Relevance of norepinephrine-dopamine interactions in the treatment of major depressive disorder.

Abstract:

:Central dopaminergic and noradrenergic systems play essential roles in controlling several forebrain functions. Consequently, perturbations of these neurotransmissions may contribute to the pathophysiology of neuropsychiatric disorders. For many years, there was a focus on the serotonin (5-HT) system because of the efficacy of selective serotonin reuptake inhibitors (SSRIs), the most prescribed antidepressants in the treatment of major depressive disorder (MDD). Given the interconnectivity within the monoaminergic network, any action on one system may reverberate in the other systems. Analysis of this network and its dysfunctions suggests that drugs with selective or multiple modes of action on dopamine (DA) and norepinephrine (NE) may have robust therapeutic effects. This review focuses on NE-DA interactions as demonstrated in electrophysiological and neurochemical studies, as well as on the mechanisms of action of agents with either selective or dual actions on DA and NE. Understanding the mode of action of drugs targeting these catecholaminergic neurotransmitters can improve their utilization in monotherapy and in combination with other compounds particularly the SSRIs. The elucidation of such relationships can help design new treatment strategies for MDD, especially treatment-resistant depression.

journal_name

CNS Neurosci Ther

authors

El Mansari M,Guiard BP,Chernoloz O,Ghanbari R,Katz N,Blier P

doi

10.1111/j.1755-5949.2010.00146.x

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

e1-17

issue

3

eissn

1755-5930

issn

1755-5949

pii

CNS146

journal_volume

16

pub_type

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