Zusammenfassung
Angesichts der zentralen funktionellen Bedeutung für die neuronale Informationsvermittlung ist es nicht verwunderlich, daß die pharmakologische Beeinflussung der synaptischen Neurotransmission im Brennpunkt des Interesses bei der Entwicklung von Antidepressiva steht. Überraschend ist jedoch, daß die Forschung jahrzehntelang auf die Beeinflussung der präsynaptischen Komponente der Neurotransmission fixiert war und den postsynaptischen Aspekt (Beeinflussung der Effektorzellreaktion) völlig unberücksichtigt ließ. Im folgenden sollen daher Ansätze für die Entwicklung neuer und verbesserter Antidepressiva, die auf der pharmakologischen Manipulation der intraneuronalen Signaltransduktion und -amplifikation im postsynaptischen Effektorneuron basieren, aufgezeigt werden. Die Suche nach Antidepressiva mit neuartigem Wirkmechanismus ist kein Selbstzweck der pharmakologischen Forschung; über Rückschlüsse aus den Wirkmechanismen solcher Substanzen eröffnet sich die Chance, zuneuen Einsichten in die Pathoneurobiochemie der affektiven Erkrankungen zu gelangen, die letztlich zur Entwicklung verbesserter Therapiemöglichkeiten beitragen. Gerade weil Hypothesen zur Ätiologie affektiver Erkrankungen auf das engste mit der Kenntnis und Interpretation der Wirkmechanismen der Therapiemaßnahmen verknüpft sind und nur weil konkurrierende Paradigmen Voraussetzungen für einen Erkenntnisfortschritt aus der allgemein empfundenen Stagnation schaffen, können Pharmaka mit neuartigem Wirkmechanismus ein wissenschaftliches Instrument sein, um neue Erkenntnisse über die biologischen Grundlagen affektiver Erkrankungen zu erschließen.
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Wachtel, H., De Vry, J., Glaser, T., Möller, HJ. (1993). Antidepressiva mit neuartigen Wirkmechanismen. In: Riederer, P., Laux, G., Pöldinger, W. (eds) Neuro-Psychopharmaka. Springer, Vienna. https://doi.org/10.1007/978-3-7091-3317-0_6
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Print ISBN: 978-3-7091-3318-7
Online ISBN: 978-3-7091-3317-0
eBook Packages: Springer Book Archive