Miyata Shigeo, Hirano Shoko, Kamei Junzo
Department of Pathophysiology and Therapeutics, School of Pharmacy and Pharmaceutical Sciences, Hoshi University, Tokyo, Japan.
Neuropsychopharmacology. 2004 Mar;29(3):461-9. doi: 10.1038/sj.npp.1300354.
Several lines of evidence have indicated that the prevalence of depression in diabetic subjects is higher than that in the general population, however, little information is available on the effects of antidepressants in diabetes. In the present study, the antidepressant-like effect mediated by the activation of 5-HT(1A) receptors was examined using the tail suspension test in streptozotocin-induced diabetic mice. Long-lasting increases in 5-HT turnover rates were observed in the diabetic mouse midbrain and frontal cortex, but not in the hippocampus. Duration of immobility was significantly longer in diabetic than in nondiabetic mice in the tail suspension test. The 5-HT(1A) receptor agonist (+/-)-8-hydroxy-2-(di-n-propylamino) tetralin (8-OH-DPAT) (3-30 microg/kg, i.p.) reduced the duration of immobility in nondiabetic mice, and this effect was completely antagonized by pretreatment with N-[2-[4-(2-methoxyphenil)-1-piperazinyl]ethyl]-N-2-pyridinylcyclohexanecarboxamide (WAY-100635) (30 microg/kg, s.c.), a selective 5-HT(1A) receptor antagonist. In contrast, 8-OH-DPAT (3 microg/kg-3 mg/kg, i.p.) was ineffective in diabetic mice. The selective 5-HT reuptake inhibitor fluoxetine (3-56 mg/kg, i.p.) reduced the duration of immobility in both nondiabetic and diabetic mice. However, fluoxetine was less effective in diabetic mice than in nondiabetic mice. WAY-100635 (30 microg/kg, s.c.) reversed the suppression of the duration of immobility by fluoxetine (30 mg/kg, i.p.) in nondiabetic mice. On the other hand, the anti-immobility effect of fluoxetine (56 mg/kg, i.p.) was not antagonized by WAY-100635 (30 microg/kg, s.c.) in diabetic mice. The selective 5-HT(2) receptor antagonist 6-methyl-1-(1-methylethyl)-ergoline-8beta-carboxylic acid 2-hydroxy-1-methylpropyl ester (LY53,857) (30 microg/kg, s.c.) reversed the anti-immobility effect of fluoxetine in both nondiabetic and diabetic mice. Spontaneous locomotor activity in diabetic mice was not different from that in nondiabetic mice. 8-OH-DPAT (30 microg/kg, i.p.), but not fluoxetine, increased the spontaneous locomotor activity in both nondiabetic and diabetic mice. The number of 5-HT(1A) receptors in the mouse frontal cortex was unaffected by diabetes. Plasma corticosterone levels in diabetic mice were significantly higher than that in nondiabetic mice. These results suggest that the antidepressant-like effect mediated by 5-HT(1A) receptors may be attenuated by diabetes.
多项证据表明,糖尿病患者中抑郁症的患病率高于普通人群,然而,关于抗抑郁药对糖尿病影响的信息却很少。在本研究中,利用尾悬测试对链脲佐菌素诱导的糖尿病小鼠进行检测,以研究激活5-羟色胺(5-HT)(1A)受体介导的抗抑郁样效应。在糖尿病小鼠的中脑和额叶皮质中观察到5-HT周转率持续增加,但在海马体中未观察到。在尾悬测试中,糖尿病小鼠的不动时间明显长于非糖尿病小鼠。5-HT(1A)受体激动剂(±)-8-羟基-2-(二正丙基氨基)四氢萘(8-OH-DPAT)(3-30微克/千克,腹腔注射)可缩短非糖尿病小鼠的不动时间,而这种效应被选择性5-HT(1A)受体拮抗剂N-[2-[4-(2-甲氧基苯基)-1-哌嗪基]乙基]-N-2-吡啶基环己烷甲酰胺(WAY-100635)(30微克/千克,皮下注射)预处理完全拮抗。相比之下,8-OH-DPAT(3微克/千克-3毫克/千克,腹腔注射)对糖尿病小鼠无效。选择性5-HT再摄取抑制剂氟西汀(3-56毫克/千克,腹腔注射)可缩短非糖尿病和糖尿病小鼠的不动时间。然而,氟西汀对糖尿病小鼠的效果不如对非糖尿病小鼠的效果。WAY-100635(30微克/千克,皮下注射)可逆转氟西汀(30毫克/千克,腹腔注射)对非糖尿病小鼠不动时间的抑制作用。另一方面,WAY-100635(30微克/千克,皮下注射)不能拮抗氟西汀(56毫克/千克,腹腔注射)对糖尿病小鼠的抗不动作用。选择性5-HT(2)受体拮抗剂6-甲基-1-(1-甲基乙基)-麦角灵-8β-羧酸2-羟基-1-甲基丙酯(LY53,857)(30微克/千克,皮下注射)可逆转氟西汀对非糖尿病和糖尿病小鼠的抗不动作用。糖尿病小鼠的自发运动活性与非糖尿病小鼠无异。8-OH-DPAT(30微克/千克,腹腔注射)可增加非糖尿病和糖尿病小鼠的自发运动活性,但氟西汀无此作用。糖尿病对小鼠额叶皮质中5-HT(1A)受体的数量没有影响。糖尿病小鼠的血浆皮质酮水平明显高于非糖尿病小鼠。这些结果表明,糖尿病可能会减弱5-HT(1A)受体介导的抗抑郁样效应。