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在患有重度抑郁症的患者的背外侧前额叶皮层中,激活了一种 ΔFOSB 依赖性的基因表达模式。

Activation of a ΔFOSB dependent gene expression pattern in the dorsolateral prefrontal cortex of patients with major depressive disorder.

机构信息

Department of Genetics, University Hospital, PTB, 2 rue Angélique Ducoudray, BP 37013, 21070 Dijon, France.

出版信息

J Affect Disord. 2011 Sep;133(1-2):174-8. doi: 10.1016/j.jad.2011.04.021. Epub 2011 May 25.

Abstract

BACKGROUND

A ΔFOSB mediated transcriptional response in the nucleus accumbens (NAc) is induced by chronic social stress in rodent and a 50% down-regulation of ΔFOSB has been also reported in the NAc of eight depressed subjects. To evaluate the role of ΔFOSB in the prefrontal cortex which is critically involved in negative cognitive bias associated with major depressive disorder (MDD) we have quantified the mRNA levels of ΔFOSB and of five of its major target genes in the Brodmann area 46 from 24 patients with MDD (11 with psychotic symptoms) and 12 controls.

METHOD

Expression of the six genes has been quantified by a real-time quantitative PCR method: ΔFOSB, GRIA2 (encoding the GluR2 subunit of the AMPA receptor), SPARCL1 (encoding hevin), SG3 (encoding the secretogranin III), PCP4 (encoding the Purkinje cell protein 4), ATP6V0C (encoding a subunit of the lysosomal ATPase).

RESULTS

Expression of ΔFOSB and GRIA2 was significantly up-regulated (≈ 1.60) in the BA 46 of MDD patients. Overexpression of SCG3 and PCP4 was restricted to psychotic subjects. The mRNA levels of GRIA2, SCG3 and PCP4 were strongly correlated in the depressed group.

LIMITATIONS

All the patients were treated by antidepressants and the number of subjects in each subgroup was rather small.

CONCLUSIONS

Induction of a ΔFOSB mediated transcriptional pattern in the prefrontal cortex is opposite to the down-regulation observed in the NAc. The major consequence might be a shift in the excitability of the glutamatergic synapses which depends on GluR2 (high in the NAc and low in the BA 46).

摘要

背景

慢性社会应激会在啮齿动物的伏隔核(NAc)中诱导 ΔFOSB 介导的转录反应,而在八项抑郁患者的 NAc 中也报道了 ΔFOSB 的 50%下调。为了评估 ΔFOSB 在额皮质中的作用,该区域与重度抑郁症(MDD)相关的负性认知偏差密切相关,我们已经从 24 名 MDD 患者(11 名伴有精神病症状)和 12 名对照中量化了 Brodmann 区 46 中的 ΔFOSB 和其五个主要靶基因的 mRNA 水平。

方法

使用实时定量 PCR 方法定量了这六个基因的表达:ΔFOSB、GRIA2(编码 AMPA 受体 GluR2 亚基)、SPARCL1(编码 hevin)、SG3(编码分泌颗粒 III)、PCP4(编码 Purkinje 细胞蛋白 4)、ATP6V0C(编码溶酶体 ATP 酶的亚基)。

结果

MDD 患者的 BA 46 中 ΔFOSB 和 GRIA2 的表达显著上调(≈1.60)。SCG3 和 PCP4 的过表达仅限于精神病患者。在抑郁组中,GRIA2、SCG3 和 PCP4 的 mRNA 水平呈强烈相关。

局限性

所有患者均接受抗抑郁药治疗,每个亚组的受试者数量较少。

结论

前额皮质中 ΔFOSB 介导的转录模式的诱导与在 NAc 中观察到的下调相反。主要后果可能是谷氨酸能突触的兴奋性发生变化,这取决于 GluR2(在 NAc 中较高,在 BA 46 中较低)。

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