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代谢型谷氨酸受体2/3阻断可迅速且持久地逆转慢性应激暴露所致的快感缺失。

mGluR2/3 blockade produces rapid and long-lasting reversal of anhedonia caused by chronic stress exposure.

作者信息

Dwyer Jason M, Lepack Ashley E, Duman Ronald S

机构信息

Laboratory of Molecular Psychiatry, Center for Genes and Behavior, Departments of Psychiatry and Neurobiology, Yale University School of Medicine, 34 Park Street, Room S308, New Haven, CT 06508 USA.

出版信息

J Mol Psychiatry. 2013 Sep 17;1(1):15. doi: 10.1186/2049-9256-1-15. eCollection 2013.

Abstract

BACKGROUND

Depression is a prevalent neuropsychiatric disorder that affects an estimated 350 million people worldwide. Currently available treatments for depression are lacking in both speed of onset and efficacy. Recent pharmacological efforts have targeted the glutamatergic neurotransmitter system using the N-methyl-D-aspartate (NMDA) receptor antagonist ketamine to produce rapid and robust antidepressant effects, however the widespread clinical use of ketamine is limited due to side effects and abuse liability. More recently, work evaluating metabotropic mGluR2/3 receptor antagonists has demonstrated many similarities with ketamine.

METHODS

Male, Sprague-Dawley rats were exposed to a chronic unpredictable stress paradigm, which produces decreased sucrose preference, a measure of anhedonia. Rats were then treated with vehicle or a single injection of the mGluR2/3 antagonist LY341495 (3 mg/kg, i.p.) and tested at 24 hrs, 48 hrs or 10 days after a single treatment.

RESULTS

We demonstrate that a single treatment with LY341495 produces a rapid (within 1-2 days) and long-lasting (10 days) reversal of anhedonia caused by chronic unpredictable stress in rats. This model provides a rigorous test of rapid-acting agents as typical antidepressants require several weeks of treatment to produce a response.

CONCLUSIONS

These data suggest that LY341495 has the ability to produce rapid and robust antidepressant effects similar to ketamine. Together, the results highlight the potential for similar compounds to produce rapid and lasting efficacy for the treatment of depression.

摘要

背景

抑郁症是一种常见的神经精神疾病,全球约有3.5亿人受其影响。目前可用的抑郁症治疗方法在起效速度和疗效方面均存在不足。最近的药理学研究致力于通过使用N-甲基-D-天冬氨酸(NMDA)受体拮抗剂氯胺酮来靶向谷氨酸能神经递质系统,以产生快速且显著的抗抑郁效果,然而,由于副作用和滥用倾向,氯胺酮在临床上的广泛应用受到限制。最近,对代谢型mGluR2/3受体拮抗剂的研究表明,其与氯胺酮有许多相似之处。

方法

将雄性Sprague-Dawley大鼠暴露于慢性不可预测应激范式下,该范式会导致蔗糖偏好降低,这是一种衡量快感缺失的指标。然后,给大鼠注射溶剂或单次注射mGluR2/3拮抗剂LY341495(3mg/kg,腹腔注射),并在单次治疗后的24小时、48小时或10天进行测试。

结果

我们证明,单次注射LY341495可使大鼠因慢性不可预测应激引起的快感缺失迅速(1 - 2天内)且持久(10天)地得到逆转。该模型为快速起效药物提供了严格的测试,因为典型的抗抑郁药需要数周治疗才能产生反应。

结论

这些数据表明,LY341495具有产生与氯胺酮相似的快速且显著抗抑郁效果的能力。总之,这些结果突出了类似化合物在治疗抑郁症方面产生快速持久疗效的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bb5/4224009/1d96496816c0/40303_2013_15_Fig1_HTML.jpg

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