Mirza N R, Nielsen E Ø, Troelsen K B
NeuroSearch A/S, 93 Pederstrupvej, Ballerup, DK-2750, Denmark.
Prog Neuropsychopharmacol Biol Psychiatry. 2007 May 9;31(4):858-66. doi: 10.1016/j.pnpbp.2007.01.020. Epub 2007 Jan 30.
Chronic treatment with the dual serotonin/noradrenaline reuptake inhibitor (SNRI) duloxetine reduces the density of serotonin transporter sites in cortex and engenders an anxiolytic-like response. To determine the reproducibility of these effects and their generality to other antidepressants we compared the effects of chronic duloxetine treatment with another SNRI, venlafaxine, and two selective serotonin reuptake inhibitors, paroxetine and fluoxetine.
Separate groups of mice were administered vehicle, fluoxetine (15 mg/kg), paroxetine, duloxetine or venlafaxine (10 mg/kg) perorally twice daily for 28 days and tested in the mouse zero-maze and in motility cages on days 21 and 22, respectively, to determine effects on anxiety and motor activity. On day 28 brains were analysed for serotonin transporter (SERT) density in cortex and noradrenaline transporter (NET) density in cortex and hippocampus.
Duloxetine and fluoxetine both reduced SERT density in cortex and induced anxiolytic-like effects. Paroxetine had an identical profile, but it is unclear if this drug down-regulated the SERT since extensive washing of cortical tissue did not remove all drug. Venlafaxine had no effect on behavioural or biochemical parameters. Only duloxetine reduced NET density in cortex, although not hippocampus.
The reduction in SERT density and anxiolytic-like effects with duloxetine, fluoxetine and, potentially, paroxetine suggest that down-regulation of the SERT may be a relevant mechanism in therapeutic response to these antidepressants.
双重血清素/去甲肾上腺素再摄取抑制剂(SNRI)度洛西汀的长期治疗可降低皮质中血清素转运体位点的密度,并产生抗焦虑样反应。为了确定这些效应的可重复性及其对其他抗抑郁药的普遍性,我们比较了度洛西汀长期治疗与另一种SNRI文拉法辛以及两种选择性血清素再摄取抑制剂帕罗西汀和氟西汀的效果。
将小鼠分成不同组,分别给予赋形剂、氟西汀(15毫克/千克)、帕罗西汀、度洛西汀或文拉法辛(10毫克/千克),每天口服两次,持续28天,并分别在第21天和第22天在小鼠零迷宫和活动笼中进行测试,以确定对焦虑和运动活动的影响。在第28天,分析大脑皮质中的血清素转运体(SERT)密度以及皮质和海马体中的去甲肾上腺素转运体(NET)密度。
度洛西汀和氟西汀均降低了皮质中的SERT密度,并诱导出抗焦虑样效应。帕罗西汀有相同的表现,但由于对皮质组织进行大量冲洗后仍未去除所有药物,因此尚不清楚该药物是否下调了SERT。文拉法辛对行为或生化参数没有影响。只有度洛西汀降低了皮质中的NET密度,尽管海马体中没有。
度洛西汀、氟西汀以及可能的帕罗西汀导致SERT密度降低和抗焦虑样效应,这表明SERT的下调可能是对这些抗抑郁药产生治疗反应的相关机制。