Song Cai
Department of Psychiatry, University of British Columbia, 2255 Westbrook Mall, Vancouver, BC, Canada V6T 2A1.
Brain Behav Immun. 2002 Oct;16(5):557-68. doi: 10.1016/s0889-1591(02)00012-0.
Macrophages produced proinflammatory cytokines and inflammatory responses can cause many symptoms of depression, including direct stimulation of the HPA axis and secretion of cortisol. In depressed patients, hypercortisolism has been well described as one of the major symptoms and also as the cause for hippocampal atrophy and memory impairment. In this paper, the relationships between thymectomy, increased IL-1 levels, and changes in corticosterone and neurotransmitter concentrations in rats are discussed, as well as their implications for memory impairments and depression. In thymectomized rats, deficits in both spatial and fear conditioned memory have been observed. Thymectomy decreases noradrenaline and dopamine levels, and increases serotonergic neurotransmission in limbic areas, without affecting corticosterone concentrations. In a depression model, thymopeptides or IL-2 treatment significantly attenuated changes in behavior, lymphocyte proliferation and neurotransmitters caused by bulbectomy. The reduction of thymic functions may increase IL-1 synthesis. Central IL-1beta administration impairs rat's spatial memory in the Morris water maze and 8 arms radial maze, but enhances conditioned memory in the passive avoidance. These changes can be reversed by either IL-1 receptor antagonist or a glucocorticoid receptor antagonist (RU 486). Furthermore, IL-1-induced changes in some neurotransmitter systems are similar to those observed in thymectomized rats. However, both acute and sub-chronic IL-1 administration increases plasma corticosterone concentrations. Together, these findings suggest that changes in the function of the thymus gland may play an important role in the unbalance between macrophages, cytokines, and lymphocytes, which induces neurotransmitter and neuroendocrine changes, and memory disturbances in depressive illness.
巨噬细胞产生的促炎细胞因子和炎症反应可引发抑郁症的许多症状,包括直接刺激下丘脑-垂体-肾上腺(HPA)轴和皮质醇分泌。在抑郁症患者中,高皮质醇血症已被充分描述为主要症状之一,也是海马萎缩和记忆障碍的原因。本文讨论了大鼠胸腺切除、白细胞介素-1(IL-1)水平升高与皮质酮和神经递质浓度变化之间的关系,以及它们对记忆障碍和抑郁症的影响。在胸腺切除的大鼠中,已观察到空间记忆和恐惧条件记忆均存在缺陷。胸腺切除会降低去甲肾上腺素和多巴胺水平,并增加边缘区域的血清素能神经传递,而不影响皮质酮浓度。在抑郁症模型中,胸腺肽或IL-2治疗可显著减轻由延髓切除引起的行为、淋巴细胞增殖和神经递质变化。胸腺功能的降低可能会增加IL-1的合成。中枢给予IL-1β会损害大鼠在莫里斯水迷宫和八臂放射状迷宫中的空间记忆,但会增强被动回避中的条件记忆。这些变化可通过IL-1受体拮抗剂或糖皮质激素受体拮抗剂(RU 486)逆转。此外,IL-1诱导的某些神经递质系统变化与胸腺切除大鼠中观察到的变化相似。然而,急性和亚慢性给予IL-1均会增加血浆皮质酮浓度。总之,这些发现表明胸腺功能的变化可能在巨噬细胞、细胞因子和淋巴细胞之间的失衡中起重要作用,这种失衡会诱发神经递质和神经内分泌变化以及抑郁症中的记忆障碍。