van der Stelt Hiske M, Broersen Laus M, Olivier Berend, Westenberg Herman G M
Rudolf Magnus Institute of Neuroscience, Department of Psychiatry, University Medical Center Utrecht, Huispostnr A01.126, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Psychopharmacology (Berl). 2004 Mar;172(2):137-44. doi: 10.1007/s00213-003-1632-6. Epub 2003 Nov 25.
There is evidence to suggest that the efficacy of selective serotonin reuptake inhibitors (SSRIs) in depression is dependent on the availability of serotonin (5-HT) in the brain. Moreover, there is circumstantial evidence suggesting that plasma tryptophan (TRP) levels can predict response to SSRIs. These findings suggest that dietary TRP variations may affect the efficacy of SSRI in major depression.
To study the neurochemical and behavioral effects of dietary TRP variations in rats.
In vivo microdialysis in the hippocampus was performed in conscious rats randomly assigned to receive a diet containing low, normal or high levels of TRP. Basal levels of 5-HT and 5-HIAA were measured using HPLC. Fenfluramine and fluvoxamine were infused locally to determine the effect of the diet on 5-HT availability and release. In a parallel group of rats, the differential reinforcement of low rate 72 s (DRL-72 s) schedule was used to assess the behavioral effects of the dietary manipulations.
5-HT and 5-HIAA levels were significantly decreased after TRP low diet and 5-HT, but not 5-HIAA, levels were significantly increased after TRP high diet. 5-HT release after fluvoxamine and fenfluramine was significantly diminished in rats on a TRP low diet, and significantly enhanced after fenfluramine in rats on a TRP high diet. DRL-72 performance in rats was decreased by a TRP low diet, whereas a TRP high diet increased DRL performance similar to fluvoxamine administration.
The amount of 5-HT released after a 5-HT releasing agent and the effect of an SSRI on extracellular 5-HT are dependent on the nutritional availability of TRP. Moreover, increased availability of TRP affects behavior in a manner similar to SSRI administration. These findings suggest that nutritional factors have behavioral and neurochemical effects, relevant for the treatment of depression.
有证据表明,选择性5-羟色胺再摄取抑制剂(SSRI)治疗抑郁症的疗效取决于大脑中5-羟色胺(5-HT)的可利用性。此外,有间接证据表明,血浆色氨酸(TRP)水平可预测对SSRI的反应。这些发现提示,饮食中TRP的变化可能会影响SSRI治疗重度抑郁症的疗效。
研究饮食中TRP变化对大鼠的神经化学和行为学影响。
对清醒大鼠进行海马体内微透析,这些大鼠被随机分配接受含低、正常或高水平TRP的饮食。采用高效液相色谱法测定5-HT和5-羟吲哚乙酸(5-HIAA)的基础水平。局部注入芬氟拉明和氟伏沙明,以确定饮食对5-HT可利用性和释放的影响。在另一组平行的大鼠中,采用低频率72秒差别强化程序(DRL-72s)来评估饮食干预的行为学效应。
低TRP饮食后5-HT和5-HIAA水平显著降低,高TRP饮食后5-HT水平显著升高,但5-HIAA水平未显著升高。低TRP饮食的大鼠在注射氟伏沙明和芬氟拉明后5-HT释放显著减少,高TRP饮食的大鼠在注射芬氟拉明后5-HT释放显著增加。低TRP饮食降低了大鼠的DRL-72表现,而高TRP饮食增加了DRL表现,类似于给予氟伏沙明后的效果。
5-HT释放剂释放的5-HT量以及SSRI对细胞外5-HT的作用取决于TRP的营养可利用性。此外,TRP可利用性增加对行为的影响方式类似于给予SSRI。这些发现提示,营养因素具有行为学和神经化学效应,与抑郁症治疗相关。