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抑郁症药物治疗的研究进展

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在过去的70年里,抑郁症的药物治疗一直以单胺能假说为基础,近几年人们把目光从单胺类靶点转移到多靶点再摄取抑制剂和非单胺类靶点的药物开发.本文综述了近年来进入临床或已上市的相对较新的抗抑郁药物:盐酸羟哌吡酮、盐酸托鲁地文拉法辛、赛洛西宾、氯胺酮/S-氯胺酮、右美沙芬-安非他酮和布瑞诺龙/祖拉诺龙的临床前机制研究和临床药效评价,总结近年来抑郁症药物治疗的研究进展,希望能对抑郁症药物的下一步研究提供方向.
Research Progress in Drug Therapy for Depression
In the past 70 years,drug therapy for depression has been based on the monoamine hypothesis.In recent years,people have shifted their focus from monoamine targets to the development of multi target reuptake inhibitors and non monoamine target drugs.This article reviews the relatively new antidepressant drugs that have entered clinical practice or have been marketed in recent years:preclinical mechanism research and clinical efficacy evaluation of hypidone hydrochloride,toludesvenlafaxine hydrochloride,psilocybin,ketamine/S-ketamine,dextromethorphan-bupropion,brexanolone/zuranolone,summarizing the research progress of depression drug treatment in recent years,hoping to provide direction for the next step of depression drug research.

antidepressants5-HTRnon monoamine targetsNMDARGABAAR

汪洋、郭飞、夏明钰

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沈阳药科大学,辽宁沈阳 110016

南通奥泽康医药科技有限公司,江苏南通 226100

抗抑郁药物 血清素受体 非单胺类靶点 N-甲基-D-天冬氨酸受体 离子型γ-氨基丁酸受体

2024

山东化工
山东省化工研究院 山东省化工信息中心

山东化工

影响因子:0.249
ISSN:1008-021X
年,卷(期):2024.53(13)