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去甲肾上腺素能蓝斑核中抗抑郁药与促肾上腺皮质激素释放因子的相互作用。

Antidepressant interactions with corticotropin-releasing factor in the noradrenergic nucleus locus coeruleus.

作者信息

Valentino R J, Curtis A L

机构信息

Department of Mental Health Sciences, Hahnemann University, Philadelphia, PA 19102.

出版信息

Psychopharmacol Bull. 1991;27(3):263-9.

PMID:1775596
Abstract

Corticotropin-releasing factor (CRF) has been implicated as a neurotransmitter in the noradrenergic nucleus, locus coeruleus (LC), and is thought to be hypersecreted in depression. Therefore, the hypothesis that antidepressants interfere with CRF neurotransmission in the LC was tested. The acute and chronic effects of desmethylimipramine (DMI), sertraline (SER), phenelzine (PHE), mianserin (MIA), and cocaine (COC) were quantified on LC spontaneous discharge, LC sensory-evoked discharge, LC activation by intracerebroventricular (i.c.v.)-administered CRF, and LC activation by stress in halothane-anesthetized rats. No consistent effect of the drugs on LC spontaneous discharge rate or sensory responsiveness was observed after acute administration. LC spontaneous discharge rates in rats chronically administered the drugs were similar to rates recorded in matched controls, with the exception of PHE and COC. In these rats, LC spontaneous discharge rates were lower than those of untreated rats. Interestingly, LC responses to repeated sciatic nerve stimulation (as measured by the ratio of evoked-to-tonic LC discharge rate) were enhanced in rats chronically administered SER and PHE. This is opposite to the reported effects of i.c.v.-administered CRF. This was not observed with chronic administration of DMI, MIA, or COC. The most striking effect associated with chronic administration of DMI and MIA was the attenuation of LC activation by hemodynamic stress. Because this activation requires CRF release in the LC region, and because none of the antidepressants altered LC activation by i.c.v.-administered CRF, the data suggest that chronic administration of either antidepressant, DMI or MIA, results in attenuation of stress-elicited CRF release in the LC.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

促肾上腺皮质激素释放因子(CRF)被认为是去甲肾上腺素能核团蓝斑(LC)中的一种神经递质,且被认为在抑郁症中分泌过多。因此,研究人员对“抗抑郁药会干扰LC中的CRF神经传递”这一假说进行了验证。研究人员对去甲丙咪嗪(DMI)、舍曲林(SER)、苯乙肼(PHE)、米安色林(MIA)和可卡因(COC)对氟烷麻醉大鼠的LC自发放电、LC感觉诱发放电、脑室内(i.c.v.)注射CRF引起的LC激活以及应激引起的LC激活的急性和慢性影响进行了量化。急性给药后,未观察到这些药物对LC自发放电率或感觉反应性有一致的影响。长期给药的大鼠中,除PHE和COC外,LC自发放电率与匹配对照组记录的速率相似。在这些大鼠中,LC自发放电率低于未治疗的大鼠。有趣的是,长期给予SER和PHE的大鼠对重复坐骨神经刺激的LC反应(通过诱发放电率与紧张性LC放电率的比值测量)增强。这与脑室内注射CRF的报道效果相反。长期给予DMI、MIA或COC未观察到这种情况。与长期给予DMI和MIA相关的最显著影响是血流动力学应激引起的LC激活减弱。由于这种激活需要LC区域释放CRF,且由于没有一种抗抑郁药改变脑室内注射CRF引起的LC激活,数据表明长期给予抗抑郁药DMI或MIA会导致应激引起的LC中CRF释放减弱。(摘要截断于250字)

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