Chartoff Elena H, Papadopoulou Maria, Konradi Christine, Carlezon William A
Department of Psychiatry, Harvard Medical School, McLean Hospital, Belmont, Massachusetts, USA.
J Neurochem. 2003 Oct;87(1):107-18. doi: 10.1046/j.1471-4159.2003.01992.x.
Chronic morphine leads to compensatory up-regulation of cAMP signaling pathways in numerous brain regions. One potential consequence of up-regulated cAMP signaling is increased phosphorylation of cAMP response element binding protein (CREB), a transcription factor that may regulate neuroadaptations related to morphine dependence. Altered gene expression within the nucleus accumbens (NAc), a ventral component of the striatum that receives substantial dopaminergic input, may play a role in some of the motivational aspects of opiate withdrawal. To determine if morphine withdrawal leads to increased CREB phosphorylation in striatal tissues, we examined the effects of naloxone-precipitated morphine withdrawal on CREB phosphorylation in primary cultures of rat striatal neurons. Precipitated morphine withdrawal was associated with enhanced dopamine-, SKF 82958 (D1 receptor agonist)-, and forskolin-induced CREB phosphorylation. During precipitated withdrawal, D1 receptor-mediated CREB phosphorylation was dependent on cAMP-dependent protein kinase (PKA). Precipitated withdrawal also led to up-regulation of c-fos mRNA in response to SKF 82958. CREB protein levels were not altered by acute or chronic morphine. These results suggest that D1 receptor-mediated signal transduction is enhanced during morphine withdrawal. Furthermore, they are consistent with in vivo evidence suggesting that increased CREB activation in portions of the striatum (e.g. the NAc) is related to dysphoric states associated with drug withdrawal.
长期使用吗啡会导致许多脑区的环磷酸腺苷(cAMP)信号通路出现代偿性上调。cAMP信号上调的一个潜在后果是环磷酸腺苷反应元件结合蛋白(CREB)的磷酸化增加,CREB是一种转录因子,可能调节与吗啡依赖相关的神经适应性变化。伏隔核(NAc)是纹状体的腹侧组成部分,接受大量多巴胺能输入,其基因表达的改变可能在阿片类药物戒断的某些动机方面发挥作用。为了确定吗啡戒断是否会导致纹状体组织中CREB磷酸化增加,我们研究了纳洛酮诱发的吗啡戒断对大鼠纹状体神经元原代培养物中CREB磷酸化的影响。诱发的吗啡戒断与多巴胺、SKF 82958(D1受体激动剂)和福斯高林诱导的CREB磷酸化增强有关。在诱发戒断期间,D1受体介导的CREB磷酸化依赖于环磷酸腺苷依赖性蛋白激酶(PKA)。诱发戒断还导致对SKF 82958反应时c-fos mRNA上调。急性或慢性吗啡对CREB蛋白水平无影响。这些结果表明,在吗啡戒断期间D1受体介导的信号转导增强。此外,它们与体内证据一致,表明纹状体部分区域(如NAc)中CREB激活增加与药物戒断相关的烦躁状态有关。