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分子对慢性抗抑郁治疗的适应:与 SNRI 文拉法辛相比,新型 α₂-肾上腺素能拮抗剂/5-HT-去甲肾上腺素再摄取抑制剂(SNRI)S35966 具有更快的反应证据。

Molecular adaptation to chronic antidepressant treatment: evidence for a more rapid response to the novel α₂-adrenoceptor antagonist/5-HT-noradrenaline reuptake inhibitor (SNRI), S35966, compared to the SNRI, venlafaxine.

机构信息

University Department of Pharmacology, Oxford, UK.

出版信息

Int J Neuropsychopharmacol. 2012 Jun;15(5):617-29. doi: 10.1017/S1461145711000733. Epub 2011 May 17.

DOI:10.1017/S1461145711000733
PMID:21733241
Abstract

Evidence of early changes in neural plasticity may aid the prediction of rapid-onset antidepressant drugs. Here we compared the dual α₂-adrenoceptor antagonist/5-HT-noradrenaline reuptake inhibitor (SNRI), S35966, to the SNRI, venlafaxine, with regards to their effect on rat brain expression of a panel of neural plasticity-related genes: Arc, BDNF, and VGLUT1, as well as Homer1a and Shank1B (not studied previously). Abundance of mRNA was determined by in-situ hybridization in cortical and hippocampal regions 2 h and 16 h following drug administration for 14, 7 and 1 d. After 14 d, both S35966 and venlafaxine increased mRNA of all genes, including Homer1a and Shank1B, and effects were similarly time- and region-dependent. After 7 d, S35966 elevated Arc, Shank1B and BDNF mRNA, whereas venlafaxine increased Shank1B mRNA only. Finally, after 1 d (acute administration), S35966 increased Arc and Homer1a mRNA whereas venlafaxine had no effect on any gene examined. In summary, a 14-d course of treatment with S35966 or venlafaxine induced similar region- and time-dependent increases in expression of neural plasticity-related genes including Shank1B and Homer1a. Some genes responded earlier to S35966, suggesting that drugs with combined α₂-adrenoceptor antagonist/SNRI properties may elicit more rapid changes in markers of neural plasticity than a SNRI alone.

摘要

早期神经可塑性变化的证据可能有助于预测快速起效的抗抑郁药物。在这里,我们比较了双重α₂-肾上腺素能受体拮抗剂/5-羟色胺-去甲肾上腺素再摄取抑制剂(SNRI)S35966 与 SNRI 文拉法辛对大鼠大脑一系列神经可塑性相关基因表达的影响:Arc、BDNF 和 VGLUT1,以及 Homer1a 和 Shank1B(以前未研究过)。给药后 2 小时和 16 小时,通过原位杂交法测定皮质和海马区 mRNA 的丰度,给药时间为 14、7 和 1 天。14 天后,S35966 和文拉法辛均增加了所有基因的 mRNA,包括 Homer1a 和 Shank1B,且作用同样具有时间和区域依赖性。7 天后,S35966 升高了 Arc、Shank1B 和 BDNF mRNA,而文拉法辛仅升高了 Shank1B mRNA。最后,1 天后(急性给药),S35966 升高了 Arc 和 Homer1a mRNA,而文拉法辛对所有检测基因均无影响。总之,S35966 或文拉法辛治疗 14 天会引起包括 Shank1B 和 Homer1a 在内的神经可塑性相关基因的相似区域和时间依赖性增加。一些基因对 S35966 的反应更早,这表明具有联合α₂-肾上腺素能受体拮抗剂/SNRI 特性的药物可能比单独使用 SNRI 更快地引起神经可塑性标志物的变化。

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