KeYu ShuShen Granule alleviates symptoms of depression by targeting the mTOR pathway in a rat model of depression induced by chronic unpredictable mild stress

Ke Pei , Linlin Zhang , Mengmeng Liu , Guangfu Lv , Hongyan Chen
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Abstract

Background

KeYu ShuoShen Granules (KSG) is a traditional Chinese medicine formula with radix bupleuri as the kingpin, which is widely used in the treatment of depression, but its exact mechanism of action is not yet fully understood. The aim of this study is to investigate the therapeutic mechanisms of KSG in a model of depression in rats.

Methods

Rats were equally divided into 5 groups including control, model, fluoxetine, KSG at high and low doses, chronic unpredictable mild stress combined with solitary rearing for 28 days was used to prepare a rat model of depression followed by 14 days of continuous gavage and modelling, and the antidepressant effects of KSG were analyzed using behavioral tests, proteomic techniques and pharmacological methods.

Results

After KGS treatment, the body weight, Sucrose Preference of the model rats increased significantly, and their motor and learning memory abilities were significantly improved in the open field test and Morris water maze (P<0.01 or P<0.05); At the same time, proteomics revealed a total of 7 differential proteins, 3 differential pathways, including Agps, Eif4e2, Pter, Sys1, Rgcc, Polr1d and Npy1r, mTOR signalling pathway, insulin signalling pathway, and human papillomavirus infection; the expression of p-mTOR, mTOR, and Eif4e2 was significantly up-regulated after drug administration (P<0.01 or P<0.05), and neuronal damage in the cerebral cortex was significantly restored.

Conclusion

KSG improved depression symptoms in model rats by modulating protein synthesis processes involved in the mTOR pathway and Eif4e2, producing a combined effect on the nervous system. This finding provides new theoretical support and a mechanistic explanation for the use of KSG in the treatment of depression.

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克郁舒神颗粒通过靶向 mTOR 通路,在慢性不可预测轻度应激诱导的大鼠抑郁模型中缓解抑郁症状
背景克郁舒神颗粒(KSG)是一种以柴胡为君药的中药方剂,被广泛用于抑郁症的治疗,但其确切的作用机制尚未完全清楚。方法将大鼠平均分为5组,包括对照组、模型组、氟西汀组、KSG高、低剂量组,采用慢性不可预知的轻度应激结合独居饲养28天制备抑郁症大鼠模型,然后连续灌胃14天并建模,采用行为学测试、蛋白质组学技术和药理学方法分析KSG的抗抑郁作用。结果KSG治疗后,模型大鼠的体重、蔗糖偏好明显增加,运动能力和学习记忆能力明显提高,在开阔地试验和莫里斯水迷宫中(P<0.01 or P<0.05);同时,蛋白质组学共发现7种差异蛋白、3种差异通路,包括Agps、Eif4e2、Pter、Sys1、Rgcc、Polr1d和Npy1r、mTOR信号通路、胰岛素信号通路和人乳头瘤病毒感染;给药后p-mTOR、mTOR和Eif4e2的表达明显上调(P<0.01 或 P<0.05),大脑皮层神经元损伤明显恢复。结论KSG 通过调节参与 mTOR 通路和 Eif4e2 的蛋白质合成过程,对神经系统产生综合效应,从而改善模型大鼠的抑郁症状。这一发现为 KSG 治疗抑郁症提供了新的理论支持和机理解释。
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