Craft Tara K S, DeVries A Courtney
Department of Psychology, The Ohio State University, Columbus, Ohio 43210-1287, USA.
Biol Psychiatry. 2006 Oct 15;60(8):812-8. doi: 10.1016/j.biopsych.2006.03.011. Epub 2006 May 30.
Poststroke depression (PSD) leads to impaired functional recovery and increased mortality, yet physiological mechanisms are unknown. The present study investigates the roles of glucocorticoids and interleukin-1 (IL-1) in poststroke anhedonia.
Adult male mice underwent middle cerebral artery occlusion (MCAO), and were recovered 7 days. Mice were treated with metyrapone (100 mg/kg intraperitoneally), mifepristone (50 mg/kg subcutaneously), or vehicle injections on reperfusion days 4-7. A separate cohort of mice was implanted with cannulae and was administered IL-1 receptor antagonist (IL-1ra) or vehicle (6 microg intracerebroventricularly) on reperfusion days 6 and 7. After the final injection or infusion, sucrose consumption was recorded for 6 hours.
Mice in the sham-treated group consumed significantly more sucrose solution than water, whereas MCAO-treated mice consumed similar amounts of each, suggesting anhedonia among MCAO-treated mice. A separate experiment assessed whether stroke-induced increases in corticosteroids or IL-1 contribute to anhedonia. Only IL-1ra restored sucrose consumption in MCAO-treated mice. Vehicle-MCAO-treated mice drank significantly less sucrose solution than did both IL-1ra and vehicle-sham treatment groups, whereas IL-1ra-MCAO-treated mice drank similar amounts to both sham-treated groups.
Poststroke anhedonia, a symptom of depression in human beings, can be reproduced in a mouse model of stroke and appears to involve altered IL-1 transmission in the brain.
中风后抑郁(PSD)会导致功能恢复受损和死亡率增加,但其生理机制尚不清楚。本研究调查了糖皮质激素和白细胞介素-1(IL-1)在中风后快感缺失中的作用。
成年雄性小鼠接受大脑中动脉闭塞(MCAO)手术,并在7天后恢复。在再灌注第4至7天,小鼠分别接受甲吡酮(100mg/kg腹腔注射)、米非司酮(50mg/kg皮下注射)或溶剂注射。另一组小鼠植入套管,并在再灌注第6和7天给予IL-1受体拮抗剂(IL-1ra)或溶剂(6μg脑室内注射)。在最后一次注射或输注后,记录6小时内的蔗糖消耗量。
假手术组小鼠消耗的蔗糖溶液明显多于水,而MCAO手术组小鼠消耗的两者量相似,表明MCAO手术组小鼠存在快感缺失。另一项实验评估了中风诱导的皮质类固醇或IL-1增加是否导致快感缺失。只有IL-1ra恢复了MCAO手术组小鼠的蔗糖消耗。溶剂-MCAO手术组小鼠饮用的蔗糖溶液明显少于IL-1ra组和假手术组,而IL-1ra-MCAO手术组小鼠的饮用量与假手术组相似。
中风后快感缺失是人类抑郁症的一种症状,可在中风小鼠模型中重现,且似乎与大脑中IL-1传递的改变有关。