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精神分裂症和双相情感障碍研究的新前沿

New Frontiers in Schizophrenia and Bipolar Disorder Research
课程网址: http://videolectures.net/mitworld_scolnick_nfs/  
主讲教师: Edward Scolnick
开课单位: 布洛德研究所
开课时间: 2010-10-07
课程语种: 英语
中文简介:
与心血管疾病相反,在过去的半个世纪中,很少出现针对精神疾病的突破性疗法。爱德华斯科尔尼克对于理解这些疾病背后遗传基础的障碍这种令人沮丧的情况负有责任。但研究的干旱可能已经结束,因为当前人类遗传学的革命为精神分裂症和双相情感障碍等疾病背后的分子生物学和大脑生理学打开了一道大门。 这些常见的,慢性的和致残的精神疾病是复杂的,涉及表达不同的异常行为。他们也缺乏能够进行精确诊断的定量测试。虽然科学已经证明精神分裂症和双相情感障碍的单一最大风险因素是遗传因素,但它无法设计工具来探索遗传学如何与人类疾病的进化相关。但就在最近两年,随着人类基因组的测序和人类遗传变异的图谱,无知已经让位于主要发现。 在精神分裂症和双极性疾病中,研究人员发现基因缺失和重复(称为拷贝数变异)会导致严重的脑电路恶作剧。他们还了解到这两种疾病都存在共同的基因变异,以及出现故障的基因簇。斯科尔尼克描述了麻省理工学院的各种研究,以“极快的速度”进行,利用这一遗传信息“深入研究大脑回路的故障”。 科学家应用功能磁共振成像来比较普通人和精神分裂症患者的大脑,并发现处于静止状态的精神分裂症大脑过度活跃。其他研究人员发现,与对照组相比,精神分裂症患者以不同的方式产生与更高的心理活动有关的γ脑波。 麻省理工学院的另一个实验室已经开始使用光学技术操纵特定的大脑回路 - 在特殊的中间神经元中照射不同波长的光,调节其他神经元的发射,并且假定它们在精神分裂症大脑的功能障碍中具有关键作用。另外两个麻省理工学院的实验室正在研究由于基因改变引起的生化破坏,并开发出“安全,特异的化学抑制剂”,这些抑制剂可能为精神分裂症和双相情感疾病提供潜在的治疗方法。在日本,研究人员正在将干细胞培养成脑细胞,这可能导致精确的实验,将遗传问题与大脑线路的故障联系起来。事实上,加上这项研究,心理疾病发病机制的核心中心生化途径似乎正在出现,这些知识“可以被用来了解疾病和寻找药物治疗”。
课程简介: In contrast to cardiovascular disease, few breakthrough remedies for psychiatric illness have emerged in the past half century. Edward Scolnick lays blame for this dismal situation on barriers to understanding the genetic basis behind such illnesses. But the research drought may be over, as the current revolution in human genetics opens wide a door into the molecular biology and brain physiology behind diseases like schizophrenia and bipolar disorder. These common, chronic and disabling mental illnesses are complex, involving abnormal behaviors that vary in expression. They have also lacked the kind of quantitative tests that enable precise diagnosis. While science has demonstrated that the single biggest risk factor for both schizophrenia and bipolar disorder is genetic, it has not been able to design tools for exploring how the genetics relates to the evolution of the disease in people. But just in the last two years, with the sequencing of the human genome and maps of human genetic variation, ignorance has given way to major findings. In schizophrenia and bipolar disease, researchers have discovered that gene deletions and duplications (called copy number variants) cause significant brain circuit mischief. They’ve also learned there are gene variants common to both diseases, as well as clusters of genes that malfunction. Scolnick describes diverse research at MIT, proceeding at a “breakneck pace,” that uses this genetic information “to delve into the malfunctioning of brain circuits.” Scientists have applied functional magnetic resonance imaging to compare the brains of ordinary people and schizophrenia patients, and discovered that the schizophrenic’s brain in a resting state is hyperactive. Other researchers found that schizophrenics generate the gamma brainwaves involved with higher mental activities in a different manner than control subjects. Another MIT lab has begun to manipulate specific brain circuits using optical technology -- shining different wavelengths of light at special interneurons that regulate the firing of other neurons, and which are postulated to have a critical role in the malfunctioning of schizophrenics’ brains. Two other MIT labs are examining the biochemical disruptions due to altered genes, and developing “safe, specific chemical inhibitors” that might yield potential treatments for schizophrenia and bipolar illnesses. In Japan, researchers are growing stem cells into brain cells, which may lead to precise experiments that relate genetic problems to malfunctions in brain wiring. Indeed, adding up this research, a central biochemical pathway central to the pathogenesis of psychogenic illness seems to be emerging, knowledge that “can be exploited to understand illness and to find drug treatments.”
关 键 词: 精神分裂症; 双相情感障碍; 拷贝数变异
课程来源: 视频讲座网
最后编审: 2020-06-15:wuyq
阅读次数: 153