Majewski-Tiedeken Chalon R, Rabin Cara R, Siegel Steven J
Department of Psychiatry, Division of Neuropsychiatry, University of Pennsylvania, Philadelphia, PA 19104, United States.
Drug Alcohol Depend. 2008 Jan 1;92(1-3):217-27. doi: 10.1016/j.drugalcdep.2007.08.009. Epub 2007 Oct 24.
Drug abuse is common among adolescents and young adults. Although the consequences of intoxication are known, sequelae of drugs emerging on campuses and in clubs nationwide are not. We previously demonstrated that ketamine exposure results in lasting physiological abnormalities in mice. However, the extent to which these deficits reflect neuropathologic changes is not known.
The current study examines neuropathologic changes following sub-anesthetic ketamine administration (5mg/kg i.p. x 5) to three inbred mouse strains. Stereologic quantification of silver stained nuclear and linear profiles as well as activated caspase-3 labeling was used to address: (1) whether or not ketamine increases excitotoxic and apoptotic cell death in hippocampal CA3 and (2) whether or not ketamine-induced cell death varies by genetic background.
Ketamine increased cell death in hippocampal CA3 of adult C3H, DBA2 and FVB mice. Neither silver staining nor activated caspase-3 labeling varied by strain, nor was there an interaction between ketamine-induced cell death and strain.
Ketamine exposure among young adults, even in limited amounts, may lead to irreversible changes in both brain function and structure. Loss of CA3 hippocampal cells may underlie persistent ERP changes previously shown in mice and possibly contribute to lasting cognitive deficits among ketamine abusers.
药物滥用在青少年和年轻人中很常见。虽然中毒的后果是已知的,但在全国各大校园和俱乐部中出现的药物后遗症却并不清楚。我们之前证明,氯胺酮暴露会导致小鼠出现持久的生理异常。然而,这些缺陷在多大程度上反映神经病理变化尚不清楚。
本研究对三种近交系小鼠进行亚麻醉剂量的氯胺酮给药(腹腔注射5mg/kg,共5次),然后检查其神经病理变化。使用银染核和线性轮廓的立体定量分析以及活化的半胱天冬酶-3标记来解决以下问题:(1)氯胺酮是否会增加海马CA3区的兴奋性毒性和凋亡性细胞死亡;(2)氯胺酮诱导的细胞死亡是否因遗传背景而异。
氯胺酮增加了成年C3H、DBA2和FVB小鼠海马CA3区的细胞死亡。银染和活化的半胱天冬酶-3标记均不因品系而异,氯胺酮诱导的细胞死亡与品系之间也没有相互作用。
年轻人接触氯胺酮,即使剂量有限,也可能导致脑功能和结构的不可逆变化。海马CA3区细胞的丧失可能是之前在小鼠中显示的持续性事件相关电位变化的基础,并可能导致氯胺酮滥用者出现持久的认知缺陷。