patient age,indication,dosage and route of administration).Previous literature reported that the prevalence of off-label drug use ranged from36.3%to 97.0%among paediatric patients worldwide. 展开更多
关键词 off label use paediatric patients PREVALENCE China approved market authorisation egpatient using drugs antidepressants CHARACTERISTICS
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Preliminary study on the efficacy of intermittent theta burst stimulation (iTBS) in adolescents with affective disorders, with and without antidepressants
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作者 Peiying Li Yuwei Xia +9 位作者 Xinyao Liu Shiqi Yuan Chengfeng Chen Kun Xie Wuyou Bao Shiying Wang Ru Hao Cuixia An Ling Sun Bin Zhang 《General Psychiatry》 2025年第3期220-225,共6页
To the editor:A wide range of affective disorders affects people of all ages globally and contributes significantly to the global disease burden.1 In China,a nationwide survey found a 3.21% prevalence of affective dis... To the editor:A wide range of affective disorders affects people of all ages globally and contributes significantly to the global disease burden.1 In China,a nationwide survey found a 3.21% prevalence of affective disorders in children and adolescents,with major depressive disorder(MDD)at 2.00%and bipolar disorder at 0.86%. 展开更多
关键词 major depressive disorder mdd adolescents bipolar disorder nationwide survey affective disorders intermittent theta burst stimulation antidepressants
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2021—2023年我院抑郁障碍住院患者抗抑郁药物使用情况分析
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作者 李红 马燕 +4 位作者 李方捷 时梦岚 申书娟 马乐 吴彦 《上海医药》 2026年第1期60-63,92,共5页
目的:分析我院住院抑郁障碍患者抗抑郁药物的使用情况,为临床合理用药提供依据。方法:通过医院信息系统和临床药师工作站,回顾性分析2021—2023年住院抑郁障碍患者抗抑郁药物使用情况,包括药物种类、联合用药及住院天数等。结果:共纳入1... 目的:分析我院住院抑郁障碍患者抗抑郁药物的使用情况,为临床合理用药提供依据。方法:通过医院信息系统和临床药师工作站,回顾性分析2021—2023年住院抑郁障碍患者抗抑郁药物使用情况,包括药物种类、联合用药及住院天数等。结果:共纳入1805例患者,联合用药占97.6%,明显高于单一用药(2.4%),共涉及11种抗抑郁药物,米氮平、舍曲林、文拉法辛和艾司西酞普兰使用频率较高。不同药物组联合用药情况、年龄及住院天数差异均具有统计学意义(P<0.05)。相关性分析显示,部分药物组住院天数与患者年龄及日剂量呈正相关(P<0.05)。结论:我院住院抑郁障碍患者以联合用药治疗为主,舍曲林、文拉法辛应用广泛,米氮平在联合用药中占比最高。 展开更多
关键词 抑郁障碍 抗抑郁药物 联合用药
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抗抑郁药导致抗利尿不当综合征1例并文献复习
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作者 李晨子 闫昱杉 +1 位作者 赵琳琳 王守俊 《河南医学研究》 2026年第4期752-755,共4页
本文报道1例因服用抗抑郁药物所致严重低钠血症的病例,患者,男,45岁,因“纳差、乏力、失眠、焦虑5个月余”入内分泌科。患者临床表现结合实验室检查提示:低钠血症(SIADH药源性);焦虑抑郁状态。给予调整抗焦虑抑郁药物后病情好转。出院... 本文报道1例因服用抗抑郁药物所致严重低钠血症的病例,患者,男,45岁,因“纳差、乏力、失眠、焦虑5个月余”入内分泌科。患者临床表现结合实验室检查提示:低钠血症(SIADH药源性);焦虑抑郁状态。给予调整抗焦虑抑郁药物后病情好转。出院后随访,患者预后良好。关于抗焦虑抑郁药物导致低钠血症的病例目前国内报道较少,临床医生需要提高警惕。 展开更多
关键词 抗抑郁药物 低钠血症 焦虑抑郁状态
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近十年国内外老年抑郁的文献计量学分析
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作者 赖婧菡 张星宇 王华丽 《老年医学研究》 2026年第1期12-20,共9页
目的分析近十年老年抑郁领域的国内外研究进展,以期为未来老年抑郁研究提供参考。方法分别检索CNKI数据库与Web of Science核心合集2015年1月1日—2024年8月25日发表的老年抑郁相关中英文文献,运用CiteSpace、VOSviewer软件,通过作者与... 目的分析近十年老年抑郁领域的国内外研究进展,以期为未来老年抑郁研究提供参考。方法分别检索CNKI数据库与Web of Science核心合集2015年1月1日—2024年8月25日发表的老年抑郁相关中英文文献,运用CiteSpace、VOSviewer软件,通过作者与机构合作网络、关键词共现网络、聚类分析、爆发词分析等方法进行文献计量学分析,并对中英文文献进行对比。结果共纳入495篇中文文献与4446篇英文文献。中文文献发文量波动小、数量少,英文文献年发文量呈缓慢上升趋势。中英文领域均形成核心作者团队与合作网络,且英文文献广度与深度更优。社会支持、药物治疗、焦虑是二者共同的热点话题,中文文献侧重特殊人群与社会因素,英文文献形成了流行病学特征、认知损害关联、危险因素、焦虑共病与干预手段等聚类。高被引文献中文以流行病学研究为主,英文多为综述与指南类。结论近十年老年抑郁领域已形成丰富的研究积累,但老年患者的特殊社会与生理特点以及更合理的治疗手段仍需进一步探讨。中文文献尚处起步阶段,需提升关注程度与体系化水平,丰富新型药物临床证据;英文文献稳步发展,需加强专属老年抑郁人群的研究。 展开更多
关键词 老年抑郁 焦虑 社会支持 抗抑郁药物 文献计量学
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水环境中SSRIs的污染特征与生态毒性研究进展
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作者 张羽彤 周焕然 吴玲玲 《华东师范大学学报(自然科学版)》 北大核心 2026年第1期43-53,共11页
选择性血清素再摄取抑制剂(Selective Serotonin Reuptake Inhibitors,SSRIs)是一类典型的抗抑郁药物,因使用量大且在环境中难以降解,已通过多种途径进入水体,并在污水处理厂进出水、地表水及饮用水中被频繁检出,因而受到广泛关注.环境... 选择性血清素再摄取抑制剂(Selective Serotonin Reuptake Inhibitors,SSRIs)是一类典型的抗抑郁药物,因使用量大且在环境中难以降解,已通过多种途径进入水体,并在污水处理厂进出水、地表水及饮用水中被频繁检出,因而受到广泛关注.环境中存在的SSRIs可干扰水生生物正常生理功能,诱发潜在的毒性效应,进而可能通过饮用水或者食物链对人类健康构成威胁.本文综述了SSRIs在水环境中的污染水平、来源与环境行为及其对不同水生生物的毒性作用,旨在为新污染物的防控和水生生态系统的保护提供参考. 展开更多
关键词 抗抑郁药物 选择性血清素再摄取抑制剂 水环境 污染特征 生态毒性
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UPLC-MS/MS法测定人血浆中的艾司西酞普兰及其生物等效性研究
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作者 刘娟 李鑫鑫 +5 位作者 石玲子 吴强 吕维勋 何晓蓉 柯潇 徐新颖 《华西药学杂志》 北大核心 2026年第1期98-102,共5页
目的采用超高效液相色谱-串联质谱法(UPLC-MS/MS)测定人血浆中艾司西酞普兰的浓度,并用于2种片剂的生物等效性研究。方法采用Acquity UPLC BEH C_(18)色谱柱(50 mm×2.1 mm,1.7μm),流动相为0.1%甲酸水溶液-甲醇(含0.1%甲酸),梯度洗... 目的采用超高效液相色谱-串联质谱法(UPLC-MS/MS)测定人血浆中艾司西酞普兰的浓度,并用于2种片剂的生物等效性研究。方法采用Acquity UPLC BEH C_(18)色谱柱(50 mm×2.1 mm,1.7μm),流动相为0.1%甲酸水溶液-甲醇(含0.1%甲酸),梯度洗脱,流速0.3 mL·min^(-1)。使用电喷雾离子源,正离子多反应监测模式检测,艾司西酞普兰和内标的检测离子对分别为m/z 325.3→261.9、m/z 329.1→266.2。结果方法学考察结果均符合要求;生物等效性试验结果表明:空腹试验中,C_(max)、AUC_(0-t)、AUC_(0-∞)几何均数比值的90%置信区间分别为93.77%~102.91%、92.51%~101.89%、92.17%~101.70%;餐后试验中,3者的90%置信区间分别为95.05%~101.27%、95.68%~101.96%、95.36%~102.27%;两项试验的药动学参数均在可接受范围(80.00%~125.00%)内。结论所用方法操作简便,结果准确可靠,适用于艾司西酞普兰在人体药动学和生物等效性的研究。 展开更多
关键词 艾司西酞普兰 抗抑郁药 超高效液相色谱-串联质谱法 蛋白沉淀法 人血浆 血药浓度 药动学 生物等效性
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致幻剂抗抑郁治疗的研究进展
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作者 夏可 高天明 《南方医科大学学报》 北大核心 2026年第1期1-5,共5页
抑郁症是一种复杂的全球性精神疾病,传统抗抑郁药物存在起效慢、疗效不足等局限。近年来,以裸盖菇素为代表的经典致幻剂在临床研究中展现出快速、强效且持久的抗抑郁潜力,其独特作用机制与临床应用前景已成为精神医学与神经科学领域的... 抑郁症是一种复杂的全球性精神疾病,传统抗抑郁药物存在起效慢、疗效不足等局限。近年来,以裸盖菇素为代表的经典致幻剂在临床研究中展现出快速、强效且持久的抗抑郁潜力,其独特作用机制与临床应用前景已成为精神医学与神经科学领域的研究热点。本文综述了该领域近5年的最新进展。临床上多项随机对照试验表明,单次或少量次数的致幻剂辅助心理治疗,可对难治性抑郁症产生快速且持久的抗抑郁效果。在机制层面,致幻剂能够快速促进神经营养因子释放,增强神经可塑性,促进脑功能重组,为心理干预创造关键的“神经窗口期”。然而,其具体分子与环路机制尚未完全阐明,目前围绕5-羟色胺2A受体依赖与TrkB神经营养通路依赖这两种观点仍存在争议。尽管前景广阔,但其转化应用仍面临致幻风险、机制尚未完全明确、治疗方案缺乏标准化以及长期安全性证据不足等多重挑战。未来研究需进一步揭示其神经生物学机制,研发非致幻型药物,建立标准化治疗体系,并探索精准生物标志物,以推动该疗法向更安全、规范、个体化的方向发展。 展开更多
关键词 致幻剂 裸盖菇素 抗抑郁 5-HT2A受体 神经可塑性
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超级电休克在难治性抑郁中应用的临床研究:一项回顾性研究
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作者 安建雄 迟智佳 +3 位作者 赵彩群 李永祥 王若国 胡亚楠 《南方医科大学学报》 北大核心 2026年第1期104-112,共9页
目的比较多次电刺激下显著延长癫痫波发作的超级电休克(super ECT)对难治性抑郁的治疗疗效。方法基于人群的队列研究纳入2024年12月~2025年6月接受super ECT的难治性抑郁患者292例。根据一次super ECT中电击次数分为3组:E1组为一次ECT... 目的比较多次电刺激下显著延长癫痫波发作的超级电休克(super ECT)对难治性抑郁的治疗疗效。方法基于人群的队列研究纳入2024年12月~2025年6月接受super ECT的难治性抑郁患者292例。根据一次super ECT中电击次数分为3组:E1组为一次ECT过程电击1次(n=88),E2组为一次ECT过程电击2次(n=89),E3组为一次ECT过程电击3次(n=39)。分析基线抑郁、焦虑和失眠量表评分之间的相关性。首次疗程后第1、3、6个月利用汉密尔顿抑郁量表-17(HAMD-17)评估抑郁症状,基于减分率比较3组治疗缓解率和反应率。比较6个月内治疗次数,再住院率和不良反应发生率。分析首次super ECT治疗时的脑电图(EEG)癫痫波发作持续时间。结果E1组74例(84.09%)、E2组76例(76.40%)、E3组32例(82.05%)患者在super ECT后6个月内达到缓解。在6个月内super ECT治疗疗程在E1组为2.13±1.44次,E2组为2.23±2.01次,E3组为2.41±2.15次。基线HAMA、HAMD-17和PSQI评分相关(P<0.001)。第1次癫痫波发作时间在E1组显著高于E2和E3组(P<0.001)。E2组3个月和6个月的再住院率高于E1组(P=0.012、0.026)。短期不良反应包括发热、头痛/头晕、全身痛和口干。结论super ECT作为该领域的技术创新方法在>180 s的发作时间下具备临床安全性和有效性。一次麻醉下电击次数对治疗效果无明显影响。 展开更多
关键词 超快速抗抑郁 超级电休克 难治性抑郁
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地黄中地黄苷D的测定方法、含量变化规律和药理作用研究进展
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作者 张朋雨 高俊鸽 +4 位作者 杨雅贺 郝秋雯 胡靖翊 吴艳莹 丁宁 《中草药》 北大核心 2026年第1期355-363,共9页
地黄苷D是药食同源中药地黄Rehmannia glutinosa的指标性成分。地黄苷D属于天然环烯醚萜苷类化合物,具有滋阴补血、凉血止血、镇痛、抗抑郁、抗骨质疏松等药理作用,因此对其研究日益深入。综述了近年来地黄苷D的研究进展,详细总结了地黄... 地黄苷D是药食同源中药地黄Rehmannia glutinosa的指标性成分。地黄苷D属于天然环烯醚萜苷类化合物,具有滋阴补血、凉血止血、镇痛、抗抑郁、抗骨质疏松等药理作用,因此对其研究日益深入。综述了近年来地黄苷D的研究进展,详细总结了地黄苷D测定方法的优化与新技术应用,及在不同剂型中的含量测定;归纳了不同产地、不同炮制方法及地黄不同组织含量变化规律;并重点阐述了地黄苷D在内分泌与心血管系统、神经系统等方面的药理学作用。此外,对地黄苷D在研究中存在的相关问题进行讨论,为地黄苷D的深入研发和临床应用,及地黄的质量鉴定和资源综合利用提供科学依据。 展开更多
关键词 地黄苷D 测定方法 含量变化规律 镇痛 抗抑郁 抗骨质疏松
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抗抑郁药物再利用于癌症治疗
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作者 刘可微 郝玉琴 +2 位作者 李建华 张小璐 周晨 《生命的化学》 2026年第1期117-128,共12页
癌症是一个重要的全球公共卫生问题,发病率和致死率极高。目前大多数癌症治疗方法昂贵并伴随大量不良反应和耐药性,开发新的治疗方式需要高昂的研究成本。药物再利用是将已经通过临床批准的药物寻找新的应用,这为追求低成本、高效益的... 癌症是一个重要的全球公共卫生问题,发病率和致死率极高。目前大多数癌症治疗方法昂贵并伴随大量不良反应和耐药性,开发新的治疗方式需要高昂的研究成本。药物再利用是将已经通过临床批准的药物寻找新的应用,这为追求低成本、高效益的癌症治疗提供了思路。近年来多项研究报道了抗抑郁药物单独或与其他药物联合使用对不同类型的癌症具有良好的抑制作用。本文介绍了抗抑郁药的抗癌潜力,包括选择性5-羟色胺再摄取抑制剂、5-羟色胺/去甲肾上腺素再摄取抑制剂、三环/四环类抗抑郁药和单胺氧化酶抑制剂。其抗肿瘤机制包括促细胞凋亡、抗细胞增殖、线粒体介导的氧化应激、抗血管生成、免疫反应、乳酸脱氢酶渗漏等。抗抑郁药与经典抗肿瘤药物联合治疗也显示出协同作用,更强的抗肿瘤活性、较少的不良反应、抗耐药性等都是联合治疗的优势。本文强调了抗抑郁药物对于癌症治疗的重要性,并指出了目前研究的局限性及未来前景方向。 展开更多
关键词 癌症治疗 药物再利用 抗抑郁药
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Antidepressant-like effect of essential oil of Perilla frutescens in a chronic, unpredictable, mild stress-induced depression model mice 被引量:35
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作者 JI Wei-Wei LI Rui-Peng +8 位作者 LI Meng WANG Shu-Yuan ZHANG Xian NIU Xing-Xing LI Wei YAN Lu WANG Yang FU Qiang MA Shi-Ping 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2014年第10期753-759,共7页
Perilla frutescens(Perilla leaf), a garnishing vegetable in East Asian countries, as well as a plant-based medicine, has been used for centuries to treat various conditions, including depression. Several studies have ... Perilla frutescens(Perilla leaf), a garnishing vegetable in East Asian countries, as well as a plant-based medicine, has been used for centuries to treat various conditions, including depression. Several studies have demonstrated that the essential oil of P. frutescens(EOPF) attenuated the depressive-like behavior in mice. The present study was designed to test the anti-depressant effects of EOPF and the possible mechanisms in an chronic, unpredictable, mild stress(CUMS)-induced mouse model. With the exposure to stressor once daily for five consecutive weeks, EOPF(3, 6, and 9 mg·kg-1) and a positive control drug fluoxetine(20 mg·kg-1) were administered through gastric intubation to mice once daily for three consecutive weeks from the 3rd week. Open-field test, sucrose consumption test, tail suspension test(TST), and forced swimming test(FST) were used to evaluate the behavioral activity. The contents of 5-hydroxytryptamine(5-HT) and its metabolite, 5-hydroxyindoleacetic acid(5-HIAA), in mouse hippocampus were determined by HPLC–ECD. Serum interleukin(IL)-1, IL-6, and tumor necrosis factor(TNF)-α levels were evaluated by enzyme-linked immunosorbent assay(ELISA). The results showed that CUMS significantly decreased the levels of 5-HT and 5-HIAA in the hippocampus, with an increase in plasma IL-6, IL-1β, and TNF-α levels. CUMS also reduced open-field activity, sucrose consumption, as well as increased immobility duration in FST and TST. EOPF administration could effectively reverse the alterations in the concentrations of 5-HT and 5-HIAA; reduce the IL-6, IL-1β, and TNF-α levels. Moreover, EOPF could effectively reverse alterations in immobility duration, sucrose consumption, and open-field activity. However, the effect was not dose-dependent. In conclusion, EOPF administration exhibited significant antidepressant-like effects in mice with CUMS-induced depression. The antidepressant activity of EOPF might be related to the relation between alteration of serotonergic responses and anti-inflammatory effects. 展开更多
关键词 Perillafrutescens Essential oil antidepressant ANTI-INFLAMMATION Chronic unpredictable mild stress
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Effi cacy of tricyclic antidepressants in irritable bowel syndrome:A meta-analysis 被引量:22
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作者 Roja Rahimi Shekoufeh Nikfar +1 位作者 Ali Rezaie Mohammad Abdollahi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第13期1548-1553,共6页
We aimed to evaluate the efficacy of tricyclic antidepressants(TCAs) as a therapeutic option for irritable bowel syndrome(IBS) through meta-analysis of randomized controlled trials.For the years 1966 until September 2... We aimed to evaluate the efficacy of tricyclic antidepressants(TCAs) as a therapeutic option for irritable bowel syndrome(IBS) through meta-analysis of randomized controlled trials.For the years 1966 until September 2008,PubMed,Scopus,Web of Science,and Cochrane Central Register of Controlled Trials were searched for double-blind,placebo-controlled trials investigating the effi cacy of TCAs in the management of IBS.Seven randomized,placebo-controlled clinical trials met our criteria and were included in the metaanalysis.TCAs used in the treatment arm of these trials included amitriptyline,imipramine,desipramine,doxepin and trimipramine.The pooled relative risk for clinical improvement with TCA therapy was 1.93(95% CI:1.44 to 2.6,P<0.0001).Effect size of TCAs versus placebo for mean change in abdominal pain score among the two studies was -44.15(95% CI:-53.27 to -35.04,P<0.0001).It is concluded that low dose TCAs exhibit clinically and statistically signifi cant control of IBS symptoms. 展开更多
关键词 Systematic review META-ANALYSIS Tricyclic antidepressants Irritable bowel syndrome EFFICACY Clinical response Abdominal pain
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Antidepressant effect of Xingnao Jieyu decoction mediated by alleviating neuroinflammation in a rat model of post-stroke depression 被引量:12
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作者 Yan Yongmei Li Tao +2 位作者 Wang Dou Zhao Bingbing Zhou Qi 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2019年第5期658-666,共9页
OBJECTIVE: To identify the antidepressant effect of Xingnao Jieyu (XNJY) decoction on a post-stroke depression (PSD) rat model and the underlying molecular mechanism. METHODS: We established a rat PSD model by middle ... OBJECTIVE: To identify the antidepressant effect of Xingnao Jieyu (XNJY) decoction on a post-stroke depression (PSD) rat model and the underlying molecular mechanism. METHODS: We established a rat PSD model by middle cerebral artery occlusion (MCAO) combined with chronic unpredictable mild stress (CUMS). Healthy SD rats were randomly divided into six groups: sham, PSD, fluoxetine (Flu), and XNJY groups at low, middle, and high doses. The sham group underwent sham operation, while the other groups underwent MCAO+CUMS. The Flu and XNJY decoction groups were intragastrically administered with Flu or different doses of XNJY for 21 consecutive days. Histopathological changes in the cortex and hippocampus were observed by staining with hematoxylin and eosin and Terminal-deoxynucleoitidyl Transferase Mediated Nick End Labeling. Iba1 positive cells were evaluated by immunofluorescence assay. The expressions of tumor necrosis factor-α(TNF-α), interleukin-6 (IL-6), interleukin-1β(IL-1β), 5-hydroxytryptamine (5-HT), and norepinephrine (NE) in the cortex and hippocampus were measured by enzyme linked immunosorbent assay. RESULTS: The PSD group rats had a significant decrease in body weight, consumption of sucrose water, and locomotor activity but an increase in immobility time during a forced swimming test (P < 0.01) compared with sham group. Flu and different doses of XNJY significantly recovered these indices (P < 0.01). XNJY also inhibited neuronal damage and apoptosis in the cortex induced by PSD (P < 0.01). Furthermore, XNJY reduced the number of Iba1 positive cells and the expressions of TNF-α, IL-6, and IL-1β, in addition to recovered the levels of 5-HT and NE in the cortex and hippocampus (P < 0.01). CONCLUSION: The alleviation of neuroinflammation might be an important mechanism of the XNJY decoction against PSD. Thus, XNJY might be a promising candidate for the treatment of PSD. 展开更多
关键词 Depression Stroke Infarction MIDDLE CEREBRAL ARTERY Stress Inflammation Antidepressive agents XINGNAO Jieyu
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干眼与抑郁症的相关性研究进展
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作者 金凤 弭宝月 +2 位作者 穆菁青 曹靖靖 华夏 《国际眼科杂志》 2026年第1期74-79,共6页
干眼是一种由多因素引起的慢性眼表疾病,其特征为泪膜稳态失衡和眼部不适症状。近年来,大量研究发现干眼与抑郁症之间存在显著的双向关联:干眼患者中抑郁症的发生率明显升高,而抑郁症患者也更易罹患干眼。两者可能通过炎症反应、脑功能... 干眼是一种由多因素引起的慢性眼表疾病,其特征为泪膜稳态失衡和眼部不适症状。近年来,大量研究发现干眼与抑郁症之间存在显著的双向关联:干眼患者中抑郁症的发生率明显升高,而抑郁症患者也更易罹患干眼。两者可能通过炎症反应、脑功能异常、肠道菌群失调及睡眠障碍等多重途径相互影响,形成恶性循环。此外,不同类型的抗抑郁药物对干眼具有差异性影响,既可能改善,也可能因抗胆碱能作用加重干眼症状,其作用机制尚需进一步研究。文章系统综述了干眼与抑郁症的流行病学关联、潜在共同发病机制及现有治疗策略,提出通过中药、电针、运动疗法、抗抑郁药物与常规干眼治疗的综合干预模式,有望在多层面改善干眼合并抑郁症患者的症状与生活质量。未来研究应聚焦机制性探索与临床转化,为两种疾病的精准联合治疗提供理论依据和实践指导。 展开更多
关键词 干眼 抑郁症 抗抑郁药 脑功能异常 肠道菌群 治疗
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基于LC-MS/MS对血液中Liafensine的治疗浓度监测分析
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作者 王俊 《中国实用医药》 2026年第3期83-86,共4页
目的建立血液中抗抑郁新药立阿芬辛(Liafensine)液相色谱-质谱联用技术(LC-MS/MS)的检测方法,旨在为法医毒物检测及医学研究工作者、决策者提供参考。方法血液中立阿芬辛用无水乙醚液液萃取法,以SKF525A为内标,进行LC-MS/MS检测。结果... 目的建立血液中抗抑郁新药立阿芬辛(Liafensine)液相色谱-质谱联用技术(LC-MS/MS)的检测方法,旨在为法医毒物检测及医学研究工作者、决策者提供参考。方法血液中立阿芬辛用无水乙醚液液萃取法,以SKF525A为内标,进行LC-MS/MS检测。结果检测血液中立阿芬辛的检出限为5 ng/ml,定量限为10 ng/ml,线性范围在0.02~2.00μg/ml内良好,方法的回收率85%~110%。结论LCMS/MS检测方法简便、快速、灵敏、准确,可满足临床毒物和法医毒物检测的需要。 展开更多
关键词 血液 抗抑郁新药 立阿芬辛 液相色谱-质谱联用技术
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Network Pharmacology-based Research of Active Components of Albiziae Flos and Mechanisms of Its Antidepressant Effect 被引量:10
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作者 Wei-chen XIONG He-zhen WU +5 位作者 Yi-yi XIONG Bo LIU Zhou-tao XIE Song-tao WU Yun-feng YAO Yan-fang YANG 《Current Medical Science》 SCIE CAS 2020年第1期123-129,共7页
Albiziae Flos(AF)has been experimentally proven to have an antidepressant effect.However,due to the complexity of botanical ingredients,the exact pharmacological mechanism of action of AF in depression has not been co... Albiziae Flos(AF)has been experimentally proven to have an antidepressant effect.However,due to the complexity of botanical ingredients,the exact pharmacological mechanism of action of AF in depression has not been completely deciphered.This study used the network pharmacology method to construct a component-target-pathway network to explore the active components and potential mechanisms of action of AF.The methods included collection and screening of chemical components,prediction of depression-associated targets of the active components,gene enrichment,and network construction and analysis.Quercetin and 4 other active components were found to exert an tidepressant effects mainly via monoaminergic neurotransmitters and cAMP signaling and neuroactive ligand・wceptor interaction pathways.DRD2,HTR1 A,and SLC6A4 were identified as important targets of the studied bioactive components of AF.This network pharmacology analysis provides guidance for further study of the antidepressant mechanism of AF. 展开更多
关键词 Albiziae Flos network pharmacology antidepressant active components signaling pathways
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