中国全科医学

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脂质代谢异常与抑郁症发展的关联及机制的研究进展

李欣悦1,吴民民1,朱路文2,3*   

  1. 1.150040 黑龙江省哈尔滨市,黑龙江中医药大学 2.150001 黑龙江省哈尔滨市,黑龙江中医药大学附属第二医院康复中心 3.150000 黑龙江省哈尔滨市,黑龙江省脑功能与神经康复重点实验室
  • 收稿日期:2024-06-13 接受日期:2024-07-04
  • 通讯作者: 朱路文,教授/博士生导师;E-mail:zhuluwen1983@126.com
  • 基金资助:
    国家自然科学基金资助项目(82174477);黑龙江省重点研发项目(2022ZX06C24)

Exploration of the Association and Mechanism between Abnormal Lipid Metabolism and Depressive Development

LI Xinyue1,WU Minmin1,ZHU Luwen2,3*   

  1. 1.Heilongjiang University of Chinese Medicine,Harbin 150040,China 2.Rehabilitation Center,the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China 3.Heilongjiang Provincial Key Laboratory of Brain Function and Neurorehabilitation,Harbin 150000,China
  • Received:2024-06-13 Accepted:2024-07-04
  • Contact: ZHU Luwen,Professor/Doctoral supervisor;E-mail:zhuluwen1983@126.com

摘要: 脂质代谢是人体关键的生理过程,其紊乱与抑郁症的发生和发展密切联系。尽管如此,目前对这些联系的系统性整理尚不充分。本文综合探讨了抑郁症患者的脂质代谢变化,并详细阐述了脂质代谢紊乱与抑郁症共病关系的疾病,如超重、肥胖以及Ⅱ型糖尿病。另外,文章总结了五个脂质代谢异常与抑郁症发展相关的内在机制:SNCA基因的过表达和α-Syn异常积聚、铁死亡、肠道菌群失调、线粒体质量控制系统障碍以及慢性应激。最后,本文提出了未来研究方向,旨在为抑郁症的早期诊断与治疗提供了新的视角和研究基础。

关键词: 抑郁症, 脂类代谢, 机制, α- 突触核蛋白, 多不饱和脂肪酸

Abstract: Lipid metabolism is a key physiological process in the body, and its disruption is closely linked to the onset and development of depression. Nevertheless, a systematic collation of these associations is currently inadequate. This article comprehensively explores the changes in lipid metabolism in patients with depression and elaborates on disorders in which disorders of lipid metabolism are co-morbidly associated with depression, such as overweight, obesity, and type II diabetes mellitus. In addition, the article summarises five intrinsic mechanisms by which abnormalities in lipid metabolism are associated with the development of depression: overexpression of SNCA genes and abnormal accumulation of α-Syn, iron death, dysbiosis of intestinal flora, impaired mitochondrial mass control system, and chronic stress. Finally, this paper suggests future research directions aimed at providing a new perspective and research basis for the early diagnosis and treatment of depression.

Key words: Depression, Lipid metabolism, Mechanism, Alpha-synuclein, Polyunsaturated fatty acids

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