Akwa Y, Baulieu E E
INSERM U488 Stéroïdes et Système Nerveux, Le Kremlin-Bicêtre.
J Soc Biol. 1999;193(3):293-8.
The term "neurosteroids" applies to those steroids that are both formed in the nervous system from sterol precursors, and accumulate in the nervous system, at least in part, independently of peripheral steroidogenic glands secretion. Neurosteroids that are active on the central nervous system include, mainly, pregnenolone (PREG), dehydroepiandrosterone (DHEA) and their sulfate esters (PREG-S and DHEA-S), as well as the reduced metabolite of progesterone, 3 alpha,5 alpha-TH PROG also called allopregnanolone. These neuroactive neurosteroids alter neuronal excitability by modulating the activity of several neurotransmitter receptors and thus can influence behavior. PREG-S decreases the sleeping time in rats anesthetized with a barbiturate, which is consistent with its antagonist action on the GABAA receptor (GABAA-R). Allopregnanolone is anxiolytic in rats tested in a conflict paradigm, through an interaction at a site specific for the benzodiazepine (BZ) receptor inverse agonist RO15-4513 and/or at the picrotoxinin site on GABAA-R. The contribution of the amygdala, a key region involved in the control of anxiety, is also demonstrated for the anxiolytic action of allopregnanolone. An anti-agressive effect of DHEA can be observed in castrated male mice who become agressive in the presence of lactating females. This inhibition of agressiveness by DHEA is associated to a selective decrease in the brain of PREG-S, which may, in turn, trigger an increase of endogenous GABAergic tone. Finally, cognitive performances of aged rats tested in the Morris water maze and the Y-maze can be correlated with individual concentrations of PREG-S in the hippocampus, i.e. poor performance in both tasks with low levels of PREG-S. Remarkably, the memory deficits are significantly improved, albeit transiently, by an intra-hippocampal injection of PREG-S in impaired aged rats. Promnesiant PREG-S may then reinforce some neurotransmitter systems that can decline with age. This brief review provides evidence of the pharmacology and physiological correlates of neurosteroids involved in behavioral phenomena. However, neurobiological mechanisms of behavioral effects of neurosteroids await further investigation.
“神经甾体”一词适用于那些由甾醇前体在神经系统中形成,并至少部分独立于外周甾体生成腺分泌而在神经系统中积累的甾体。对中枢神经系统有活性的神经甾体主要包括孕烯醇酮(PREG)、脱氢表雄酮(DHEA)及其硫酸酯(PREG-S和DHEA-S),以及孕酮的还原代谢产物3α,5α-四氢孕酮(3α,5α-TH PROG),也称为别孕烯醇酮。这些具有神经活性的神经甾体通过调节几种神经递质受体的活性来改变神经元兴奋性,从而能够影响行为。PREG-S可减少用巴比妥酸盐麻醉的大鼠的睡眠时间,这与其对GABAA受体(GABAA-R)的拮抗作用一致。在冲突范式中测试的大鼠中,别孕烯醇酮具有抗焦虑作用,它通过与苯二氮䓬(BZ)受体反向激动剂RO15-4513的特异性位点和/或GABAA-R上的印防己毒素位点相互作用来实现。杏仁核是参与焦虑控制的关键区域,其对别孕烯醇酮抗焦虑作用的贡献也得到了证实。在阉割后的雄性小鼠中可以观察到DHEA的抗攻击作用,这些小鼠在哺乳期雌性小鼠面前会变得具有攻击性。DHEA对攻击性的这种抑制作用与大脑中PREG-S的选择性降低有关,这反过来可能会引发内源性GABA能张力的增加。最后,在莫里斯水迷宫和Y迷宫中测试的老年大鼠的认知表现与海马中PREG-S的个体浓度相关,即PREG-S水平低时,两项任务的表现都较差。值得注意的是,在受损的老年大鼠中,通过海马内注射PREG-S可显著改善记忆缺陷,尽管这种改善是短暂的。具有促进记忆作用的PREG-S可能会增强一些随着年龄增长而可能衰退的神经递质系统。这篇简短的综述提供了参与行为现象的神经甾体的药理学和生理相关性的证据。然而,神经甾体行为效应的神经生物学机制仍有待进一步研究。