Braga Maria Fatima M, Aroniadou-Anderjaska Vassiliki, Manion Sean T, Hough Christopher J, Li He
Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
Neuropsychopharmacology. 2004 Jan;29(1):45-58. doi: 10.1038/sj.npp.1300297.
Intense or chronic stress can produce pathophysiological alterations in the systems involved in the stress response. The amygdala is a key component of the brain's neuronal network that processes and assigns emotional value to life's experiences, consolidates the memory of emotionally significant events, and organizes the behavioral response to these events. Clinical evidence indicates that certain stress-related affective disorders are associated with changes in the amygdala's excitability, implicating a possible dysfunction of the GABAergic system. An important modulator of the GABAergic synaptic transmission, and one that is also central to the stress response is norepinephrine (NE). In the present study, we examined the hypothesis that stress impairs the noradrenergic modulation of GABAergic transmission in the basolateral amygdala (BLA). In control rats, NE (10 microM) facilitated spontaneous, evoked, and miniature IPSCs in the presence of beta and alpha(2) adrenoceptor antagonists. The effects of NE were not blocked by alpha(1D) and alpha(1B) adrenoceptor antagonists, and were mimicked by the alpha(1A) agonist, A61603 (1 microM). In restrain/tail-shock stressed rats, NE or A61603 had no significant effects on GABAergic transmission. Thus, in the BLA, NE acting via presynaptic alpha(1A) adrenoceptors facilitates GABAergic inhibition, and this effect is severely impaired by stress. This is the first direct evidence of stress-induced impairment in the modulation of GABAergic synaptic transmission. The present findings provide an insight into possible mechanisms underlying the antiepileptogenic effects of NE in temporal lobe epilepsy, the hyperexcitability and hyper-responsiveness of the amygdala in certain stress-related affective disorders, and the stress-induced exacerbation of seizure activity in epileptic patients.
强烈或慢性应激可在参与应激反应的系统中产生病理生理改变。杏仁核是大脑神经元网络的关键组成部分,它对生活经历进行处理并赋予情感价值,巩固具有情感意义事件的记忆,并组织对这些事件的行为反应。临床证据表明,某些与应激相关的情感障碍与杏仁核兴奋性的变化有关,这意味着γ-氨基丁酸(GABA)能系统可能存在功能障碍。GABA能突触传递的一个重要调节因子,也是应激反应的核心因子是去甲肾上腺素(NE)。在本研究中,我们检验了应激会损害基底外侧杏仁核(BLA)中GABA能传递的去甲肾上腺素能调节这一假说。在对照大鼠中,在存在β和α₂肾上腺素能受体拮抗剂的情况下,NE(10微摩尔)促进了自发性、诱发性和微小抑制性突触后电流(IPSCs)。NE的作用未被α₁D和α₁B肾上腺素能受体拮抗剂阻断,并且被α₁A激动剂A61603(1微摩尔)模拟。在束缚/尾部电击应激的大鼠中,NE或A61603对GABA能传递没有显著影响。因此,在BLA中,通过突触前α₁A肾上腺素能受体起作用的NE促进GABA能抑制,而这种作用会因应激而严重受损。这是应激诱导的GABA能突触传递调节受损的首个直接证据。本研究结果为NE在颞叶癫痫中的抗癫痫作用、某些与应激相关情感障碍中杏仁核的过度兴奋和高反应性以及癫痫患者应激诱导的癫痫活动加重的潜在机制提供了深入了解。