莫达非尼增强抗抑郁药物氟西汀和丙咪嗪诱导的细胞外5-羟色胺水平升高:清醒大鼠的双探针微透析研究

Modafinil enhances the increase of extracellular serotonin levels induced by the antidepressant drugs fluoxetine and imipramine: a dual probe microdialysis study in awake rat.

作者信息

Ferraro Luca, Fuxe Kjell, Agnati Luigi, Tanganelli Sergio, Tomasini Maria Cristina, Antonelli Tiziana

机构信息

Department of Clinical and Experimental Medicine, Section of Pharmacology, University of Ferrara, Italy.

出版信息

Synapse. 2005 Mar 15;55(4):230-41. doi: 10.1002/syn.20111.

Abstract

In view of a postulated role of the vigilance-promoting drug modafinil in depression, the interaction of modafinil and two classical antidepressant drugs, fluoxetine and imipramine, were studied in 5-HT levels in the dorsal raphe-cortical system using dual-probe microdialysis. Fluoxetine (1-10 mg/kg) dose-dependently increased dorsal raphe-cortical 5-HT levels. Modafinil at a very low dose (3 mg/kg), by itself ineffective, enhanced the fluoxetine (5 mg/kg)-induced increases of 5-HT levels in both brain areas. A synergistic interaction was observed in the prefrontal cortex with fluoxetine (1 mg/kg) in terms of 5-HT release, but not in the dorsal raphe. Imipramine (1.3 mg/kg) increased 5-HT levels in the dorsal raphe, but not in the prefrontal cortex, while the higher doses (10.9-21.8 mg/kg) caused substantial increases in both brain areas. Modafinil (3 mg/kg), injected before imipramine (1.3 mg/kg), which by itself was ineffective on cortical 5-HT levels, increased cortical 5-HT levels. On other hand, modafinil failed to affect the high-dose imipramine (10.9 mg/kg)-induced increase of 5-HT levels in the prefrontal cortex and the imipramine (1.3; 10.9 mg/kg)-induced increase of 5-HT levels in the dorsal raphe nucleus. These results demonstrate that modafinil in low doses enhances the acute effects of fluoxetine and imipramine on 5-HT levels in the dorsal raphe nucleus (fluoxetine only) and especially in the prefrontal cortex of the awake rat. These findings suggest a therapeutic potential of low doses of modafinil in the treatment of depression when combined with low doses of classical antidepressants, especially by increasing 5-HT transmission in cortical regions.

摘要

鉴于促觉醒药物莫达非尼在抑郁症中可能发挥的作用,使用双探针微透析技术,研究了莫达非尼与两种经典抗抑郁药物氟西汀和丙咪嗪在中缝背核-皮质系统5-羟色胺(5-HT)水平上的相互作用。氟西汀(1 - 10毫克/千克)剂量依赖性地增加中缝背核-皮质系统的5-HT水平。极低剂量(3毫克/千克)的莫达非尼本身无效,但可增强氟西汀(5毫克/千克)诱导的两个脑区5-HT水平的升高。在前额叶皮质观察到莫达非尼(3毫克/千克)与低剂量氟西汀(1毫克/千克)在5-HT释放方面存在协同相互作用,但在中缝背核未观察到。丙咪嗪(1.3毫克/千克)增加了中缝背核的5-HT水平,但未增加前额叶皮质的5-HT水平,而较高剂量(10.9 - 21.8毫克/千克)则使两个脑区的5-HT水平大幅升高。在丙咪嗪(1.3毫克/千克)之前注射本身对皮质5-HT水平无效的莫达非尼(3毫克/千克),可增加皮质5-HT水平。另一方面,莫达非尼未能影响高剂量丙咪嗪(10.9毫克/千克)诱导的前额叶皮质5-HT水平升高以及丙咪嗪(1.3;10.9毫克/千克)诱导的中缝背核5-HT水平升高。这些结果表明,低剂量的莫达非尼可增强氟西汀和丙咪嗪对清醒大鼠中缝背核(仅氟西汀)尤其是前额叶皮质5-HT水平的急性作用。这些发现提示,低剂量莫达非尼与低剂量经典抗抑郁药联合使用时,在治疗抑郁症方面具有治疗潜力,特别是通过增加皮质区域的5-HT传递来实现。

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