Corticotropin-releasing factor type-1 receptor antagonists: the next class of antidepressants?

Life Sci. 2006 Jan 25;78(9):909-19. doi: 10.1016/j.lfs.2005.06.003. Epub 2005 Aug 24.

Abstract

Corticotropin-releasing factor (CRF) is a neuropeptide that plays a primary role in the neuroendocrine, autonomic, and behavioral responses to stressors. Numerous reports suggest that alterations in CRF function contribute to the pathogenesis of depression. Recently, selective nonpeptide CRF type 1 (CRF1) receptor antagonists have been discovered and several of these CRF1 receptor antagonists have demonstrated antidepressant-like efficacy in animals. The CRF1 receptor antagonists appear to be unique, as they exhibit antidepressant-like activity principally in animal models that are hyperresponsive to stress or under experimental conditions that alter endogenous stress-hormone activity. A nonpeptide CRF1 receptor antagonist has also been shown to reduce symptoms of major depression in an open-label clinical trial. Accumulating evidence supports a role for nonpeptide CRF1 receptor antagonists among the future pharmacotherapies for the treatment of depression.

Publication types

  • Review

MeSH terms

  • Animals
  • Antidepressive Agents / pharmacology*
  • Corticotropin-Releasing Hormone / physiology
  • Depressive Disorder / drug therapy
  • Depressive Disorder / genetics
  • Depressive Disorder / physiopathology*
  • Depressive Disorder / psychology
  • Helplessness, Learned
  • Humans
  • Mice
  • Olfactory Bulb / physiology
  • Pyrimidines / pharmacology
  • Rats
  • Receptors, Corticotropin-Releasing Hormone / antagonists & inhibitors*
  • Receptors, Corticotropin-Releasing Hormone / genetics
  • Receptors, Corticotropin-Releasing Hormone / physiology
  • Stress, Psychological / physiopathology
  • Swimming / psychology

Substances

  • Antidepressive Agents
  • Pyrimidines
  • R 121919
  • Receptors, Corticotropin-Releasing Hormone
  • CRF receptor type 1
  • Corticotropin-Releasing Hormone