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长期接受丙咪嗪治疗的大鼠额叶皮质中蓝斑神经元活动及去甲肾上腺素可用性:α2肾上腺素能受体阻断的影响

Locus coeruleus neuronal activity and noradrenaline availability in the frontal cortex of rats chronically treated with imipramine: effect of alpha 2-adrenoceptor blockade.

作者信息

Linnér L, Arborelius L, Nomikos G G, Bertilsson L, Svensson T H

机构信息

Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.

出版信息

Biol Psychiatry. 1999 Sep 15;46(6):766-74. doi: 10.1016/s0006-3223(99)00126-2.

Abstract

BACKGROUND

Previous studies indicate a reduced feedback inhibition of brain noradrenaline (NA) neurons in the locus coeruleus (LC) during chronic administration of antidepressants which inhibit the NA reuptake mechanism due to functional downregulation of somatodendritic alpha 2-adrenoceptors in the LC. Therefore, we have here studied the LC neuronal responsiveness to administration of the alpha 2-adrenoceptor antagonist idazoxan (IDA) after both short-term and long-term imipramine (IMI) administration.

METHODS

Rats were treated for different periods with systemic IMI. In these rats, basal activity of central noradrenergic function and the effect of IDA was assessed by means of extracellular single-cell recording from LC neurons and in vivo microdialysis of extracellular NA levels in the frontal cortex (FC).

RESULTS

The average firing rate of LC neurons was significantly reduced in rats by short-term IMI treatment compared with long-term treatment. The output of NA in the FC of all IMI-treated animals was significantly increased compared with saline-treated rats. Moreover, the enhancing effect of IDA on both the firing rate of LC neurons and the cortical NA output was larger in rats after long-term treatment with IMI than after short-term administration.

CONCLUSIONS

Our results clearly support the notion of development of functional downregulation of alpha 2-autoreceptors on LC neurons during chronic administration of NA reuptake inhibiting antidepressants. Moreover, the data suggest that addition of alpha 2-adrenoceptor antagonists may augment the clinical effect of such drugs in major depression.

摘要

背景

先前的研究表明,在长期服用抑制去甲肾上腺素(NA)再摄取机制的抗抑郁药期间,由于蓝斑(LC)中树突体α2-肾上腺素能受体功能下调,对LC中脑NA能神经元的反馈抑制作用减弱。因此,我们在此研究了短期和长期给予丙咪嗪(IMI)后,LC神经元对α2-肾上腺素能受体拮抗剂伊达唑啉(IDA)给药的反应性。

方法

用全身性IMI对大鼠进行不同时间段的治疗。在这些大鼠中,通过从LC神经元进行细胞外单细胞记录以及对额叶皮质(FC)中细胞外NA水平进行体内微透析,评估中枢去甲肾上腺素能功能的基础活性和IDA的作用。

结果

与长期治疗相比,短期IMI治疗的大鼠LC神经元的平均放电率显著降低。与盐水处理的大鼠相比,所有接受IMI治疗的动物FC中的NA输出均显著增加。此外,长期接受IMI治疗的大鼠中,IDA对LC神经元放电率和皮质NA输出的增强作用大于短期给药后。

结论

我们的结果明确支持了在长期服用抑制NA再摄取的抗抑郁药期间,LC神经元上α2-自受体功能下调的观点。此外,数据表明添加α2-肾上腺素能受体拮抗剂可能增强此类药物在重度抑郁症中的临床疗效。

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