Laboratory of Sleep and Cognitive Neurosciences, Department of Psychiatry, Boston University School of Medicine, 85 East Newton Street, M-902, Boston, MA 02118, USA.
Behav Brain Res. 2010 Jun 26;210(1):54-66. doi: 10.1016/j.bbr.2010.02.018. Epub 2010 Feb 12.
At present, eszopiclone and zolpidem are the most commonly prescribed drugs for treating insomnia. Despite the established relationship between sleep disturbance and anxiety, it remains unknown whether targeted treatment for insomnia may affect acute anxiety. Therefore, the objective of this study was to examine the effects of three different doses (1, 3, and 10mg/kg) of eszopiclone and zolpidem on the states of sleep and wakefulness, levels of anxiety-like behavior, and long-term contextual memory in footshock-induced anxious rats. The results of this study demonstrated that the administration of eszopiclone and zolpidem both were equally effective in attenuating footshock stressor-induced suppression of slow-wave sleep (SWS). The administration of eszopiclone at 1mg/kg or zolpidem at 1 and 3mg/kg doses showed a tendency for attenuating stressor-induced suppression of REM sleep. However, the REM sleep attenuating effects of these drugs disappeared when they were administered at higher doses. The administration of eszopiclone at 3 and 10mg/kg doses and zolpidem at all three doses reduced the power of electroencephalographic theta band frequencies during wakefulness. In addition, the administration of eszopiclone at 1 and 3mg/kg doses suppressed stressor-induced anxiety-like behavior. The administration of zolpidem at 1, 3, or 10mg/kg doses was not effective in attenuating stressor-induced anxiety-like behavior. Contextual memory after administration of eszopiclone at 1mg/kg dose had no effects, but was reduced significantly with increased dosage. Contextual memory after administration of zolpidem, at all three doses, was severely disrupted. The results of this study suggest that eszopiclone at a low dose could be used effectively to control anxiety and anxiety-induced insomnia.
目前,艾司佐匹克隆和唑吡坦是治疗失眠最常用的药物。尽管睡眠障碍与焦虑之间存在明确的关系,但尚不清楚针对失眠的治疗是否会影响急性焦虑。因此,本研究的目的是研究三种不同剂量(1、3 和 10mg/kg)的艾司佐匹克隆和唑吡坦对电击诱导焦虑大鼠睡眠和觉醒状态、焦虑样行为水平和长期情境记忆的影响。研究结果表明,艾司佐匹克隆和唑吡坦给药均能有效减轻电击应激引起的慢波睡眠(SWS)抑制。艾司佐匹克隆 1mg/kg 或唑吡坦 1 和 3mg/kg 剂量给药有减轻应激诱导的 REM 睡眠抑制的趋势。然而,当这些药物给药剂量较高时,其 REM 睡眠抑制作用消失。艾司佐匹克隆 3 和 10mg/kg 剂量和唑吡坦所有三种剂量给药均可降低觉醒时脑电图θ频段频率的功率。此外,艾司佐匹克隆 1 和 3mg/kg 剂量给药可抑制应激诱导的焦虑样行为。唑吡坦 1、3 或 10mg/kg 剂量给药不能有效减轻应激诱导的焦虑样行为。艾司佐匹克隆 1mg/kg 剂量给药后的情境记忆没有影响,但剂量增加时显著降低。唑吡坦所有三种剂量给药后的情境记忆严重受损。本研究结果表明,低剂量的艾司佐匹克隆可有效用于控制焦虑和焦虑引起的失眠。