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药理学阻断 GluN2B 包含的 NMDA 受体可在围生期和成年啮齿动物脑中诱导出抗抑郁样作用,而无致幻作用和神经毒性。

Pharmacological blockade of GluN2B-containing NMDA receptors induces antidepressant-like effects lacking psychotomimetic action and neurotoxicity in the perinatal and adult rodent brain.

机构信息

RG Animal Models in Psychiatry, Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Germany.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2013 Aug 1;45:28-33. doi: 10.1016/j.pnpbp.2013.04.017. Epub 2013 Apr 30.


DOI:10.1016/j.pnpbp.2013.04.017
PMID:23643674
Abstract

NMDA receptor (NMDAR) antagonists like ketamine and MK-801 possess remarkable antidepressant effects with fast onset. However, they over-stimulate the retrosplenial cortex, evoking psychosis-like effects and neuronal injury, revealed by de novo induction of the heat shock protein 70 (Hsp70). Moreover, early in the development MK-801 triggers widespread cortical apoptosis, inducing extensive caspase-3 expression. Altogether these data raise strong concerns on the clinical applicability of NMDAR antagonist therapies. Therefore, the development of novel therapeutics targeting more specifically NMDAR to avoid psychotomimetic effects is necessary. Here we investigated a GluN2B (NR2B) antagonist in behavioral and neurotoxicity paradigms in rats to assess its potential as possible alternative to unspecific NMDA receptor antagonists. We found that treatment with the GluN2B specific antagonist Ro 25-6981 evoked robust antidepressant-like effects. Moreover, Ro 25-6981 did not cause hyperactivity as displayed after treatment with unspecific NMDAR antagonists, a correlate of psychosis-like effects in rodents. Additionally, Ro 25-6981, unlike MK-801, did not induce caspase-3 and HSP70 expression, markers of neurotoxicity in the perinatal and adult brain, respectively. Moreover, unexpectedly, in the adult retrosplenial cortex Ro 25-6981 pretreatment significantly reduced MK-801-triggered neurotoxicity. Our results suggest that GluN2B antagonists may represent valuable alternatives to unspecific NMDAR antagonists with robust antidepressant efficacy and a more favorable side-effect profile.

摘要

N-甲基-D-天冬氨酸受体(NMDAR)拮抗剂,如氯胺酮和 MK-801,具有快速起效的显著抗抑郁作用。然而,它们过度刺激后扣带皮层,引发类似精神病的效应和神经元损伤,这是由热休克蛋白 70(Hsp70)的新诱导引起的。此外,MK-801 在早期发展过程中引发广泛的皮质细胞凋亡,诱导广泛的 caspase-3 表达。所有这些数据都对 NMDAR 拮抗剂治疗的临床适用性提出了强烈的担忧。因此,开发针对 NMDAR 的新型治疗方法,以更特异性地靶向 NMDAR,避免产生致幻作用是必要的。在这里,我们在大鼠的行为和神经毒性模型中研究了一种 GluN2B(NR2B)拮抗剂,以评估其作为非特异性 NMDA 受体拮抗剂的潜在替代品。我们发现,用 GluN2B 特异性拮抗剂 Ro 25-6981 治疗会引起强烈的抗抑郁样作用。此外,Ro 25-6981 不会像非特异性 NMDAR 拮抗剂治疗后那样引起过度活跃,这是啮齿动物类似精神病效应的一个表现。此外,Ro 25-6981 与 MK-801 不同,不会诱导 caspase-3 和 HSP70 的表达,这分别是围产期和成年大脑神经毒性的标志物。此外,出乎意料的是,在成年后扣带皮层中,Ro 25-6981 的预处理显著降低了 MK-801 引发的神经毒性。我们的结果表明,GluN2B 拮抗剂可能是一种有价值的非特异性 NMDAR 拮抗剂替代品,具有强大的抗抑郁疗效和更有利的副作用谱。

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[3]
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[4]
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[5]
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[6]
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[10]
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