Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Biol Psychiatry. 2012 Jun 1;71(11):996-1005. doi: 10.1016/j.biopsych.2011.09.030. Epub 2011 Oct 29.
Knock-in mice with the common human brain-derived neurotrophic factor (BDNF) Val66Met polymorphism have impaired trafficking of BDNF messenger RNA to dendrites. It was hypothesized, given evidence that local synapse formation is dependent on dendritic translation of BDNF messenger RNA, that loss-of-function Met allele mice would show synaptic deficits both at baseline and in response to ketamine, an N-methyl-D-aspartate antagonist that stimulates synaptogenesis in prefrontal cortex (PFC).
Whole-cell recordings from layer V medial PFC pyramidal cells in brain slices were combined with two-photon laser scanning for analysis of wildtype, Val/Met, and Met/Met mice both at baseline and in response to a low dose of ketamine.
Val/Met and Met/Met mice were found to have constitutive atrophy of distal apical dendrites and decrements in apically targeted excitatory postsynaptic currents in layer V pyramidal cells of PFC. In addition, spine density and diameter were decreased, indicative of impaired synaptic formation/maturation (synaptogenesis). In Met/Met mice the synaptogenic effect of ketamine was markedly impaired, consistent with the idea that synaptogenesis is dependent on dendritic translation/release of BDNF. In parallel behavioral studies, we found that the antidepressant response to ketamine in the forced swim test was blocked in Met/Met mice.
The results demonstrate that expression of the BDNF Met allele in mice results in basal synaptic deficits and blocks synaptogenic and antidepressant actions of ketamine in PFC, suggesting that the therapeutic response to this drug might be attenuated or blocked in depressed patients who carry the loss of function Met allele.
具有常见人脑源性神经营养因子(BDNF)Val66Met 多态性的基因敲入小鼠,其 BDNF 信使 RNA 向树突的转运受损。有证据表明,局部突触形成依赖于 BDNF 信使 RNA 在树突中的翻译,因此假设,失活功能的 Met 等位基因小鼠在基础状态和在氯胺酮(一种 N-甲基-D-天冬氨酸拮抗剂,可刺激前额叶皮质(PFC)中的突触发生)的刺激下,都会显示突触缺陷。
对脑片中层 V 内侧 PFC 锥体神经元进行全细胞膜片钳记录,并结合双光子激光扫描,对野生型、Val/Met 和 Met/Met 小鼠进行分析,同时检测基础状态和低剂量氯胺酮刺激后的情况。
发现 Val/Met 和 Met/Met 小鼠存在远端顶树突的固有萎缩和 PFC 层 V 锥体细胞中树突靶向兴奋性突触后电流的减少。此外,还发现树突棘密度和直径减小,表明突触形成/成熟(突触发生)受损。在 Met/Met 小鼠中,氯胺酮的促突触发生作用明显受损,这与突触发生依赖于 BDNF 的树突翻译/释放的观点一致。在平行的行为研究中,我们发现在强迫游泳试验中,氯胺酮的抗抑郁反应在 Met/Met 小鼠中被阻断。
这些结果表明,BDNF Met 等位基因在小鼠中的表达导致基础突触缺陷,并阻断氯胺酮在 PFC 中的促突触发生和抗抑郁作用,提示携带失活功能 Met 等位基因的抑郁患者对这种药物的治疗反应可能减弱或被阻断。