The Emerging Neurobiology of Bipolar Disorder

被引:154
作者
Harrison, Paul J. [1 ,2 ]
Geddes, John R. [1 ,2 ]
Tunbridge, Elizabeth M. [1 ,2 ]
机构
[1] Univ Oxford, Dept Psychiat, Warneford Hosp, Oxford OX3 7JX, England
[2] Oxford Hlth NHS Fdn Trust, Warneford Hosp, Oxford OX3 7JX, England
基金
英国医学研究理事会; 英国惠康基金;
关键词
GATED CALCIUM-CHANNELS; LOSS-OF-FUNCTION; MOOD INSTABILITY; BORDERLINE PERSONALITY; NEURONAL EXCITABILITY; PSYCHIATRIC DISEASE; RISK; SCHIZOPHRENIA; DEPRESSION; CACNA1C;
D O I
10.1016/j.tins.2017.10.006
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Bipolar disorder (BD) is a leading cause of global disability. Its biological basis is unknown, and its treatment unsatisfactory. Here, we review two recent areas of progress. First, the discovery of risk genes and their implications, with a focus on voltage-gated calcium channels as part of the disease process and as a drug target. Second, facilitated by new technologies, it is increasingly apparent that the bipolar phenotype is more complex and nuanced than simply one of recurring manic and depressive episodes. One such feature is persistent mood instability, and efforts are underway to understand its mechanisms and its therapeutic potential. BD illustrates how psychiatry is being transformed by contemporary neuroscience, genomics, and digital approaches.
引用
收藏
页码:18 / 30
页数:13
相关论文
共 117 条
[21]   Evidence for genetic heterogeneity between clinical subtypes of bipolar disorder [J].
Charney, A. W. ;
Ruderfer, D. M. ;
Stahl, E. A. ;
Moran, J. L. ;
Chambert, K. ;
Belliveau, R. A. ;
Forty, L. ;
Gordon-Smith, K. ;
Di Florio, A. ;
Lee, P. H. ;
Bromet, E. J. ;
Buckley, P. F. ;
Escamilla, M. A. ;
Fanous, A. H. ;
Fochtmann, L. J. ;
Lehrer, D. S. ;
Malaspina, D. ;
Marder, S. R. ;
Morley, C. P. ;
Nicolini, H. ;
Perkins, D. O. ;
Rakofsky, J. J. ;
Rapaport, M. H. ;
Medeiros, H. ;
Sobell, J. L. ;
Green, E. K. ;
Backlund, L. ;
Bergen, S. E. ;
Jureus, A. ;
Schalling, M. ;
Lichtenstein, P. ;
Roussos, P. ;
Knowles, J. A. ;
Jones, I. ;
Jones, L. A. ;
Hultman, C. M. ;
Perlis, R. H. ;
Purcell, S. M. ;
McCarroll, S. A. ;
Pato, C. N. ;
Pato, M. T. ;
Craddock, N. ;
Landen, M. ;
Smoller, J. W. ;
Sklar, P. .
TRANSLATIONAL PSYCHIATRY, 2017, 7 :e993-e993
[22]   A systematic review of calcium channel antagonists in bipolar disorder and some considerations for their future development [J].
Cipriani, A. ;
Saunders, K. ;
Attenburrow, M-J ;
Stefaniak, J. ;
Panchal, P. ;
Stockton, S. ;
Lane, T. A. ;
Tunbridge, E. M. ;
Geddes, J. R. ;
Harrison, P. J. .
MOLECULAR PSYCHIATRY, 2016, 21 (10) :1324-1332
[23]   Data-driven classification of bipolar I disorder from longitudinal course of mood [J].
Cochran, A. L. ;
McInnis, M. G. ;
Forger, D. B. .
TRANSLATIONAL PSYCHIATRY, 2016, 6 :e912-e912
[24]   Bipolar Disorder 1 Genetics of bipolar disorder [J].
Craddock, Nick ;
Sklar, Pamela .
LANCET, 2013, 381 (9878) :1654-1662
[25]  
Dedic N, 2017, MOL PSYCHIAT
[26]   RETRACTED: Identification of gene ontologies linked to prefrontal-hippocampal functional coupling in the human brain (Retracted Article) [J].
Dixson, Luanna ;
Walter, Henrik ;
Schneider, Michael ;
Erk, Susanne ;
Schaefer, Axel ;
Haddad, Leila ;
Grimm, Oliver ;
Mattheisen, Manuel ;
Noethen, Markus M. ;
Cichon, Sven ;
Witt, Stephanie H. ;
Rietschel, Marcella ;
Mohnke, Sebastian ;
Seiferth, Nina ;
Heinz, Andreas ;
Tost, Heike ;
Meyer-Lindenberg, Andreas .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2014, 111 (26) :9657-9662
[27]   Voltage-gated calcium channels and their auxiliary subunits: physiology and pathophysiology and pharmacology [J].
Dolphin, Annette C. .
JOURNAL OF PHYSIOLOGY-LONDON, 2016, 594 (19) :5369-5390
[28]  
Dubad M., 2017, PSYCHOL MED
[29]   Affect lability predicts occurrence of suicidal ideation in bipolar patients: a two-year prospective study [J].
Ducasse, D. ;
Jaussent, I. ;
Guillaume, S. ;
Azorin, J. M. ;
Bellivier, F. ;
Belzeaux, R. ;
Bougerol, T. ;
Etain, B. ;
Gard, S. ;
Henry, C. ;
Kahn, J. P. ;
Leboyer, M. ;
Loftus, J. ;
Passerieux, C. ;
Olie, E. ;
Courtet, P. .
ACTA PSYCHIATRICA SCANDINAVICA, 2017, 135 (05) :460-469
[30]   Functional Characterization of Schizophrenia-Associated Variation in CACNA1C [J].
Eckart, Nicole ;
Song, Qifeng ;
Yang, Rebecca ;
Wang, Ruihua ;
Zhu, Heng ;
McCallion, Andrew S. ;
Avramopoulos, Dimitrios .
PLOS ONE, 2016, 11 (06)