Nagashima Hideaki, Asakura Mikio, Hishinuma Takuji, Tanaka Daisuke, Fujii Sachiko
Department of Neuropsychiatry, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-Ku, Kawasaki 216-8511, Japan.
Nihon Shinkei Seishin Yakurigaku Zasshi. 2003 Feb;23(1):21-8.
The hyperactivity of corticotropin-releasing hormone (CRH) neurons of the hypothalamic and/or extrahypothalamic regions is believed to contribute to the pathophysiology of major depression in an experimental animal chronically exposed to stress. In the present study, we examined the effects of chronic variable stress (CVS) and novel stress (footshock) on the CRH immunoreactivity in the hypothalamic paraventricular nucleus (PVN) and subdivision of PVN, and the extrahypothalamic bed nucleus of the stria terminalis (BNST) and the central nucleus of the amygdala (CeA). We observed a significant reduction in CRH levels in the whole PVN, lateral parvocellular part of PVN, BNST and CeA 24 hours after the last stressor of CVS for 13 days. A novel stressor after CVS caused a marked increase in CRH levels in these four regions, followed a further reduction observed 24 hours later. Since the CVS-induced modulation of CRH levels are consistent with an alteration of tyrosine hydroxylase levels in the locus coeruleus, CRH-norepinephrine (NE) interaction in the terminal projection of forebrain NE systems, PVN, BNST and CeA where NE stimulates CRII release, might contribute to the bi-directional change in CRH. The CVS-induced bi-directional changes in CRH of PVN, BNST and CeA might play a role in the formation of the pathophysiology of major depressive disorders.
下丘脑和/或下丘脑外区域促肾上腺皮质激素释放激素(CRH)神经元的功能亢进被认为与长期处于应激状态的实验动物的重度抑郁症病理生理机制有关。在本研究中,我们检测了慢性可变应激(CVS)和新应激(足底电击)对下丘脑室旁核(PVN)及其亚区、终纹床核(BNST)和杏仁核中央核(CeA)中CRH免疫反应性的影响。我们观察到,在进行13天的CVS最后一次应激刺激24小时后,整个PVN、PVN外侧小细胞部、BNST和CeA中的CRH水平显著降低。CVS后的新应激源导致这四个区域的CRH水平显著升高,随后在24小时后进一步降低。由于CVS诱导的CRH水平调节与蓝斑中酪氨酸羟化酶水平的改变一致,在前脑去甲肾上腺素(NE)系统终末投射部位(PVN、BNST和CeA,其中NE刺激CRH释放)的CRH-去甲肾上腺素(NE)相互作用,可能导致CRH的双向变化。CVS诱导的PVN、BNST和CeA中CRH的双向变化可能在重度抑郁症病理生理机制的形成中起作用。