Laboratory of Molecular Pathophysiology, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.
Int J Neuropsychopharmacol. 2012 Sep;15(8):1135-48. doi: 10.1017/S1461145711001386. Epub 2011 Sep 12.
Research suggests that dysfunctional glutamatergic signalling may contribute to depression, a debilitating mood disorder affecting millions of individuals worldwide. Ketamine, a N-methyl-D-aspartate (NMDA) receptor antagonist, exerts rapid antidepressant effects in approximately 70% of patients. Glutamate evokes the release of D-serine from astrocytes and neurons, which then acts as a co-agonist and binds at the glycine site on the NR1 subunit of NMDA receptors. Several studies have implicated glial deficits as one of the underlying facets of the neurobiology of depression. The present study tested the hypothesis that D-serine modulates behaviours related to depression. The behavioural effects of a single, acute D-serine administration were examined in several rodent tests of antidepressant-like effects, including the forced swim test (FST), the female urine sniffing test (FUST) following serotonin depletion, and the learned helplessness (LH) paradigm. D-serine significantly reduced immobility in the FST without affecting general motor function. Both D-serine and ketamine significantly rescued sexual reward-seeking deficits caused by serotonin depletion in the FUST. Finally, D-serine reversed LH behaviour, as measured by escape latency, number of escapes, and percentage of mice developing LH. Mice lacking NR1 expression in forebrain excitatory neurons exhibited a depression-like phenotype in the same behavioural tests, and did not respond to D-serine treatment. These findings suggest that D-serine produces antidepressant-like effects and support the notion of complex glutamatergic dysfunction in depression. It is unclear whether D-serine has a convergent influence on downstream synaptic plasticity cascades that may yield a similar therapeutic profile to NMDA antagonists like ketamine.
研究表明,谷氨酸能信号功能障碍可能与抑郁症有关,这是一种影响全球数百万人的衰弱性情绪障碍。氯胺酮是一种 N-甲基-D-天冬氨酸(NMDA)受体拮抗剂,可使约 70%的患者迅速产生抗抑郁作用。谷氨酸会引起星形胶质细胞和神经元释放 D-丝氨酸,然后 D-丝氨酸作为共激动剂与 NMDA 受体 NR1 亚基上的甘氨酸结合位点结合。几项研究表明,神经胶质细胞缺陷是抑郁症神经生物学的基础之一。本研究检验了 D-丝氨酸是否调节与抑郁相关的行为的假设。在几种抗抑郁样作用的啮齿动物试验中,包括强迫游泳试验(FST)、5-羟色胺耗竭后的雌性尿液嗅探试验(FUST)和习得性无助(LH)范式,测试了单次急性 D-丝氨酸给药的行为效应。D-丝氨酸可显著减少 FST 中的不动性,而不影响一般运动功能。D-丝氨酸和氯胺酮均显著挽救了 5-羟色胺耗竭引起的 FUST 中性奖励寻求缺陷。最后,D-丝氨酸逆转了 LH 行为,表现为逃避潜伏期、逃脱次数和发展为 LH 的小鼠百分比。在同样的行为测试中,大脑前兴奋性神经元中缺乏 NR1 表达的小鼠表现出抑郁样表型,且对 D-丝氨酸治疗无反应。这些发现表明,D-丝氨酸具有抗抑郁样作用,并支持谷氨酸能功能障碍与抑郁症复杂相关的观点。目前尚不清楚 D-丝氨酸是否对下游突触可塑性级联有协同影响,从而产生与 NMDA 拮抗剂(如氯胺酮)相似的治疗谱。