Department of Drug Design and Pharmacology, University of Copenhagen, Universitetsparken 2, DK-2100, Denmark.
Neurosci Lett. 2013 Jun 24;546:6-10. doi: 10.1016/j.neulet.2013.04.045. Epub 2013 May 2.
Monoamine-based antidepressant drugs increase α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor (AMPAR) function and decrease N-methyl-d-aspartate receptor (NMDAR) function. The NMDAR antagonist ketamine shows potent antidepressant action in humans and the antidepressant-like effects of ketamine and monoamine-based antidepressants in rodents depend on increased AMPAR throughput. Further, the antidepressant-like effects of monoamine-based antidepressants are enhanced by AMPAR potentiation and by NMDAR antagonism. This has led to a hypothesis that antidepressant efficacy involves an increases ratio of AMPAR-to-NMDAR-mediated neurotransmission. To further elucidate the interaction of AMPAR, NMDAR and monoamine transmission we tested combinations of the AMPAR positive allosteric modulator (AMPA potentiator), (R,R)-N,N-(2,20-[biphenyl-4-40-diyl]bis[propane-2,1-diyl])dimethanesulfonamide (PIMSD), with: the uncompetitive NMDAR antagonist MK-801; nicotine, which has potent glutamate-releasing properties; and the selective serotonin reuptake inhibitor escitalopram using the mouse forced swim (mFST) and tail suspension tests (mTST). MK-801, nicotine or escitalopram did not induce antidepressant-like effects in either of the two tests. PIMSD enhanced the effect of MK-801 in the mFST, supporting the hypothesis that increasing AMPAR-to-NMDAR-mediated neurotransmission conveys antidepressant action. Nicotine-induced glutamate release simultaneously activates NMDARs and AMPARs and showed no net effect in the mFST when given alone. However, increasing the ratio of AMPAR-to-NMDA-R transmission by favouring AMPAR throughput with PIMSD revealed an antidepressant-like action of nicotine in the mFST. PIMSD also enhanced the effect of escitalopram treatment in the mFST and mTST, supporting existing evidence and suggesting a synergistic effect of simultaneously facilitating monoamine transmission and increasing the ratio of AMPAR-to-NMDAR throughput. No synergistic effects of the PIMSD+MK-801 or PIMSD+nicotine were found in the mTST, indicating a differential sensitivity of mFST and mTST when investigating glutamate-based antidepressant mechanisms. This study corroborates existing evidence that there may be an unexploited therapeutic potential in treating depression by directly increasing the ratio of AMPAR-to-NMDAR neurotransmission, possibly in combination with monoamine-based mechanisms.
基于单胺的抗抑郁药增加α-氨基-3-羟基-5-甲基-4-异恶唑丙酸受体(AMPAR)的功能,降低 N-甲基-D-天冬氨酸受体(NMDAR)的功能。NMDAR 拮抗剂氯胺酮在人类中具有很强的抗抑郁作用,氯胺酮和基于单胺的抗抑郁药在啮齿动物中的抗抑郁样作用依赖于 AMPAR 通透性的增加。此外,基于单胺的抗抑郁药的抗抑郁样作用通过 AMPAR 增强和 NMDAR 拮抗作用增强。这导致了一个假设,即抗抑郁疗效涉及 AMPAR 与 NMDAR 介导的神经传递的增加比值。为了进一步阐明 AMPAR、NMDAR 和单胺传递之间的相互作用,我们测试了 AMPAR 正变构调节剂(AMPA 增强剂)(R,R)-N,N-(2,20-[联苯-4-40-二基]双[丙烷-2,1-二基])二甲烷磺酰胺(PIMSD)与以下物质的组合:非竞争性 NMDAR 拮抗剂 MK-801;尼古丁,具有很强的谷氨酸释放特性;以及使用小鼠强迫游泳(mFST)和尾巴悬挂试验(mTST)的选择性 5-羟色胺再摄取抑制剂 escitalopram。MK-801、尼古丁或 escitalopram 在这两种试验中均未诱导出抗抑郁样作用。PIMSD 增强了 MK-801 在 mFST 中的作用,支持了增加 AMPAR 与 NMDAR 介导的神经传递传递抗抑郁作用的假设。尼古丁诱导的谷氨酸释放同时激活 NMDAR 和 AMPAR,单独给予时在 mFST 中没有净效应。然而,通过 PIMSD 促进 AMPAR 通透性来增加 AMPAR 与 NMDA-R 传递的比值,揭示了尼古丁在 mFST 中的抗抑郁样作用。PIMSD 还增强了 escitalopram 在 mFST 和 mTST 中的作用,支持现有的证据,并表明同时促进单胺传递和增加 AMPAR 与 NMDAR 通透性比值具有协同作用。在 mTST 中未发现 PIMSD+MK-801 或 PIMSD+尼古丁的协同作用,表明在研究基于谷氨酸的抗抑郁机制时,mFST 和 mTST 的敏感性存在差异。这项研究证实了现有的证据,即通过直接增加 AMPAR 与 NMDAR 神经传递的比值,可能与基于单胺的机制相结合,治疗抑郁症可能具有未被开发的治疗潜力。
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