Neurosteroids, stress and depression: potential therapeutic opportunities.

Abstract:

:Neurosteroids are potent and effective neuromodulators that are synthesized from cholesterol in the brain. These agents and their synthetic derivatives influence the function of multiple signaling pathways including receptors for γ-aminobutyric acid (GABA) and glutamate, the major inhibitory and excitatory neurotransmitters in the central nervous system (CNS). Increasing evidence indicates that dysregulation of neurosteroid production plays a role in the pathophysiology of stress and stress-related psychiatric disorders, including mood and anxiety disorders. In this paper, we review the mechanisms of neurosteroid action in brain with an emphasis on those neurosteroids that potently modulate the function of GABA(A) receptors. We then discuss evidence indicating a role for GABA and neurosteroids in stress and depression, and focus on potential strategies that can be used to manipulate CNS neurosteroid synthesis and function for therapeutic purposes.

journal_name

Neurosci Biobehav Rev

authors

Zorumski CF,Paul SM,Izumi Y,Covey DF,Mennerick S

doi

10.1016/j.neubiorev.2012.10.005

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

109-22

issue

1

eissn

0149-7634

issn

1873-7528

pii

S0149-7634(12)00172-8

journal_volume

37

pub_type

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