Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9070, USA.
Appetite. 2013 May;64:81-8. doi: 10.1016/j.appet.2012.12.023. Epub 2013 Jan 11.
Both chronic stress and antidepressant medications have been associated with changes in body weight. In the current study, we investigate mechanisms by which stress and antidepressants interact to affect meal patterns. A group of mice was subjected to the chronic social defeat stress model of major depression followed by fluoxetine treatment and was subsequently analyzed for food intake using metabolic cages. We report that chronic social defeat stress increases food intake by specifically increasing meal size, an effect that is reversed by fluoxetine treatment. In an attempt to gain mechanistic insight into changes in meal patterning induced by stress and fluoxetine, fasting serum samples were collected every 4h over a 24-h period, and acyl-ghrelin, leptin, and corticosterone levels were measured. Chronic stress induces a peak in acyl-ghrelin levels just prior to the onset of the dark phase, which is shifted in mice treated with fluoxetine. Taken together, these results indicate that stress increases food intake by decreasing satiation, and that fluoxetine can reverse stress-induced changes in meal patterns.
慢性应激和抗抑郁药物都与体重变化有关。在本研究中,我们研究了应激和抗抑郁药物相互作用影响进食模式的机制。一组小鼠接受了慢性社交挫败应激模型的重度抑郁症,然后接受了氟西汀治疗,并随后使用代谢笼分析了它们的食物摄入量。我们报告说,慢性社交挫败应激通过特异性增加进食量来增加食物摄入量,氟西汀治疗可逆转这种作用。为了深入了解应激和氟西汀引起的进食模式变化的机制,我们每隔 4 小时收集禁食血清样本,持续 24 小时,并测量酰基-ghrelin、瘦素和皮质酮水平。慢性应激会导致酰基-ghrelin 水平在进入暗期前达到峰值,而在接受氟西汀治疗的小鼠中,这种峰值会发生转移。总之,这些结果表明,应激通过降低饱腹感来增加食物摄入量,而氟西汀可以逆转应激引起的进食模式变化。