Department of Pathology and Pathophysiology, Key Laboratory of Neurological Diseases of Education Committee of China, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Curr Neurovasc Res. 2014 May;11(2):156-67. doi: 10.2174/1567202611666140408115111.
Repeated electroconvulsive therapy (rECT) is widely applied in the treatment of refractory depression. Among the side effects of rECT, memory impairment is noticeable and needs effective protection. In this study, by employing a recognized repeated electroconvulsive shock (rECS) rat model, we found that rECS induced the significant spatial memory retention deficits with the simultaneous decreases in long-term potential (LTP), enhanced excitable postsynaptic potentials (EPSP), population spike (PS) and input/output curve in perforant pathway-dentate gyrus (PP-DG), but had no obvious neuron loss or dentritic spine loss in the brain by Nissle or Golgi stainings. Furthermore, the increased synaptic proteins of NR2A/B, PSD93, PSD95, the immediate early gene c-Fos and CREB protein were detected in hippocampus of rECS rats. rECS was also found to cause enhanced axon reorganization in DG region of hippocampus by Timm staining. Intraperitoneal injection of phenylbutyric acid (PBA), an aromatic short chain fatty acid acting as a molecule chaperon, could prevent rats from the rECS-induced memory deficits and synaptic potential enhancement by decreasing the levels of the abnormally increased memory-associated proteins and enhanced axon reorganization in hippocampus. Our data suggested that PBA might be potentially used to attenuate the rECS-induced memory impairment.
重复电惊厥疗法(rECT)广泛应用于治疗难治性抑郁症。rECT 的副作用中,记忆力损害是明显的,需要有效的保护。在这项研究中,我们通过采用公认的重复电惊厥刺激(rECS)大鼠模型,发现 rECS 引起了明显的空间记忆保留缺陷,同时伴随着长时程增强(LTP)、兴奋性突触后电位(EPSP)、群体锋电位(PS)和穿通通路-齿状回(PP-DG)的输入/输出曲线的降低,但在大脑中通过尼氏或高尔基染色并未发现明显的神经元丢失或树突棘丢失。此外,在 rECT 大鼠的海马体中检测到突触蛋白 NR2A/B、PSD93、PSD95、即刻早期基因 c-Fos 和 CREB 蛋白的增加。Timm 染色还发现 rECT 导致海马 DG 区的轴突重组增强。苯丁酸(PBA)是一种芳香短链脂肪酸,作为分子伴侣,腹腔内注射 PBA 可以通过降低异常增加的与记忆相关蛋白的水平和增强的海马体中的轴突重组,防止大鼠出现 rECT 引起的记忆缺陷和突触电位增强。我们的数据表明,PBA 可能被潜在地用于减轻 rECT 引起的记忆损伤。