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The calcium-sensitive Sigma-1 receptor prevents cannabinoids from provoking glutamate NMDA receptor hypofunction: implications in antinociception and psychotic diseases. 钙敏感的Sigma-1受体阻止大麻素引起谷氨酸NMDA受体功能低下:在抗感觉和精神病疾病中的意义。
IF 4.8 Pub Date : 2014-12-01 Epub Date: 2014-01-31 DOI: 10.1017/S1461145714000029
Pilar Sánchez-Blázquez, María Rodríguez-Muñoz, Raquel Herrero-Labrador, Javier Burgueño, Daniel Zamanillo, Javier Garzón

Through the cannabinoid receptor 1 (CB1), the endocannabinoid system plays a physiological role in maintaining the activity of glutamate N-methyl-D-aspartate (NMDA) receptor within harmless limits. The influence of cannabinoids must be proportional to the stimulus in order to prevent NMDAR overactivation or exaggerated hypofunction that may precipitate symptoms of psychosis. In this framework, the recently reported association of CB1s with NMDARs, which mediates the reduction of cannabinoid analgesia promoted by NMDAR antagonism, could also support the precipitation of schizophrenia brought about by the abuse of smoked cannabis, mostly among vulnerable individuals. Accordingly, we have investigated this possibility using neuroprotection and analgesia as reporters of the CB1-NMDAR connection. We found that the Sigma 1 receptor (σ1R) acts as a safety switch, releasing NMDARs from the influence of CB1s and thereby avoiding glutamate hypofunction. In σ1R(-/-) mice the activity of NMDARs increases and cannot be regulated by cannabinoids, and NMDAR antagonism produces no effect on cannabinoid analgesia. In wild-type mice, ligands of the σ1R did not affect the CB1-NMDAR regulatory association, however, experimental NMDAR hypofunction enabled σ1R antagonists to release NMDARs from the negative control of CB1s. Of the σ1R antagonists tested, their order of activity was: S1RA > BD1047 ≫ NE100 = BD1063, although SKF10047, PRE-084 and (+)pentazocine were inactive yet able to abolish the effect of S1RA in this paradigm. Thus, the σ1R controls the extent of CB1-NMDAR interaction and its failure might constitute a vulnerability factor for cannabis abuse, potentially precipitating schizophrenia that might otherwise be induced later in time by the endogenous system.

内源性大麻素系统通过大麻素受体1 (cannabinoid receptor 1, CB1)发挥生理作用,将谷氨酸n -甲基- d -天冬氨酸(NMDA)受体的活性维持在无害范围内。大麻素的影响必须与刺激成正比,以防止NMDAR过度激活或可能导致精神病症状的夸大功能减退。在这个框架下,最近报道的CB1s与NMDAR的关联,介导了NMDAR拮抗促进的大麻素镇痛的减少,也可能支持滥用大麻导致的精神分裂症的沉淀,主要发生在易感人群中。因此,我们使用神经保护和镇痛作为CB1-NMDAR连接的报告来研究这种可能性。我们发现Sigma 1受体(σ1R)作为一个安全开关,释放NMDARs免受CB1s的影响,从而避免谷氨酸功能减退。在σ1R(-/-)小鼠中,NMDAR活性升高且不受大麻素的调节,拮抗NMDAR对大麻素镇痛无影响。在野生型小鼠中,σ1R的配体不影响CB1-NMDAR的调节关联,但实验中NMDAR功能低下使σ1R拮抗剂从CB1s的阴性对照中释放NMDARs。σ1R拮抗剂的活性顺序为:S1RA > BD1047 > NE100 = BD1063,而SKF10047、PRE-084和(+)pentazocine虽无活性,但能消除S1RA的作用。因此,σ1R控制着CB1-NMDAR相互作用的程度,其失效可能是大麻滥用的一个脆弱因素,可能诱发精神分裂症,否则内源性系统可能会在以后引起精神分裂症。
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引用次数: 47
Differential regulation of MeCP2 and PP1 in passive or voluntary administration of cocaine or food. MeCP2和PP1在被动或主动给药可卡因或食物中的差异调控。
IF 4.8 Pub Date : 2014-12-01 Epub Date: 2014-06-17 DOI: 10.1017/S1461145714000972
Sarah Pol Bodetto, Pascal Romieu, Maxime Sartori, Carolina Tesone-Coelho, Monique Majchrzak, Alexandra Barbelivien, Jean Zwiller, Patrick Anglard

Cocaine exposure induces changes in the expression of numerous genes, in part through epigenetic modifications. We have initially shown that cocaine increases the expression of the chromatin remodeling protein methyl-CpG binding protein 2 (MeCP2) and characterized the protein phosphatase-1Cβ (PP1Cβ) gene, as repressed by passive i.p. cocaine injections through a Mecp2-mediated mechanism involving de novo DNA methylation. Both proteins being involved in learning and memory processes, we investigated whether voluntary cocaine administration would similarly affect their expression using an operant self-administration paradigm. Passive and voluntary i.v. cocaine intake was found to induce Mecp2 and to repress PP1Cβ in the prefrontal cortex and the caudate putamen. This observation is consistent with the role of Mecp2 acting as a transcriptional repressor of PP1Cβ and shows that passive intake was sufficient to alter their expression. Surprisingly, striking differences were observed under the same conditions in food-restricted rats tested for food pellet delivery. In the prefrontal cortex and throughout the striatum, both proteins were induced by food operant conditioning, but remained unaffected by passive food delivery. Although cocaine and food activate a common reward circuit, changes observed in the expression of other genes such as reelin and GAD67 provide new insights into molecular mechanisms differentiating neuroadaptations triggered by each reinforcer. The identification of hitherto unknown genes differentially regulated by drugs of abuse and a natural reinforcer should improve our understanding of how two rewarding stimuli differ in their ability to drive behavior.

可卡因暴露会引起许多基因表达的变化,部分是通过表观遗传修饰。我们已经初步证明,可卡因增加染色质重塑蛋白甲基- cpg结合蛋白2 (MeCP2)的表达,并表征了蛋白磷酸酶-1 β (pp1 β)基因,该基因通过MeCP2介导的涉及从头DNA甲基化的机制被被动可卡因注射抑制。这两种蛋白都参与学习和记忆过程,我们研究了自愿性可卡因给药是否会使用操作性自我给药范式类似地影响它们的表达。被动和自愿静脉注射可卡因可诱导Mecp2并抑制前额叶皮层和尾状壳核中PP1Cβ的表达。这一观察结果与Mecp2作为PP1Cβ转录抑制因子的作用是一致的,表明被动摄入足以改变它们的表达。令人惊讶的是,在同样的条件下,在食物受限的老鼠身上观察到惊人的差异。在前额叶皮层和整个纹状体中,这两种蛋白质都是由食物操作性条件反射诱导的,但不受被动食物传递的影响。尽管可卡因和食物激活了一个共同的奖励回路,但在其他基因(如reelin和GAD67)表达中观察到的变化,为研究由每种强化物触发的神经适应差异的分子机制提供了新的见解。迄今为止未知的基因被滥用药物和自然强化物的差异调节的识别应该提高我们对两种奖励刺激在驱动行为的能力上的差异的理解。
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引用次数: 15
Neonatal glucocorticoid treatment increased depression-like behaviour in adult rats. 新生儿糖皮质激素治疗增加了成年大鼠的抑郁样行为。
IF 4.8 Pub Date : 2014-12-01 Epub Date: 2014-06-19 DOI: 10.1017/S1461145714000868
Meng-Chang Ko, Yu-Hui Hung, Pei-Yin Ho, Yi-Ling Yang, Kwok-Tung Lu

Synthetic glucocorticoid dexamethasone (DEX) is frequently used as a therapeutic agent to lessen the morbidity of chronic lung disease in premature infants. Previous studies suggested that neonatal DEX treatment altered brain development and cognitive function. It has been recognized that the amygdala is involved in emotional processes and also a critical site of neuronal plasticity for fear conditioning. Little is known about the possible long-term adverse effect of neonatal DEX treatment on amygdala function. The present study was aimed to evaluate the possible effect of neonatal DEX treatment on the synaptic function of amygdala in adult rats. Newborn Wistar rats were subjected to subcutaneous tapering-dose injections of DEX (0.5, 0.3 and 0.1 mg/kg) from post-natal day one to three, PN1-PN3. Animals were then subjected to a forced swimming test (FST) and electrophysiological recording aged eight weeks. The results of the FST showed neonatal DEX treatment increased depression-like behaviour in adulthood. After acute stress evoking, the percentage of time spent free floating is significantly increased in the DEX treated group compared with the control animals. Furthermore, neonatal DEX treatment elevated long-term potentiation (LTP) response and the phosphorylation level of MAPK in the lateral nucleus of amygdala (LA). Intracerebroventricular infusion of the MAPK inhibitor, PD98059, showed significant rescue effects including reduced depression-like behaviour and restoration of LTP to within normal range. In conclusion, our results suggested that MAPK signalling cascade in the LA plays an important role in the adverse effect of neonatal DEX treatment on amygdala function, which may result in adverse consequences in adult age, such as the enhancement of susceptibility for a depressive disorder in later life.

合成糖皮质激素地塞米松(DEX)经常被用作治疗药物,以减少早产儿慢性肺部疾病的发病率。先前的研究表明,新生儿DEX治疗改变了大脑发育和认知功能。人们已经认识到,杏仁核参与情绪过程,也是恐惧调节的神经元可塑性的关键部位。目前对新生儿DEX治疗对杏仁核功能可能产生的长期不良影响知之甚少。本研究旨在探讨新生儿DEX治疗对成年大鼠杏仁核突触功能的可能影响。新生Wistar大鼠于出生后第1天至第3天皮下锥形剂量注射DEX(0.5、0.3和0.1 mg/kg), PN1-PN3。实验动物在8周龄时进行强迫游泳试验(FST)和电生理记录。FST结果显示,新生儿DEX治疗增加了成年后的抑郁样行为。急性应激唤醒后,与对照动物相比,DEX治疗组自由漂浮的时间百分比显著增加。此外,新生儿DEX治疗提高了长期增强(LTP)反应和杏仁核外侧核(LA) MAPK的磷酸化水平。脑室内输注MAPK抑制剂PD98059显示出显著的拯救作用,包括减少抑郁样行为和将LTP恢复到正常范围内。总之,我们的研究结果表明,LA中的MAPK信号级联在新生儿DEX治疗对杏仁核功能的不良影响中起重要作用,这可能导致成年后的不良后果,如晚年对抑郁症的易感性增加。
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引用次数: 15
The dopamine reuptake inhibitor MRZ-9547 increases progressive ratio responding in rats. 多巴胺再摄取抑制剂MRZ-9547增加大鼠的进展比反应。
IF 4.8 Pub Date : 2014-12-01 Epub Date: 2014-06-25 DOI: 10.1017/S1461145714000996
S Sommer, W Danysz, H Russ, B Valastro, G Flik, W Hauber

Drugs that are able to shift effort-related decision making in intact rats towards high-effort response options are largely unknown. Here, we examined the effects of two candidate drugs, MRZ-9547 and its l-enantiomer MRZ-9546 on progressive ratio (PR) responding using two different tasks, a standard PR task that involves increasing ratio requirements and a PR/chow feeding choice task in which animals can lever press for preferred food pellets under a PR schedule or approach freely available less preferred lab chow. Furthermore, we assessed the mechanisms of action of both drugs using in vitro-assay methods and in vivo-microdialysis. Results reveal that MRZ-9547 is a selective dopamine transporter (DAT) inhibitor that moderately stimulated striatal dopamine release. MRZ-9546 was a much less potent DAT inhibitor. Furthermore, MRZ-9547 dose dependently increased the tendency to work for food reinforcement both in the standard PR task and the PR/chow feeding choice task, MRZ-9546 was considerably less active. Relative to MRZ-9547, other DAT-interfering drugs had only moderate (methylphenidate) or marginal (modafinil, d-amphetamine) stimulant effects on PR responding in either task. Collectively, our data demonstrate that the DAT inhibitor MRZ-9547 can markedly stimulate PR responding and shift effort-related decision making in intact rats towards high-effort response options. An analysis of effort-related decision making in rodents could provide an animal model for motivational dysfunctions related to effort expenditure such as fatigue, e.g. in Parkinson's disease or major depression. Our findings suggest that DAT inhibitors such as MRZ-9547 could be potentially useful for treating energy-related symptoms in neurological or neuropsychiatric disorders.

能够将完整大鼠的努力相关决策转向高努力反应选项的药物在很大程度上是未知的。在这里,我们研究了两种候选药物MRZ-9547及其l-对映体MRZ-9546对渐进比(PR)反应的影响,使用两个不同的任务,一个是标准的PR任务,包括增加比例要求,另一个是PR/chow喂养选择任务,在这个任务中,动物可以在PR计划下杠杆按压优选食物颗粒或接近自由提供的不太优选的实验室食物。此外,我们使用体外测定方法和体内微透析方法评估了这两种药物的作用机制。结果表明,MRZ-9547是一种选择性多巴胺转运蛋白(DAT)抑制剂,可适度刺激纹状体多巴胺释放。MRZ-9546是一种较弱的DAT抑制剂。此外,在标准PR任务和PR/chow喂养选择任务中,MRZ-9547剂量依赖性地增加了食物强化的倾向,MRZ-9546的活性明显降低。相对于MRZ-9547,其他dat干扰药物对PR反应只有中度(哌甲酯)或边缘性(莫达非尼,d-安非他明)的刺激作用。总的来说,我们的数据表明,DAT抑制剂MRZ-9547可以显著刺激PR反应,并将努力相关的决策转变为高努力反应选项。对啮齿动物的努力相关决策的分析可以为与努力消耗相关的动机功能障碍(如疲劳)提供动物模型,例如帕金森病或重度抑郁症。我们的研究结果表明,像MRZ-9547这样的DAT抑制剂可能对治疗神经或神经精神疾病的能量相关症状有潜在的作用。
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引用次数: 65
Ropinirole regulates emotionality and neuronal activity markers in the limbic forebrain. 罗匹尼罗调节情绪和前脑边缘的神经元活动标记物。
IF 4.8 Pub Date : 2014-12-01 Epub Date: 2014-05-23 DOI: 10.1017/S1461145714000728
Maria Mavrikaki, Nicoletta Schintu, George G Nomikos, George Panagis, Per Svenningsson

Restless legs syndrome (RLS) and Parkinson's disease (PD) are movement disorders usually accompanied by emotional and cognitive deficits. Although D3/D2 receptor agonists are effective against motor and non-motor deficits in RLS and PD, the exact behavioral and neurochemical effects of these drugs are not clearly defined. This study aimed to evaluate the effects of acute ropinirole (0, 0.1, 1 or 10 mg/kg, i.p.), a preferential D3/D2 receptor agonist, on intracranial self-stimulation (ICSS), spontaneous motor activity, anxiety- and depression-like behaviors, spatial reference and working memory in rats as well as on certain markers of neuronal activity, i.e. induction of immediate early genes, such as c-fos and arc, and crucial phosphorylations on GluA1 subunit of α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptors and NA1, NA2A and NA2B subunits of N-methyl-D-aspartate (NMDA) receptors. Ropinirole decreased ICSS thresholds and induced anxiolytic- and antidepressive-like effects without affecting motor activity or spatial memory. The effects on emotionality were associated with a decrease in p-Ser897-NA1 and an increase in p-Tyr1472-NA2B in the ventral striatum as well as an increased induction of c-fos messenger RNA (mRNA) in the prefrontal cortex (PFC) and decreased expression of arc mRNA in the striatum and the shell of the nucleus accumbens. Our data indicate that ropinirole significantly affects emotionality at doses (1-10 mg/kg, i.p.) that exert no robust effects on locomotion or cognition. The data reinforce the use of D3/D2 receptor agonists in the treatment of RLS and PD patients characterized by emotional deficits and suggest that altered NMDA-mediated neurotransmission in the limbic forebrain may underlie some of ropinirole's therapeutic actions.

不宁腿综合征(RLS)和帕金森病(PD)是运动障碍,通常伴有情绪和认知缺陷。虽然D3/D2受体激动剂对RLS和PD的运动和非运动缺陷有效,但这些药物的确切行为和神经化学作用尚不清楚。本研究旨在评估优先D3/D2受体激动剂急性罗匹尼罗(0、0.1、1或10 mg/kg, i.p)对大鼠颅内自我刺激(ICSS)、自发运动活动、焦虑和抑郁样行为、空间参照和工作记忆的影响,以及对某些神经元活动标志物的影响,即对即时早期基因(如c-fos和arc)的诱导。α-氨基-3-羟基-5-甲基-4-异唑烯丙酸(AMPA)受体GluA1亚基和n -甲基- d -天冬氨酸(NMDA)受体NA1、NA2A和NA2B亚基的关键磷酸化。罗匹尼罗降低ICSS阈值,诱导抗焦虑和抗抑郁样作用,但不影响运动活动或空间记忆。对情绪的影响与腹侧纹状体中p-Ser897-NA1的减少和p-Tyr1472-NA2B的增加以及前额皮质(PFC)中c-fos信使RNA (mRNA)的增加和纹状体和伏隔核壳中arc mRNA的表达减少有关。我们的数据表明,剂量(1-10 mg/kg, i.p.)的罗匹尼罗对情绪有显著影响,但对运动或认知没有显著影响。这些数据加强了D3/D2受体激动剂在治疗以情绪缺陷为特征的RLS和PD患者中的应用,并表明在边缘前脑中改变nmda介导的神经传递可能是罗匹尼罗治疗作用的基础。
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引用次数: 14
Rewarding or aversive effects of buprenorphine/naloxone combination (Suboxone) depend on conditioning trial duration. 丁丙诺啡/纳洛酮联合(苏波松)的有益或不良影响取决于条件作用试验的持续时间。
IF 4.8 Pub Date : 2014-09-01 Epub Date: 2014-03-10 DOI: 10.1017/S146114571400025X
Corinne Canestrelli, Nicolas Marie, Florence Noble

Buprenorphine is used as a sublingual medication in the treatment of opioid dependence. However, its misuse by i.v. injection may limit its acceptability and dissemination. A buprenorphine/naloxone (ratio 4:1) combination has been developed to reduce diversion and abuse. So far, the relevance of this combination has not been investigated in the animal models traditionally used to study the reinforcing effects of drugs of abuse. The aim of this study was to compare the rewarding effects, assessed by conditioned place preference (CPP), of buprenorphine and buprenorphine/naloxone combination following i.v. administration in mice. Animals were treated with different doses of buprenorphine or buprenorphine/naloxone combination (ratio 4:1), and CPP conditioning trial duration was 5 or 30 min. At the longest trial duration, a bell-shaped dose-response curve was obtained with buprenorphine, which was shifted significantly to the right with naloxone combination. At the shortest trial duration, an aversive effect was observed with the buprenorphine/naloxone combination in animals, involving opioid receptor-like 1 (ORL1). These findings may explain the discrepancies reported in the literature as some authors have shown a reduced buprenorphine/naloxone misuse compared to buprenorphine in opioid abusers, while others have not.

丁丙诺啡是一种用于治疗阿片类药物依赖的舌下药物。然而,误用静脉注射可能会限制其可接受性和传播。丁丙诺啡/纳洛酮(比例4:1)组合已开发,以减少转移和滥用。到目前为止,这种组合的相关性尚未在传统上用于研究药物滥用强化效应的动物模型中进行调查。本研究的目的是比较丁丙诺啡和丁丙诺啡/纳洛酮组合在小鼠静脉注射后的奖励效果,通过条件位置偏好(CPP)评估。动物分别接受不同剂量丁丙诺啡或丁丙诺啡/纳洛酮(比例为4:1)治疗,CPP调节试验时间分别为5 min和30 min。在最长试验时间,丁丙诺啡获得钟形剂量-反应曲线,而纳洛酮联合用药时,钟形剂量-反应曲线明显向右偏移。在最短的试验时间内,在动物中观察到丁丙诺啡/纳洛酮组合的厌恶效应,涉及阿片受体样1 (ORL1)。这些发现可以解释文献中报道的差异,因为一些作者表明,与丁丙诺啡相比,阿片类药物滥用者丁丙诺啡/纳洛酮的滥用减少,而另一些作者则没有。
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引用次数: 11
Iptakalim confers an antidepressant effect in a chronic mild stress model of depression through regulating neuro-inflammation and neurogenesis. 依他卡林通过调节神经炎症和神经发生,在慢性轻度应激抑郁症模型中具有抗抑郁作用。
IF 4.8 Pub Date : 2014-09-01 Epub Date: 2014-03-13 DOI: 10.1017/S1461145714000285
Ming Lu, Jing-Zhe Yang, Fan Geng, Jian-Hua Ding, Gang Hu

Depression is a serious mental disorder in the world, but the underlying mechanisms remain unclear and the effective cures are scarce. Iptakalim (Ipt), an ATP-sensitive potassium (K-ATP) channel opener that can cross the blood-brain barrier freely, has been demonstrated to inhibit neuro-inflammation and enhance adult hippocampal neurogenesis. But it is unknown whether Ipt is beneficial to therapy of depression by modulating neurogenesis and neuro-inflammation. This study aimed to determine the potential antidepressant efficacy of Ipt in a chronic mild stress (CMS) mouse model of depression. We showed that treatment with Ipt (10 mg/kg/day, i.p) for 4 wk restored the decrease of sucrose preference and shortened the immobile time in forced swimming tests (FST) and tail suspension tests (TST) in CMS model mice. We further found that Ipt reversed the CMS-induced reduction of the adult hippocampal neurogenesis and improved cerebral insulin signalling in the CMS mice. Furthermore, Ipt negatively regulated nod-like receptor protein 3 (NLRP3) expression and, in turn, inhibited microglia-mediated neuro-inflammation by suppressing the activation of NLRP3-inflammasome/caspase-1/interleukin 1β axis in the hippocampus of CMS mice. Taken together, our findings demonstrate that Ipt plays a potential antidepressant role in CMS model mice through regulating neuro-inflammation and neurogenesis, which will provide potential for Ipt in terms of opening up novel therapeutic avenues for depression.

抑郁症是世界上一种严重的精神障碍,但其潜在的机制尚不清楚,有效的治疗方法也很少。Iptakalim (Ipt)是一种atp敏感钾(K-ATP)通道打开剂,可以自由穿过血脑屏障,已被证明可以抑制神经炎症并促进成人海马神经发生。但Ipt是否通过调节神经发生和神经炎症对抑郁症的治疗有益尚不清楚。本研究旨在确定Ipt对慢性轻度应激(CMS)抑郁症小鼠模型的潜在抗抑郁作用。我们发现,Ipt (10 mg/kg/天,i.p)治疗4周后,CMS模型小鼠在强迫游泳试验(FST)和悬尾试验(TST)中恢复了蔗糖偏好的下降,缩短了不动时间。我们进一步发现,Ipt逆转了CMS诱导的成年海马神经发生的减少,并改善了CMS小鼠的脑胰岛素信号传导。此外,Ipt通过抑制CMS小鼠海马NLRP3-炎性体/caspase-1/白细胞介素1β轴的激活,负性调节节点样受体蛋白3 (NLRP3)的表达,进而抑制小胶质细胞介导的神经炎症。综上所述,我们的研究结果表明,Ipt通过调节神经炎症和神经发生,在CMS模型小鼠中发挥潜在的抗抑郁作用,这将为Ipt开辟新的抑郁症治疗途径提供潜力。
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引用次数: 71
Effects of brief pulse and ultrabrief pulse electroconvulsive stimulation on rodent brain and behaviour in the corticosterone model of depression. 短脉冲和超短脉冲电惊厥刺激对皮质酮抑郁症模型鼠脑和行为的影响。
IF 4.8 Pub Date : 2014-09-01 Epub Date: 2014-03-10 DOI: 10.1017/S1461145714000200
Sinead O'Donovan, Victoria Dalton, Andrew Harkin, Declan M McLoughlin

Brief pulse electroconvulsive therapy (BP ECT; pulse width 0.5-1.5 ms) is the most effective treatment available for severe depression. However, its use is associated with side-effects. The stimulus in ultrabrief pulse ECT (UBP ECT; pulse width 0.25-0.3 ms) is more physiological and has been reported to be associated with less cognitive side-effects, but its antidepressant effectiveness is not yet well established. Using electroconvulsive stimulation (ECS), the animal model of ECT, we previously reported UBP ECS to be significantly less effective than well-established BP ECS in eliciting behavioural, molecular and cellular antidepressant-related effects in naïve rats. We have now compared the effects of BP and UBP ECS in an animal model of depression related to exogenous supplementation with the stress-induced glucocorticoid hormone, corticosterone. Corticosterone administration resulted in an increase in immobility time in the forced swim test (FST) (p < 0.01) and decreases in the expression of brain-derived neurotrophic factor (BDNF) (p < 0.05) and glial fibrillary acidic protein (GFAP) (p < 0.001) in the hippocampus and frontal cortex. There was no significant difference in the duration or type of seizure induced by BP (0.5 ms) or UBP (0.3 ms) ECS. UBP ECS proved to be as effective as BP ECS at inducing a behavioural antidepressant response in the FST with a significant decrease (p < 0.001) in immobility seen following administration of ECS. Both forms of ECS also induced significant increases in BDNF protein (p < 0.01) expression in the hippocampus. BP ECS (p < 0.05) but not UBP ECS induced a significant increase in GFAP levels in the hippocampus and frontal cortex. Overall, UBP ECS effectively induced antidepressant-related behavioural and molecular responses in the corticosterone supplementation model, providing the first preclinical data on the potential role of this form of ECS to treat a depression phenotype related to elevated corticosterone.

短脉冲电休克疗法;脉宽0.5-1.5 ms)是目前治疗严重抑郁症最有效的方法。然而,它的使用与副作用有关。超短脉冲电刺激(UBP ECT)脉宽(0.25-0.3 ms)更具有生理性,并且据报道与较少的认知副作用相关,但其抗抑郁效果尚未得到很好的证实。使用电痉挛刺激(ECS), ECT的动物模型,我们之前报道了UBP ECS在naïve大鼠中引发行为,分子和细胞抗抑郁相关作用的效果明显低于已建立的BP ECS。我们现在比较了BP和UBP ECS在与外源性补充应激诱导的糖皮质激素(皮质酮)相关的抑郁症动物模型中的作用。皮质酮导致大鼠强迫游泳试验(FST)静止时间增加(p < 0.01),海马和额叶皮层脑源性神经营养因子(BDNF)和胶质纤维酸性蛋白(GFAP)表达降低(p < 0.05)。BP (0.5 ms)和UBP (0.3 ms) ECS诱导的癫痫发作持续时间和类型无显著差异。在诱发FST的行为抗抑郁反应方面,UBP ECS被证明与BP ECS一样有效,在给予ECS后,活动能力显著降低(p < 0.001)。两种形式的ECS也诱导海马BDNF蛋白表达显著增加(p < 0.01)。BP ECS诱导海马和额叶皮层GFAP水平显著升高(p < 0.05),而UBP ECS不显著升高。总的来说,在皮质酮补充模型中,UBP ECS有效地诱导了抗抑郁相关的行为和分子反应,为这种形式的ECS治疗与皮质酮升高相关的抑郁表型的潜在作用提供了第一个临床前数据。
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引用次数: 23
Repeated treatment with electroconvulsive seizures induces HDAC2 expression and down-regulation of NMDA receptor-related genes through histone deacetylation in the rat frontal cortex. 反复电惊厥发作通过组蛋白去乙酰化诱导大鼠额叶皮层HDAC2表达和NMDA受体相关基因下调。
IF 4.8 Pub Date : 2014-09-01 Epub Date: 2014-03-10 DOI: 10.1017/S1461145714000248
Hong Geun Park, Hyun Sook Yu, Soyoung Park, Yong Min Ahn, Yong Sik Kim, Se Hyun Kim

The enzymatic activity of histone deacetylases (HDACs) leads to a histone deacetylation-mediated condensed chromatic structure, resulting in transcriptional repression, which has been implicated in the modifications of neural circuits and behaviors. Repeated treatment with electroconvulsive seizure (ECS) induces changes in histone acetylation, expression of various genes, and intrabrain cellular changes, including neurogenesis. In this study, we examined the effects of repeated ECS on the expression of class I HDACs and related changes in histone modifications and gene expression in the rat frontal cortex. Ten days of repeated ECS treatments (E10X) up-regulated HDAC2 expression at the mRNA and protein levels in the rat frontal cortex compared with sham-treated controls; this was evident in the nuclei of neuronal cells in the prefrontal, cingulate, orbital, and insular cortices. Among the known HDAC2 target genes, mRNA expression of N-methyl-d-aspartate (NMDA) receptor signaling-related genes, including early growth response-1 (Egr1), c-Fos, glutamate receptor, ionotropic, N-methyl d-aspartate 2A (Nr2a), Nr2b, neuritin1 (Nrn1), and calcium/calmodulin-dependent protein kinase II alpha (Camk2α), were decreased, and the histone acetylation of H3 and/or H4 proteins was also reduced by E10X. Chromatin immunoprecipitation analysis revealed that HDAC2 occupancy in the promoters of down-regulated genes was increased significantly. Moreover, administration of sodium butyrate, a HDAC inhibitor, during the course of E10X ameliorated the ECS-induced down-regulation of genes in the rat frontal cortex. These findings suggest that induction of HDAC2 by repeated ECS treatment could play an important role in the down-regulation of NMDA receptor signaling-related genes in the rat frontal cortex through histone modification.

组蛋白去乙酰化酶(hdac)的酶活性导致组蛋白去乙酰化介导的浓缩色结构,导致转录抑制,这与神经回路和行为的改变有关。反复治疗电惊厥发作(ECS)可诱导组蛋白乙酰化、各种基因表达和脑内细胞变化,包括神经发生。在本研究中,我们检测了重复ECS对大鼠额叶皮层I类hdac表达的影响以及组蛋白修饰和基因表达的相关变化。与假药对照组相比,10天的重复ECS治疗(E10X)上调了大鼠额叶皮层中HDAC2 mRNA和蛋白水平的表达;这在前额叶、扣带、眶和岛叶皮层的神经元细胞核中表现明显。在已知的HDAC2靶基因中,n-甲基-d-天冬氨酸(NMDA)受体信号相关基因,包括早期生长反应-1 (Egr1)、c-Fos、谷氨酸受体、嗜离子性基因、n-甲基-d-天冬氨酸2A (Nr2a)、Nr2b、neuritin1 (Nrn1)和钙/钙调素依赖性蛋白激酶II α (Camk2α)的mRNA表达减少,H3和/或H4蛋白的组蛋白乙酰化也被E10X降低。染色质免疫沉淀分析显示,HDAC2在下调基因启动子中的占用率显著增加。此外,在E10X过程中给予HDAC抑制剂丁酸钠可以改善ecs诱导的大鼠额叶皮质基因下调。上述结果提示,反复ECS诱导HDAC2可能通过组蛋白修饰下调大鼠额叶皮层NMDA受体信号相关基因。
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引用次数: 33
Declining efficacy in controlled trials of antidepressants: effects of placebo dropout. 抗抑郁药对照试验的疗效下降:安慰剂退出的影响。
IF 4.8 Pub Date : 2014-08-01 Epub Date: 2014-03-13 DOI: 10.1017/S1461145714000224
Stein Schalkwijk, Juan Undurraga, Leonardo Tondo, Ross J Baldessarini

Drug-placebo differences (effect-sizes) in controlled trials of antidepressants for major depressive episodes have declined for several decades, in association with selectively increasing clinical improvement associated with placebo-treatment. As these trends require adequate explanation, we tested the hypothesis that decreasing trial-dropout rates may be an important contributor. We gathered reports of peer-reviewed, placebo-controlled trials of antidepressants (1980-2011) by computerized literature searching, and applied meta-analysis, meta-regression and multiple linear regression methods to evaluate associations of dropout rates and other factors of interest, to reporting year and reported efficacy [standardized mean drug-placebo difference (SMD) as Hedges' g-statistic]. In 56 trials meeting inclusion and exclusion criteria, we confirmed significant overall efficacy of antidepressants but declining drug-placebo contrasts over the past three decades. Among other changes, there was a corresponding increase in placebo-associated improvement with a decline in placebo-dropout rate, mainly for lack of efficacy. These effects were found only when last-observation-carried-forward (LOCF) analyses were used. Other trial-design and subject factors, including drug-responses and drug-dropout rates, were much less associated with efficacy. We propose that declining placebo-dropout rates ascribed to inefficacy combined with use of LOCF analyses led to increasing improvement in placebo-arms that contributed to declining antidepressant-placebo contrasts in controlled treatment trials since the 1980s.

在抗抑郁药治疗重度抑郁发作的对照试验中,药物-安慰剂的差异(效应大小)已经下降了几十年,这与安慰剂治疗选择性地增加临床改善有关。由于这些趋势需要充分的解释,我们检验了减少试验退出率可能是一个重要因素的假设。我们通过计算机文献检索收集了同行评审的抗抑郁药安慰剂对照试验报告(1980-2011),并应用meta分析、meta回归和多元线性回归方法来评估辍学率和其他相关因素与报告年份和报告疗效的关系[标准化平均药物-安慰剂差异(SMD)作为Hedges' g统计量]。在56项符合纳入和排除标准的试验中,我们证实了抗抑郁药的总体疗效显著,但在过去三十年中,药物与安慰剂的对比有所下降。在其他变化中,安慰剂相关改善的相应增加与安慰剂辍学率的下降,主要是由于缺乏疗效。这些影响仅在使用最后观察结转(LOCF)分析时才被发现。其他试验设计和受试者因素,包括药物反应和药物停药率,与疗效的关系要小得多。我们认为,自20世纪80年代以来,在对照治疗试验中,由于无效导致的安慰剂辍学率下降,加上LOCF分析的使用,导致安慰剂组的改善增加,从而导致抗抑郁-安慰剂对比下降。
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引用次数: 26
期刊
The International Journal of Neuropsychopharmacology
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