Zhang Qingsheng, He Meng, Deng Chao, Wang Hongqin, Huang Xu-Feng
Centre for Translational Neuroscience, University of Wollongong, Wollongong, NSW, Australia Illawarra Health and Medical Research Institute, Wollongong, NSW, NSW, Australia.
Centre for Translational Neuroscience, University of Wollongong, Wollongong, NSW, Australia Schizophrenia Research Institute, Darlinghurst, NSW, Australia.
J Psychopharmacol. 2014 Dec;28(12):1161-9. doi: 10.1177/0269881114555250. Epub 2014 Oct 21.
The metabolic side-effects of olanzapine have undermined drug compliance and increased concern for this otherwise-effective treatment for schizophrenia. As obesity and type 2 diabetes are associated with low-grade inflammation, and olanzapine-induced weight gain has three typical stages, the current study investigated the inflammatory effects of olanzapine in three treatment stages. Female Sprague-Dawley rats were treated orally with olanzapine (1 mg/kg three times daily) or vehicle for one week, two weeks, and five weeks. Olanzapine significantly increased body weight and white visceral fat deposition in all three treatment stages compared to control. Olanzapine enhanced average adipocyte size and level of macrophage infiltration in white adipose tissue (WAT) compared to control, with levels of macrophage infiltration increased over time. There was a high correlation between adipocyte size and macrophage infiltration rate. Olanzapine also caused increased macrophage infiltration in brown adipose tissue (BAT), but not liver. Additionally, pro-inflammatory cytokines tumor necrosis factor α (TNFα), interleukin (IL)-1β, and IL-6 were upregulated by olanzapine in the hypothalamus, WAT, and BAT compared to control, but not the liver. Finally, plasma triglycerides were elevated by olanzapine compared to control, but not total cholesterol, high density lipoprotein (HDL) or low density lipoprotein (LDL). These findings indicate that olanzapine-induced inflammation and adiposity are closely related, and that peripheral low-grade inflammation develops during olanzapine treatment.
奥氮平的代谢副作用影响了药物依从性,也增加了人们对这种原本有效的精神分裂症治疗药物的担忧。由于肥胖和2型糖尿病与低度炎症相关,且奥氮平引起的体重增加有三个典型阶段,本研究调查了奥氮平在三个治疗阶段的炎症效应。对雌性斯普拉格-道利大鼠口服奥氮平(1毫克/千克,每日三次)或赋形剂,持续1周、2周和5周。与对照组相比,奥氮平在所有三个治疗阶段均显著增加体重和内脏白色脂肪沉积。与对照组相比,奥氮平增大了白色脂肪组织(WAT)中平均脂肪细胞大小和巨噬细胞浸润水平,且巨噬细胞浸润水平随时间增加。脂肪细胞大小与巨噬细胞浸润率之间存在高度相关性。奥氮平还导致棕色脂肪组织(BAT)中巨噬细胞浸润增加,但肝脏中未出现这种情况。此外,与对照组相比,奥氮平使下丘脑、WAT和BAT中的促炎细胞因子肿瘤坏死因子α(TNFα)、白细胞介素(IL)-1β和IL-6上调,但肝脏中未上调。最后,与对照组相比,奥氮平使血浆甘油三酯升高,但总胆固醇、高密度脂蛋白(HDL)或低密度脂蛋白(LDL)未升高。这些发现表明,奥氮平诱导的炎症和肥胖密切相关,且在奥氮平治疗期间会出现外周低度炎症。