Husum H, Vasquez P A, Mathé A A
Institution of Clinical Neuroscience, Karolinska Institutet, St. Görans Hospital, SE-11281, Stockholm, Sweden.
Neuropsychopharmacology. 2001 Feb;24(2):183-91. doi: 10.1016/S0893-133X(00)00198-6.
Lithium's therapeutic mechanism of action is unknown. In lithium-treated normal rats, increased striatal concentrations of neurokinin A (NKA)-like immunoreactivity (LI), substance P (SP-LI) and neuropeptide Y (NPY-LI) have been reported. To investigate whether these effects might be of therapeutic relevance, Flinders Sensitive Line rats (FSL), an animal model of depression, and control Flinders Resistant Line (FRL) rats were during a 6-week period fed chow to which either lithium or vehicle was admixed. Following sacrifice, the peptides were extracted from dissected brain regions and measured by radioimmunoassay. NKA-LI and SP-LI were markedly decreased in striatum and increased in frontal cortex in FSL compared to control FRL animals. Lithium treatment abolished these differences. Basal concentrations of NPY-LI were decreased in hippocampus of FSL rats, but unaffected by lithium. The present study suggests that changed tachykinins and NPY may underlie the characterized depressive-like phenotype of the FSL rats. It is hypothesized that altering tachykinin peptidergic neurotransmission in striatum and frontal cortex constitutes a mechanism of action of lithium and that such a mechanism might be of therapeutic relevance.
锂的治疗作用机制尚不清楚。据报道,在接受锂治疗的正常大鼠中,纹状体中神经激肽A(NKA)样免疫反应性(LI)、P物质(SP-LI)和神经肽Y(NPY-LI)的浓度有所增加。为了研究这些效应是否具有治疗相关性,选用弗林德斯敏感系大鼠(FSL)(一种抑郁症动物模型)和对照弗林德斯抗性系(FRL)大鼠,在6周时间内给它们喂食添加了锂或赋形剂的食物。处死后,从解剖的脑区提取肽类,并通过放射免疫测定法进行测量。与对照FRL动物相比,FSL大鼠纹状体中的NKA-LI和SP-LI显著降低,额叶皮质中的则增加。锂治疗消除了这些差异。FSL大鼠海马体中NPY-LI的基础浓度降低,但不受锂的影响。本研究表明,速激肽和NPY的变化可能是FSL大鼠特征性抑郁样表型的基础。据推测,改变纹状体和额叶皮质中速激肽肽能神经传递构成了锂的一种作用机制,并且这种机制可能具有治疗相关性。