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Hormonal response pattern in the combined DEX-CRH test is stable over time in subjects at high familial risk for affective disorders.在情感障碍家族风险高的受试者中,联合地塞米松-促肾上腺皮质激素释放激素试验中的激素反应模式随时间推移是稳定的。
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长期暴露于高皮质酮水平会减弱大鼠海马体CA1神经元中的血清素反应。

Long-term exposure to high corticosterone levels attenuates serotonin responses in rat hippocampal CA1 neurons.

作者信息

Karten Y J, Nair S M, van Essen L, Sibug R, Joëls M

机构信息

Institute for Neurobiology, University of Amsterdam, 1098 SM Amsterdam, The Netherlands.

出版信息

Proc Natl Acad Sci U S A. 1999 Nov 9;96(23):13456-61. doi: 10.1073/pnas.96.23.13456.

DOI:10.1073/pnas.96.23.13456
PMID:10557342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC23969/
Abstract

Recent studies indicated that hyperactivity of the hypothalamo-pituitary-adrenal system is a considerable risk factor for the precipitation of affective disorders, most notably of major depression. The mechanism by which this hyperactivity eventually leads to clinical symptoms of depression is unknown. In the present animal study, we tested one possible mechanism, i.e., that long-term exposure to high corticosterone levels alters functional responses to serotonin in the hippocampus, an important area in the etiology of depression. Rats were injected daily for 3 weeks with a high dose of corticosterone; electrophysiological responses to serotonin were recorded intracellularly from CA1 pyramidal neurons in vitro. We observed that daily injections with corticosterone gradually attenuate the membrane hyperpolarization and resistance decrease mediated by serotonin-1A receptors. We next used single-cell antisense RNA amplification from identified CA1 pyramidal neurons to resolve whether the functional deficits in serotonin responsiveness are accompanied by decreased expression levels of the serotonin-1A receptor. It appeared that expression of serotonin-1A receptors in CA1 pyramidal cells is not altered; this result was supported by in situ hybridization. Expression of corticosteroid receptors in the same cells, particularly of the high-affinity mineralocorticoid receptor, was significantly reduced after long-term corticosterone treatment. The present findings indicate that prolonged elevation of the corticosteroid concentration, a possible causal factor for major depression in humans, gradually attenuates responsiveness to serotonin without necessarily decreasing serotonin-1A receptor mRNA levels in pyramidal neurons. These functional changes may occur by a posttranscriptional mechanism or by transcriptional regulation of genes other than the serotonin-1A receptor gene itself.

摘要

最近的研究表明,下丘脑 - 垂体 - 肾上腺系统的功能亢进是引发情感障碍尤其是重度抑郁症的一个重要风险因素。这种功能亢进最终导致抑郁症临床症状的机制尚不清楚。在本动物研究中,我们测试了一种可能的机制,即长期暴露于高皮质酮水平会改变海马体中对血清素的功能反应,而海马体是抑郁症病因中的一个重要区域。给大鼠连续3周每天注射高剂量的皮质酮;在体外从CA1锥体神经元细胞内记录对血清素的电生理反应。我们观察到,每天注射皮质酮会逐渐减弱由血清素 - 1A受体介导的膜超极化和电阻降低。接下来,我们从已鉴定的CA1锥体神经元中使用单细胞反义RNA扩增技术,以确定血清素反应性的功能缺陷是否伴随着血清素 - 1A受体表达水平的降低。结果显示,CA1锥体细胞中血清素 - 1A受体的表达未发生改变;原位杂交也支持了这一结果。长期给予皮质酮治疗后,同一细胞中皮质类固醇受体的表达,特别是高亲和力盐皮质激素受体的表达显著降低。目前的研究结果表明,皮质类固醇浓度的长期升高,这可能是人类重度抑郁症的一个致病因素,会逐渐减弱对血清素的反应性,而不一定会降低锥体神经元中血清素 - 1A受体的mRNA水平。这些功能变化可能是通过转录后机制或通过血清素 - 1A受体基因本身以外的其他基因的转录调控发生的。