Gur Eitan, Lifschytz Tsuri, Van De Kar Louis D, Lerer Bernard, Newman Michael E
Biological Psychiatry Laboratory, Department of Psychiatry, Hadassah-Hebrew University Medical Center, P.O. Box 12000, 91120 Jerusalem, Israel.
Psychoneuroendocrinology. 2004 Oct;29(9):1172-83. doi: 10.1016/j.psyneuen.2004.01.011.
Triiodothyronine (T3) is effective in both augmenting and accelerating the therapeutic response to antidepressant drugs, especially tricyclics, and there is evidence from both human and animal studies that it acts on serotonergic neurotransmission. In this work we examined the effects of T3 alone and together with imipramine on 5-HT levels in the hypothalamus and on 5-HT(1A) and 5-HT(1B) autoreceptor sensitivity, using in vivo microdialysis in the rat. The effects of T3 on postsynaptic 5-HT(1A) receptor activity in the hypothalamus were also determined using a neuroendocrine challenge procedure. T3 administered daily at 20 microg/kg s.c. for 2 weeks reduced the sensitivity of 5-HT(1A) autoreceptors which control 5-HT release, as measured by the effect of 8-OH-DPAT to decrease 5-HT in the hypothalamus, and also the sensitivity of hypothalamic 5-HT(1B) receptors as measured by the effect of the 5-HT(1B) receptor agonist CP 93129 to decrease 5-HT release. Imipramine at 10 mg/kg daily for 4 weeks by osmotic minipump reduced 5-HT(1A) autoreceptor activity, as measured by the effect of 8-OH-DPAT in the hypothalamus, but the combination of T3 and imipramine given for 2 weeks did not affect either 5-HT(1A) or 5-HT(1B) autoreceptor activity. T3 at 20 microg/kg s.c. given daily for 1 week also reduced the sensitivity of postsynaptic 5-HT(1A) receptors in the hypothalamus, as measured by injection of 8-OH-DPAT and determination of the plasma ACTH and corticosterone responses. Animals which received T3 for 7 days showed a dose-dependent reduction in plasma free T4 levels but no change in total T3 levels. We conclude that while T3 alone affects both presynaptic and postsynaptic components of the serotonergic system, these effects may not be responsible for the therapeutic acceleration action seen with a combination of a tricyclic drug and T3.
三碘甲状腺原氨酸(T3)在增强和加速对抗抑郁药物,尤其是三环类药物的治疗反应方面有效,并且来自人体和动物研究的证据表明它作用于血清素能神经传递。在这项工作中,我们使用大鼠体内微透析技术,研究了单独使用T3以及T3与丙咪嗪联合使用对下丘脑5-羟色胺(5-HT)水平以及5-HT(1A)和5-HT(1B)自身受体敏感性的影响。还使用神经内分泌激发程序确定了T3对下丘脑突触后5-HT(1A)受体活性的影响。每天皮下注射20微克/千克T3,持续2周,降低了控制5-HT释放的5-HT(1A)自身受体的敏感性,这通过8-OH-DPAT降低下丘脑5-HT的作用来衡量,同时也降低了下丘脑5-HT(1B)受体的敏感性,这通过5-HT(1B)受体激动剂CP 93129降低5-HT释放的作用来衡量。通过渗透微型泵每天给予10毫克/千克丙咪嗪,持续4周,降低了5-HT(1A)自身受体活性,这通过下丘脑8-OH-DPAT的作用来衡量,但给予2周的T3和丙咪嗪组合对5-HT(1A)或5-HT(1B)自身受体活性均无影响。每天皮下注射20微克/千克T3,持续1周,也降低了下丘脑突触后5-HT(1A)受体的敏感性,这通过注射8-OH-DPAT并测定血浆促肾上腺皮质激素(ACTH)和皮质酮反应来衡量。接受T3治疗7天的动物血浆游离T4水平呈剂量依赖性降低,但总T3水平无变化。我们得出结论,虽然单独的T3会影响血清素能系统的突触前和突触后成分,但这些作用可能不是三环类药物与T3联合使用时所观察到的治疗加速作用的原因。