Bock Nathalie, Koc Emre, Alter Hannah, Roessner Veit, Becker Andreas, Rothenberger Aribert, Manzke Till
1 Department of Child and Adolescent Psychiatry, Georg-August-University of Göttingen , Göttingen, Germany .
J Child Adolesc Psychopharmacol. 2013 Sep;23(7):481-9. doi: 10.1089/cap.2011.0065. Epub 2013 Sep 11.
Fluoxetine, a selective serotonin reuptake inhibitor, is approved for treatment of childhood depression. In rats, fluoxetine influences neuronal development, but it is unclear whether it also influences glia development. S100B is a glia-derived calcium-binding protein, which may influence the development of serotonergic fibers and, vice versa, serotonin may influence the expression of S100B.
The purpose of this study was to investigate whether fluoxetine treatment influences the expression of S100B during postnatal development, and whether potential changes are regionally dependent upon the time frame of drug administration.
S100B gene expression and S100B protein expression in three different brain regions (frontal cortex, hippocampus, and striatum) were studied by real-time polymerase chain reaction (PCR) and immunohistochemistry, respectively. First, a short-term effect, 24 hours after a 14 day fluoxetine treatment (5 mg/kg/bw s.c.) of rats either from postnatal day (PD) 1 to 15, 21 to 35, or 50 to 64, was investigated. Then, the same treatment was used to analyze S100B gene and protein levels at PD 90 (long-term effect).
At PD 90, a significant increase of gene and protein expression was observed in all regions if rats were treated during PDs 21-35, whereas treatment during other periods had no long-term effects. A short-term effect 24 hours after fluoxetine treatment was found for almost all development stages and regions, demonstrated by a significant increase of S100B.
These results support recent research indicating a highly drug-sensitive period (i.e., periadolescence) of rat brain development. Therefore, further clinical studies should be performed to clarify whether such a sensitive period also exists in children.
氟西汀是一种选择性5-羟色胺再摄取抑制剂,已被批准用于治疗儿童抑郁症。在大鼠中,氟西汀会影响神经元发育,但尚不清楚它是否也会影响神经胶质细胞发育。S100B是一种神经胶质细胞衍生的钙结合蛋白,它可能会影响5-羟色胺能纤维的发育,反之,5-羟色胺可能会影响S100B的表达。
本研究旨在调查氟西汀治疗是否会在出生后发育过程中影响S100B的表达,以及潜在的变化是否在区域上依赖于药物给药的时间框架。
分别通过实时聚合酶链反应(PCR)和免疫组织化学研究了三个不同脑区(额叶皮质、海马体和纹状体)中S100B基因表达和S100B蛋白表达。首先,研究了对出生后第(PD)1至15天、21至35天或50至64天的大鼠进行14天氟西汀治疗(5mg/kg/体重,皮下注射)后24小时的短期效应。然后,使用相同的治疗方法分析PD 90时的S100B基因和蛋白水平(长期效应)。
在PD 90时,如果大鼠在PD 21 - 35期间接受治疗,所有区域的基因和蛋白表达均显著增加,而在其他时期进行治疗则没有长期影响。在几乎所有发育阶段和区域都发现了氟西汀治疗后24小时的短期效应,表现为S100B显著增加。
这些结果支持了最近的研究,表明大鼠脑发育存在一个高度药物敏感期(即青春期前后)。因此,应进行进一步的临床研究,以阐明儿童是否也存在这样的敏感期。