폐경 전후기 우울증 동물 모델 구축 및 중약 작용 기전 연구 진전

  • role: First author第一作者
  • Affiliation:

    Shaanxi University of Chinese Medicine, Xianyang 712046,China

  • Email:chita15181377283@163.com
  • Introduction:李晓婷,在读硕士,从事食疗营养、治未病在慢病防治中的理论及应用研究,E-mail:chita15181377283@163.com
LI Xiaoting1,  
  • Affiliation:

    Shaanxi University of Chinese Medicine, Xianyang 712046,China

XU Shouzhu1,  
  • Affiliation:

    Shaanxi University of Chinese Medicine, Xianyang 712046,China

KE Jun1,  
  • Affiliation:

    Shaanxi University of Chinese Medicine, Xianyang 712046,China

ZHANG Zhan1,  
  • role: Corresponding author通信作者
  • Affiliation:

    Shaanxi University of Chinese Medicine, Xianyang 712046,China

    The Second Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 710003,China

  • Email:344016745@qq.com
  • Introduction:辛宝,硕士生导师,教授,从事食疗营养、治未病在慢病防治中的理论及应用研究,E-mail:344016745@qq.com
XIN Bao12*

추상적인

폐경 전후기 우울증(PMD)은 여성의 성숙기에서 노년기로 이행하는 단계에서 발생하는 정서 장애성 질환으로, 불면증, 인지 기능 저하 등 다양한 합병증을 유발할 수 있다. PMD의 원인은 복잡하며, 여러 가설이 제기되었지만 현재까지 PMD의 발병 기전을 완전히 설명할 수 있는 통일된 이론은 없다. 기전 연구는 동물 실험 없이는 불가능하며, 신뢰할 수 있는 동물 모델 구축은 연구에 매우 중요하다. 적절한 동물 모델은 인간의 병태생리 상태를 더 잘 모사할 수 있으며, 약물 및 중재 방법의 효과와 안전성을 빠르게 평가하고, 질병의 본질을 파악하며 내재된 연관성을 발견하여 보다 진보된 중재 전략을 탐색하는 데 도움이 된다. 그러나 현재까지 모델 구축 관련 문헌의 정리와 요약이 부족한 상태이다. 또한 중의학은 ‘변증론치’와 ‘전체론’ 치료 철학을 기반으로 PMD 치료에 효과적이며, 최근 그 치료 기전에 대한 연구가 증가하고 있다. 따라서 PMD 동물 모델 구축 방법과 중약 기전에 대한 명확한 이해를 위해 본 논문은 PMD 동물 모델과 중약 치료 기전에 관한 한중 문헌을 검색하여 단일 인자 및 다인자 PMD 모델 구축 방법을 요약 분석하였으며, 각 모델링 방법의 장단점을 설명하였다. 동시에 중약 개입 PMD 기초연구의 중의약 작용 기전을 심층 분석하여, 중약 복방 치료 기전이 주로 시상하부-뇌하수체-부신(HPA) 축, 시상하부-뇌하수체-난소(HPO) 축, 장-뇌 축, 세포 신호 전달 경로, 신경 회로, 호르몬 및 신경전달물질 수준 등을 조절함으로써 작용함을 발견하였다. 향후 이 분야 연구에 참고가 되기를 기대한다. 요약하면, 본 논문은 PMD 동물 모델 구축 방법과 중약 작용 기전 연구 진전을 정리하여 중의학이 PMD에 미치는 기전 연구에 새로운 아이디어를 제공하는 것을 목적으로 한다.

키워드

폐경 전후기 우울증;동물 모델;평가 방법;중의학 기전

References

  1. 1.
    DE KRUIF M,SPIJKER A T,MOLENDIJK M L.Depression during the perimenopause:A Meta-analysis[J].J Affect Disord,2016,206:174-180.
  2. 2.
    GIBBS Z,LEE S,KULKARNI J.Factors associated with depression during the perimenopausal transition[J].Womens Health Issues,2013,23(5):e301-307.
  3. 3.
    GU T,WANG R H,WU T,et al.Therapeutic effect on mild perimenopausal depression treated with acupuncture at the "thirteen ghost points" and kaixin powder[J].Chin Acupunct Moxibustion,2020,40(3):267-271.
  4. 4.
    ZHAO F Y,FY Q Q,KENNEDY G A,et al.Acupuncture as an independent or adjuvant management to standard care for perimenopausal depression:A systematic review and Meta-analysis[J].Front Psychiatry,2021,12:666988.
  5. 5.
    HU L,WANG M,ZHUO Z W,et al.A study on the abnormal mechanism of female emotions in perimenopausal women[J].Tradit Chin Med J,2018,17(3):29-32.
  6. 6.
    CAO L H,MIAO M S.Analysis of perimenopausal depression animal models based on clinical features[J].Chin J Tradit Chin Med Pharm,2016,31(5):1643-1647.
  7. 7.
    HAI B,ZHU B,LIU X G.Current status of research on animal models of intervertebral disc degeneration[J].Acta Lab Anim Sci Sin,2019,27(3):374-379.
  8. 8.
    LI S C,YUAN J Y,ZHAO Y,et al.Clinical observation on the efficacy of warming yang and relieving depression therapy for menopausal depression with kidney deficiency and liver stagnation[J].Chin J Integr Med Cardio-Cerebrovasc Dis,2021,19(20):3594-3596.
  9. 9.
    QIN L L,LIU W Q.Clinical observation of Longsha Opening-Closing Six Climate Factors Needling therapy combined with modified Huanglian Wendan decoction in the treatment of perimenopausal depression with internal disturbance of phlegm-heat syndrome type[J].J Guangzhou Univ Tradit Chin Med,2022,39(6):1306-1313.
  10. 10.
    LIN Y S,WANG L Y,ZHANG Z Y.Clinical effects observation of supplemented Chaihu Jia Longgu Muli decoction combined with Paroxetine on perimenopause depression[J].Chin J Tradit Chin Med Pharm,2019,34(7):3330-3333.
  11. 11.
    ZHANG Y X,GAO X,LIU C L,et al.Current status and prospects of clinical research on non-pharmacological traditional Chinese medicine therapies for perimenopausal depression[J].J Psychiatry,2023,36(4):441-444.
  12. 12.
    TANTIPONGPIRADET A,MONTHAKANTIRAT O,VIPATPAKPAIBOON O,et al.Effects of puerarin on the ovariectomy-induced depressive-like behavior in ICR mice and its possible mechanism of action[J].Molecules,2019,24(24):4569.
  13. 13.
    CHENG H Q,XIONG S H,YIN X Y,et al.Research on experimental models of menopause in rats[J].Lab Anim Comp Med,1993,13(4):192-196.
  14. 14.
    MA X,FU P,LING B Y,et al.Establishment and evaluation on peri-menopausal model of ICR mice by natural aging method[J].Chin J Tradit Chin Med Pharm,2016,31(6):2394-2397.
  15. 15.
    WANG Y,WU J Z,LI Y,et al.Polysaccharides of Fructus corni improve ovarian function in mice with aging-associated perimenopause symptoms[J].Evid Based Complement Alternat Med,2019,2019:2089586.
  16. 16.
    QUAN X M,WANG Y,SONG C X,et al.Effects of acupuncture and moxibustion on estrogen levels and monoamine neurotransmitters in naturally aging perimenopausal rats[J].Chin J Gerontol,2022,42(11):2745-2749.
  17. 17.
    LU Y,SU J,YU Y Q.Effects of Geng Xiaoyao granule on estrogen and monoamine neurotransmitters in a rat model of menopausal depression[J].J Basic Chin Med,2011,17(11):1223-1224.
  18. 18.
    ESTRADA-CAMARENA E,FERNÁNDEZ-GUASTI A,LÓPEZ-RUBALCAVA C.Antidepressant-like effect of different estrogenic compounds in the forced swimming test[J].Neuropsychopharmacology,2003,28(5):830-838.
  19. 19.
    ESTRADA-CAMARENA E,FERNÁNDEZ-GUASTI A,LÓPEZ-RUBALCAVA C.Interaction between estrogens and antidepressants in the forced swimming test in rats[J].Psychopharmacology,2004,173(1-2):139-145.
  20. 20.
    SUN Y,LI P,GAO M Z,et al.Pharmacodynamic study of Gengshufang on castrated perimenopausal syndrome model rats[J].Guiding J Tradit Chin Med Pharm,2020,26(4):30-34.
  21. 21.
    ESTRADA-CAMARENA E,LÓPEZ-RUBALCAVA C,HERNÁNDEZ-ARAGÓN A,et al.Long-term ovariectomy modulates the antidepressant-like action of estrogens,but not of antidepressants[J].J Psychopharmacol,2011,25(10):1365-1377.
  22. 22.
    SAEEDI SARAVI S S,AREFIDOUST A,YAFTIAN R,et al.17α-ethinyl estradiol attenuates depressive-like behavior through GABAA receptor activation/nitrergic pathway blockade in ovariectomized mice[J].Psychopharmacology,2016,233(8):1467-1485.
  23. 23.
    GUO L,REN L D,ZHANG C X.Relationship between depression and inflammatory factors and brain-derived neurotrophic factor in patients with perimenopause syndrome[J].Exp Ther Med,2018,15(5):4436-4440.
  24. 24.
    PUGA-OLGUÍN A,RODRÍGUEZ-LANDA J F,DE JESÚS ROVIROSA-HERNÁNDEZ M J,et al.Long-term ovariectomy increases anxiety-and despair-like behaviors associated with lower Fos immunoreactivity in the lateral septal nucleus in rats[J].Behav Brain Res,2019,360:185-195.
  25. 25.
    VALDÉS-SUSTAITA B,ESTRADA-CAMARENA E,GONZÁLEZ-TRUJANO M E,et al.Estrogen receptors-β and serotonin mediate the antidepressant-like effect of an aqueous extract of pomegranate in ovariectomized rats[J].Neurochem Int,2021,142:104904.
  26. 26.
    VEGA-RIVERA N M,LÓPEZ-RUBALCAVA C,ESTRADA-CAMARENA E.The antidepressant-like effect of ethynyl estradiol is mediated by both serotonergic and noradrenergic systems in the forced swimming test[J].Neuroscience,2013,250:102-111.
  27. 27.
    CUETO-ESCOBEDO J,ANDRADE-SOTO J,LIMA-MAXIMINO M,et al.Involvement of GABAergic system in the antidepressant-like effects of chrysin (5,7-dihydroxyflavone) in ovariectomized rats in the forced swim test:Comparison with neurosteroids[J].Behav Brain Res,2020,386:112590.
  28. 28.
    WILLNER P,TOWELL A,SAMPSON D,et al.Reduction of sucrose preference by chronic unpredictable mild stress,and its restoration by a tricyclic antidepressant[J].Psychopharmacology,1987,93(3):358-364.
  29. 29.
    MIAO M S,CAO L H,MIAO Y Y,et al.Standard(Draft) for preparation of perimenopausal depression animal model[J].Chin J Tradit Chin Med Pharm,2019,34(7):3124-3128.
  30. 30.
    GE F,YANG H R,LU W T,et al.Ovariectomy induces microglial cell activation and inflammatory response in rat prefrontal cortices to accelerate the chronic unpredictable stress-mediated anxiety and depression[J].Biomed Res Int,2020,2020:3609758.
  31. 31.
    GU S M,JING L Y,LI Y,et al.Stress induced hormone and neuromodulator changes in menopausal depressive rats[J].Front Psychiatry,2018,9:253.
  32. 32.
    XIA X F,LIU Q Y,LI M,et al.Establishment and evaluation of a mouse model for perimenopausal depression[J].Chin J Behav Med Brain Sci,2018,27(7):655-660.
  33. 33.
    ZHANG L,CAO L L,YANG D D,et al.Establishment and evaluation of a novel mouse model of peri/postmenopausal depression[J].Heliyon,2019,5(2):e01195.
  34. 34.
    MIAO M S,YAN X L,GUO L,et al.Effect of Cynomorium total flavone on depression model of perimenopausal rat[J].Saudi J Biol Sci,2017,24(1):139-148.
  35. 35.
    SHAN S L,LIU N,ZHANG H Z,et al.Study on the effect of Erxianyikun decoction on behavior and endocrine metabolic regulation of rat model of perimenopausal depression[J].Matern Child Health Care China,2015,30(13):2077-2080.
  36. 36.
    WU G F.Efficacy and mechanism of electroacupuncture intervention in an animal model of liver stagnation syndrome in perimenopausal depression[D].Shenyang:Liaoning University of Traditional Chinese Medicine,2012
  37. 37.
    HE Y Q,CAI H X,LIU A L.Research progress on perimenopausal anxiety disorders[J].Xinjiang J Tradit Chin Med,2021,39(1):122-124.
  38. 38.
    HAN Y,YU L Y,LU G L,et al.Study on the improvement effects and mechanisms of Chaihu Shugan powder on anxiety and depression in perimenopausal depression model rats[J].Lishizhen Med Mater Med Res,2024,35(6):1316-1319.
  39. 39.
    HANTSOO L,JAGODNIK K M,NOVICK A M,et al.The role of the hypothalamic-pituitary-adrenal axis in depression across the female reproductive lifecycle:Current knowledge and future directions[J].Front Endocrinol (Lausanne),2023,14:1295261.
  40. 40.
    GELMAN P L,FLORES-RAMOS M,LÓPEZ-MARTÍNEZ M,et al.Hypothalamic-pituitary-adrenal axis function during perinatal depression[J].Neurosci Bull,2015,31(3):338-350.
  41. 41.
    PANG D L.Clinical study on the treatment of female perimenopausal depression by Zishenshugan[D].Nanning:Guangxi University of Chinese Medicine,2021.
  42. 42.
    LI M Y,ZHANG N W,LI X L,et al.Treatment of female climacteric depression from the theory of ''tonifying the kidneys and soothing the liver''[J].World Chin Med,2024,19(1):116-119.
  43. 43.
    HU J P,JIN J,HUANG L,et al.Relationship between abnormal perimenopausal endocrine hormone secretion and the occurrence of depression[J].Matern Child Health Care China,2023,38(23):4710-4713.
  44. 44.
    JIANG W H,DONG Y Y,GAO C G,et al.Relationship between sex hormone level and cognitive function in patients with menopausal depression[J].Sci Technol Eng,2021,21(3):941-945.
  45. 45.
    CHEN S Q,LI J X,WU X Y,et al.Advances in pharmacology of Rehmannia glutinosa[J].Chem Eng,2019,33(11):46-50.
  46. 46.
    CUI Y,FENG J,WANG H,et al.Behavioral experiment on anti-anxiety effects of prepared rehmannia root on mice[J].Chin J Tissue Eng Res,2006,10(43):61-63.
  47. 47.
    LI M Y,LI X L,XUE B,et al.Effect of Chaikun Jieyu decoction on hypothalamus-pituitary-ovarian axis hormones and the expression of estrogen receptorαin hypothalamus in perimenopausal depressive rats[J].J Anhui Univ Chin Med,2023,42(1):73-78.
  48. 48.
    WANG H X,GAO J,CUI Y Y,et al.Research progress of relationship between perimenopausal depression and hypothalamic-pituitary-ovary axis[J].Guangxi Med J,2021,43(4):484-486,502.
  49. 49.
    WANG R,WU M L,WANG W,et al.Research of neuroprotective mechanism and effects of behavior of Zuogui pill on perimenopause depression model in mice[J].J Med Res,2020,49(2):135-139.
  50. 50.
    JIANG D Z,FENG Q X,GAO Y T,et al.Effect of Zishui Qinggan decoction on hypothalamus ER-α mRNA expression and 5-HT content in rats with depression in peri-menopausal period[J].Tianjin J Tradit Chin Med,2008,25(2):170-173.
  51. 51.
    ZHANG L F.Effect of Hashi Shugan Jianpi decoction on perimenopausal depression and its effect on α-synaptonucleoprotein and synaptosin 1[D].Tianjin:Tianjin University of Traditional Chinese Medicine,2023.
  52. 52.
    TANG Q Q,CAO L H.Intestinal flora and neurological disorders[J].Chin J Biotechnol,2021,37(11):3757-3780.
  53. 53.
    KLEIMAN S C,WATSON H J,BULIK-SULLIVAN E C,et al.The intestinal microbiota in acute anorexia nervosa and during renourishment:Relationship to depression,anxiety,and eating disorder psychopathology[J].Psychosom Med,2015,77(9):969-981.
  54. 54.
    ZHANG J Y,ZHENG Z R,PENG S X,et al.Exploring the clinical efficacy of Huatan Kaiqiao formula in treating elderly ischemic stroke based on the brain-gut axis theory[J].Chin J Gerontol,2024,44(15):3602-3605.
  55. 55.
    CAO W W,LIU Z W,ZHAO X X,et al.Exploring the brain-gut axis and perimenopausal depression based on the theory of "Heart and small intestine being exteriorly-interiorly related"[J].Lishizhen Med Mater Med Res,2022,33(12):2991-2993.
  56. 56.
    XU H D,QIU Q,DU Y Q,et al.Exploration on effect of Yinhuo decoction on depression-like behavior in mice with bilateral ovariectomy induced by chronic stress based on E2/ERβ signaling pathway[J].Chin J Exp Tradit Med Form,2021,27(21):10-18.
  57. 57.
    CHEN K,PALAGASHVILI T,HSU W,et al.Brain injury and inflammation genes common to a number of neurological diseases and the genes involved in the genesis of GABAnergic neurons are altered in monoamine oxidase B knockout mice[J].Brain Res,2022,1774:1477224.
  58. 58.
    WU D X,ZHANG Y,ZHANG L L,et al.Network pharmacology study of Yinhuo decoction improving depression-like behavior in perimenopausal depression rats[J].Chin J Clin Pharmacol,2023,39(20):2946-2950.
  59. 59.
    JIANG H B,HUANG J,HUANG L.A new homoisoflavonoid from Ophiopogon japonicus[J].West China J Pharm Sci,2012,27(5):501-502.
  60. 60.
    WANG Z L.Effects of treadmill exercise on depression-like behavior,hippocampal inflammatory response and apoptosis in perimenopausal depression rats[D].Taiyuan:North University of China,2022.
  61. 61.
    LI M H,YU B Y,LIU P.Extracellular signal regulated kinase (ERK) signaling pathway and depression[J].Acta Neuropharmacol,2015,5(1):38-44.
  62. 62.
    FITZGERALD P B,OXLEY T J,LAIRD A R,et al.An analysis of functional neuroimaging studies of dorsolateral prefrontal cortical activity in depression[J].Psychiatry Res,2006,148(1):33-45.
  63. 63.
    HAMILTON J P,ETKIN A,FURMAN D J,et al.Functional neuroimaging of major depressive disorder:A Meta-analysis and new integration of baseline activation and neural response data[J].Am J Psychiatry,2012,169(7):693-703.
  64. 64.
    FRODL T,MEISENZAHL E M,ZETZSCHE T,et al.Hippocampal changes in patients with a first episode of major depression[J].Am J Psychiatry,2002,159(7):1112-1118.
  65. 65.
    LIANG W N,RUAN L W,ZHANG P H,et al.Mechanism of Chaihu Shugan powder on ERK1/2-CREB-BDNF signaling pathway in perimenopausal liver-stagnation pattern rats[J].Chin J Tradit Chin Med Pharm,2022,37(6):3147-3152.
  66. 66.
    JIAO J X,GAO W J.Research progress on the signal transduction mechanisms of apoptosis[J].Chin J Gerontol,2010,30(6):853-856.
  67. 67.
    WANG S E,HU S Y,ZHANG C H,et al.Effect of Chaihu Shugan powder and its components on expression of ERK1/2 mRNA in the hippocampus of rats withchronic mild unpredicted stress depression[J].J Cent South Univ:Med Sci,2011,36(2):93-100.
  68. 68.
    SHI X L,CAO Z Y,MA X C,et al.Effects of herbal pair of Ziziphi Spinosae Semen and Albiziae Flos on behavior and cellular signal transduction pathway of ERK-CREB in cortex of depression model rats[J].Tradit Chin Drug Res Clin Pharmacol,2020,31(1):8-14.
  69. 69.
    YAN L J,XU X,HE Z Y,et al.Antidepressant-like effects and cognitive enhancement of coadministration of Chaihu Shugan San and fluoxetine:Dependent on the BDNF-ERK-CREB signaling pathway in the hippocampus and frontal cortex[J].Biomed Res Int,2020,2020:2794263.
  70. 70.
    TANG R Y,WANG Y P,ZHANG S F,et al.Clinical study on the treatment of emotional disorder in perimenopausal women with Xiangshao granules[J].J Pract Obstet Gynecol,2023,39(3):210-216.
  71. 71.
    BERGER M,GRAY J A,ROTH B L.The expanded biology of serotonin[J].Annu Rev Med,2009,60(1):355-366.
  72. 72.
    LI H,CHEN Y,LI M J,et al.Correlation study of serum 5-HT level and SDS,SAS of perimenopausal nonorganic insomnia patients with liver depression syndrome[J].Chin J Tradit Chin Med Pharm,2016,31(6):2334-2336.
  73. 73.
    GU S M,WANG F S,PATEL N P P,et al.A model for basic emotions using observations of behavior in drosophila[J].Front Psychol,2019,10:781.
  74. 74.
    SCHILLER C E,JOHNSON S L,ABATE A C,et al.Reproductive steroid regulation of mood and behavior[J].Compr Physiol,2016,6(3):1135-1160.
  75. 75.
    XU P Y,HUANG S J,ZHANG H B,et al.Structural insights into the lipid and ligand regulation of serotonin receptors[J].Nature,2021,592(7854):469-473.
  76. 76.
    SHAN S L,JIAO H L,FAN Y,et al.Effects of Erxian Yikun soup on reproductive hormones and the mRNA expression of 5-HT receptor in rats models of perimenopausal depression[J].J Nanyang Inst Technol,2017,9(2):120-124.
  77. 77.
    HUANG R T,GONG M,TAN X,et al.Effects of Chaihu Shugan San on brain functional network connectivity in the hippocampus of a perimenopausal depression rat model[J].Mol Neurobiol,2024,61(3):1655-1672.
  78. 78.
    CHEN H H,YE D L.Effect of Simoyinzi decoction on serum 5-HT and inflammatory factors in early onset of severe depression of perimenopausal women[J].Chin J Biochem Pharm,2016,36(9):108-111.
  79. 79.
    MAKI P M,KORNSTEIN S G,JOFFE H,et al.Guidelines for the evaluation and treatment of perimenopausal depression:Summary and recommendations[J].J Womens Health (Larchmt),2019,28(2):117-134.
  80. 80.
    HU S W,LIANG H Y,MA K,et al.Expert consensus on clinical diseases responding specifically to traditional Chinese medicine:Perimenopausal syndrome[J].Chin J Exp Tradit Med Form,2024,30(21):234-242.
  81. 81.
    ZHOU Y H,LIU T,MA H B.Modified Xiaoyao Erxian decoction in treatment of mood disorders in perimenopausal syndrome[J].Chin J Exp Tradit Med Form,2021,27(21):144-149.
  82. 82.
    ZHOU D N,WEI R N,KANG M J,et al.Research progress on animal models of menopausal syndrome:A review[J].Chin J Exp Tradit Med Form,2021,27(18):243-250.

더 읽기

The above content is generated by Large Model Translation. The translated content is for reference only. We do not assume any commercial or legal responsibilty for any consequences arising from the use of our website