Nicotine receptors and depression: revisiting and revising the cholinergic hypothesis.

Nicotine receptors and depression: revisiting and revising the cholinergic hypothesis.
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DOI:
10.1016/j.tips.2010.09.004
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发表时间:
2010-12
影响因子:
13.8
通讯作者:
Picciotto MR
Picciotto MR
中科院分区:
医学1区
文献类型:
--
作者:
Mineur YS;Picciotto MR

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There is a well-established connection between smoking and depression, with depressed individuals over-represented among smokers and ex-smokers often experiencing increased depressive symptoms immediately after quitting. Nicotine in tobacco binds, activates and desensitizes nicotinic acetylcholine receptors (nAChRs), but it is not known whether activation or desensitization is more important for nicotine’s effects on depressive symptoms. In this article, we review the hypothesis that blockade rather than activation of neuronal nAChRs might be important for the effects of nicotinic agents on depressive symptoms based on clinical and preclinical studies of nicotinic drugs. The endogenous neurotransmitter for nAChRs is acetylcholine, and the effects of nicotine on depression-like behaviors support the idea that dysregulation of the cholinergic system might contribute to the etiology of major depressive disorder. Thus, pharmacological agents that limit acetylcholine signaling through neuronal nAChRs might be promising for the development of novel antidepressant medications.
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