De La Garza Richard, Jentsch J David, Verrico Christopher D, Roth Robert H
Neuropsychopharmacology Laboratory, Department of Psychiatry, Yale University School of Medicine, 333 Cedar Street, Sterling Hall of Medicine, B-256, New Haven, CT 06510, USA.
Brain Res. 2002 Dec 20;958(1):20-7. doi: 10.1016/s0006-8993(02)03772-1.
The adaptive neuronal changes that follow chronic administration of antidepressant drugs are thought to underlie clinical improvement in patient populations. Recent evidence suggests that alterations specific to N-methyl-D-aspartate (NMDA) receptors may be a final common pathway to antidepressant action. To investigate this possibility, we sought to establish the effects of chronic fluoxetine or imipramine treatment on the monoamine stimulating effect of the non-competitive NMDA antagonist phencyclidine. Male, Sprague-Dawley rats (n=9/group) were treated with saline (1 ml/kg, i.p.), imipramine (10 mg/kg, i.p.) or fluoxetine (10 mg/kg, i.p.) once daily for 14 consecutive days. After a 7-day drug-free period, animals given an acute challenge of either saline or phencyclidine (5 mg/kg, i.p.). One hour later, animals were killed, brains were removed, and the prefrontal cortex, striatum, and nucleus accumbens were dissected. Samples were assayed for the monoamines and their primary metabolites by HPLC. Repeated treatment with fluoxetine or imipramine did not alter baseline dopamine or serotonin turnover. Acute phencyclidine treatment increased prefrontal cortex and nucleus accumbens dopamine turnover in saline-treated animals (P<0.01); however, the effect in the nucleus accumbens was prevented in animals pretreated with imipramine or fluoxetine. Acute phencyclidine challenge also increased serotonin turnover in prefrontal cortex of saline- or imipramine-pretreated rats (P<0.01), though this effect was attenuated in animals pretreated with fluoxetine. Overall, the data suggest that repeated antidepressant treatment alters monoamine turnover in specific brain regions in response to blockade of NMDA receptors. The data highlight the importance of adaptive responses to NMDA receptors resulting from chronic antidepressant treatment.
长期服用抗抑郁药物后出现的适应性神经元变化被认为是患者群体临床症状改善的基础。最近的证据表明,N-甲基-D-天冬氨酸(NMDA)受体的特异性改变可能是抗抑郁作用的最终共同途径。为了研究这种可能性,我们试图确定长期使用氟西汀或丙咪嗪治疗对非竞争性NMDA拮抗剂苯环己哌啶单胺刺激作用的影响。雄性Sprague-Dawley大鼠(每组n = 9)连续14天每天腹腔注射生理盐水(1 ml/kg)、丙咪嗪(10 mg/kg)或氟西汀(10 mg/kg)。在停药7天后,给动物急性注射生理盐水或苯环己哌啶(5 mg/kg,腹腔注射)。1小时后,处死动物,取出大脑,解剖前额叶皮质、纹状体和伏隔核。通过高效液相色谱法测定样品中的单胺及其主要代谢产物。重复使用氟西汀或丙咪嗪治疗并未改变基线多巴胺或5-羟色胺周转率。急性注射苯环己哌啶可增加生理盐水处理动物前额叶皮质和伏隔核的多巴胺周转率(P<0.01);然而,在预先用丙咪嗪或氟西汀处理的动物中,伏隔核的这种作用受到了抑制。急性注射苯环己哌啶也增加了生理盐水或丙咪嗪预处理大鼠前额叶皮质的5-羟色胺周转率(P<0.01),尽管在预先用氟西汀处理的动物中这种作用减弱。总体而言,数据表明重复抗抑郁治疗会改变特定脑区对NMDA受体阻断的单胺周转率。这些数据突出了慢性抗抑郁治疗对NMDA受体产生适应性反应的重要性。