Grandoso Laura, Pineda Joseba, Ugedo Luisa
Department of Pharmacology, Faculty of Medicine, University of the Basque Country, E-48940 Leioa, Vizcaya, Spain.
Neuropharmacology. 2004 May;46(6):815-23. doi: 10.1016/j.neuropharm.2003.11.033.
Several studies have suggested that the locus coeruleus may play an important role in the pathophysiology of depression. The aim of this study was to characterize, using single-unit extracellular recordings, the in vitro effects of the noradrenaline reuptake inhibitors desipramine and reboxetine, on locus coeruleus neurons from control rats and from those chronically treated with desipramine. Bath application of desipramine (1-100 microM) and reboxetine (0.1-10 microM) decreased the firing rate of locus coeruleus neurons in a concentration-dependent manner and the alpha(2)-adrenoceptor antagonist RX 821002 (10 microM) reversed these effects. In addition, reserpine (5 mg/kg, 3 h before the experiment) almost completely blocked the inhibitory effect of desipramine. Both drugs (1 microM desipramine and 0.1 microM reboxetine) potentiated the inhibitory effect of noradrenaline (10 microM). A 7-day treatment with desipramine (3 mg/kg/12 h, i.p.) caused a decrease in sensitivity to the alpha(2)-adrenoceptor agonist bromoxidine (EC(50) increased by 3.3-fold), but not to noradrenaline or reboxetine. In contrast, this treatment potentiated the inhibitory effect of desipramine with respect to control. Moreover, 14-day treatment with desipramine (3 mg/kg/12 h, i.p.) or reboxetine (10 mg/kg/12 h, i.p.) also potentiated the in vitro effect of desipramine without modifying the in vitro effect of reboxetine. These results show that desipramine and reboxetine modulate the activity of locus coeruleus neurons by noradrenaline acting on alpha(2)-adrenoceptors, and reveal that alpha(2)-adrenoceptor-independent mechanisms may also underlie the action of noradrenaline uptake inhibitors.
多项研究表明,蓝斑可能在抑郁症的病理生理学中发挥重要作用。本研究的目的是使用单细胞胞外记录技术,表征去甲肾上腺素再摄取抑制剂地昔帕明和瑞波西汀对正常大鼠以及长期接受地昔帕明治疗的大鼠蓝斑神经元的体外作用。浴槽给药地昔帕明(1 - 100微摩尔/升)和瑞波西汀(0.1 - 10微摩尔/升)以浓度依赖性方式降低蓝斑神经元的放电频率,α₂ - 肾上腺素能受体拮抗剂RX 821002(10微摩尔/升)可逆转这些作用。此外,利血平(5毫克/千克,实验前3小时)几乎完全阻断了地昔帕明的抑制作用。两种药物(1微摩尔/升地昔帕明和0.1微摩尔/升瑞波西汀)均增强了去甲肾上腺素(10微摩尔/升)的抑制作用。为期7天的地昔帕明治疗(3毫克/千克/12小时,腹腔注射)导致对α₂ - 肾上腺素能受体激动剂溴昔定的敏感性降低(半数有效浓度增加3.3倍),但对去甲肾上腺素或瑞波西汀无此影响。相比之下,该治疗增强了地昔帕明相对于正常对照组的抑制作用。此外,为期14天的地昔帕明治疗(3毫克/千克/12小时,腹腔注射)或瑞波西汀治疗(10毫克/千克/12小时,腹腔注射)也增强了地昔帕明的体外作用,而未改变瑞波西汀的体外作用。这些结果表明,地昔帕明和瑞波西汀通过去甲肾上腺素作用于α₂ - 肾上腺素能受体来调节蓝斑神经元的活性,并揭示α₂ - 肾上腺素能受体非依赖性机制也可能是去甲肾上腺素摄取抑制剂作用的基础。