睡眠机制知识库

精神疾病的昼夜节律异常、分子钟基因与时间生物学治疗

Circadian abnormalities, molecular clock gene and chronobiological treatment for psychiatric disorders.

综述
作者
Chakraborty S, Srivastava V
期刊
Chronobiology international
出处
2026; 43(7); 965-983
DOI
10.1080/07420528.2026.2648750
PMID
41913359

一句话摘要

综述焦虑、精神分裂症、双相障碍与抑郁中的昼夜节律异常,梳理 CLOCK、BMAL1、PER、CRY 等钟基因失调与激素、睡眠—觉醒周期及神经递质调节的关系,并评述光疗与褪黑素等时间生物学治疗。

为什么重要

把精神疾病中的节律异常从伴随现象提升为可干预的靶点,整理出以光疗与褪黑素为核心的时间生物学治疗证据。

英文摘要原文

Anomalies of the circadian rhythm are important in mental illnesses such as anxiety, schizophrenia, bipolar disorder, and depression. Dysregulated molecular clock genes, including CLOCK, BMAL1, PER, and CRY, are frequently linked to disturbances in hormone production, sleep-wake cycles, and neurotransmitter modulation. These genes affect mood, thought, and behaviour by controlling the body's internal clock. Circadian system dysfunctions can worsen mental health issues by impairing cognitive function, mood swings, and sleep patterns. Restoring circadian stability is the goal of chronobiology-based therapies. Bipolar illness and seasonal affective disorder (SAD) are two mood disorders that are commonly treated using light therapy. Supplementing with melatonin aids in the regulation of sleep patterns, and chronotherapy methods like wake therapy and sleep phase shifting can quickly alleviate depression symptoms. Pharmacological drugs that target circadian rhythms may improve therapeutic efficacy, according to recent studies. Managing mental illnesses may be possible by coordinating behavioural and medicinal treatments with circadian cycles. Psychiatric care must address circadian disturbance since it can improve mood stability, cognitive function, and general health. There is potential to improve the outcomes of psychiatric disorders by comprehending molecular clock mechanisms and incorporating chronotherapeutic techniques.

所属章节

昼夜节律与视交叉上核、分子钟 睡眠障碍病理生理

昼夜节律 分子钟 精神疾病 光疗 褪黑素

条目编号 P098 · 元数据经 Crossref / Europe PMC 回查