电压门控钙通道在精神分裂症发病和治疗中的作用OA
The role of voltage-gated calcium channels in pathogenesis and treatment of schizophrenia
精神分裂症是一种慢性精神疾病,其通过影响早期大脑发育而引发精神病症状,例如幻觉、妄想和混乱及动机和认知功能障碍.电压门控钙离子通道是细胞膜上的重要离子通道,能够调节钙离子流并参与神经元的兴奋和信号传递和早期脑发育,其功能异常与精神分裂症的病发密切相关;通过调节神经递质释放、影响突触可塑性、调节神经元兴奋性和神经网络活动及影响基因表达等多种机制,对认知功能的维持和调节发挥重要作用.电压门控钙离子通道由多个亚基组成,分为高压激活和低压激活两大类,相关基因多态性和表达量变化均与精神分裂症有关,相关基因甲基化、组蛋白修饰及非编码RNA等表观遗传修饰在精神分裂症发病过程中起着重要作用.在精神分裂症的治疗中,选择性更高的钙通道阻断剂被视为一种更优的治疗策略.该文旨在探讨电压门控钙离子通道在精神分裂症发病及治疗中的作用,为精神分裂症病因机制研究和治疗提供思路.
Schizophrenia is a chronic mental disorder that causes psychotic symptoms by affecting early brain development,such as hallucinations,delusions and confusion,and motivational and cognitive dysfunc-tion.Voltage-gated calcium channels are crucial ion channels on the cell membrane,which can regulate calcium ion flow and participate in neuronal excitation and signal transmission and early brain development.Through various mechanisms,including modulation of neurotransmitter release,influence on synaptic plasticity,regula-tion of neuronal excitability and neural network activity,as well as effects on gene expression,Voltage-gated calcium channels play a vital role in maintaining and regulating cognitive functions.Voltage-gated calcium channels comprise multiple subunits and are categorized into high-voltage-activated and low-voltage-activated types.Polymorphisms and expression variations in related genes are associated with schizophrenia,while epi-genetic modifications such as methylation,histone modifications,and non-coding RNAs play significant roles in its pathogenesis.In the treatment of schizophrenia,more selective calcium channel blockers are regarded as a superior therapeutic strategy.This review aims to explore the role of voltage-gated calcium channels in the pathogenesis and treatment of schizophrenia and to provide ideas for the research of etiological mechanisms and treatment of schizophrenia.
魏姿雨;张天祥;王靖涵;王燕龙;刘明慧
济宁医学院临床医学院,山东 济宁 272067济宁医学院临床医学院,山东 济宁 272067济宁医学院临床医学院,山东 济宁 272067济宁医学院贺林院士新医学临床转化工作站,山东 济宁 272067济宁医学院基础医学院,山东 济宁 272067
医药卫生
精神分裂症电压门控钙离子通道遗传多态性表观遗传修饰
SchizophreniaVoltage-gated calcium channelsGenetic polymorphismEpigenetic modification
《现代医药卫生》 2026 (1)
163-168,172,7
贺林院士新医学临床转化工作站科研基金项目(JYHL2021MS15)大学生创新创业训练计划项目(CX2025088).
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