Abstract
Profound dysfunctions in several neuroendocrine systems have been described in patients
suffering from affective disorders such as major depression. In order to elucidate
the mechanisms underlying these functional alterations, animal models including mice
genetically modified by either direct gene-targeting or by selective breeding approaches
have been used exceedingly, revealing valuable insights into neuroendocrine pathways
conserved between rodents and men. This review focuses on altered function and regulation
of the hypothalamic-pituitary-adrenocortical axis, including its involvement in emotionality
and stress responsiveness. In this context, the corticotropin-releasing hormone system
and disturbances in glucocorticoid receptor signaling seem to be of central importance.
However, changes in the expression and release patterns of vasopressin, dopamine and
serotonin have also been shown to contribute to variation in emotionality, stress
coping, cognitive functions and social behaviors. Affective disorders show a high
degree of complexity, involving a multitude of molecular, neuroendocrine, and behavioral
alterations as well as an intense gene-environment interaction, making it difficult
to dissociate the primary causes from secondary consequences of the disease. Thus,
interdisciplinary research, as applied in the emerging field of systems biology, involving
adequate animal models and combined methodologies can significantly contribute to
our understanding regarding the transmission of genetic predispositions into clinically
relevant endophenotypes. It is only with deep insight into the mechanisms by which
the stress hormone systems are regulated that novel treatment strategies and promising
targets for therapeutic interventions can be developed in the future. Such in-depth
understanding is ultimately essential to realizing our goal of predictive, preventive,
and personalized medicine.
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Correspondence
Dr. C. Touma
Research Group of
Psychoneuroendocrinology
Max Planck Institute of
Psychiatry
Kraepelinstraße 2-10
80804 Munich
Germany
Telefon: +49/89/30622 228
Fax: +49/89/30622 569
eMail: touma@mpipsykl.mpg.de