Luoni Alessia, Macchi Flavia, Papp Mariusz, Molteni Raffaella, Riva Marco A
Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, Milan, Italy (Drs Luoni, Macchi, Molteni, and Riva); Institute of Pharmacology, Polish Academy of Sciences, Kracow, Poland (Dr Papp).
Int J Neuropsychopharmacol. 2014 Oct 31;18(4):pyu061. doi: 10.1093/ijnp/pyu061.
Major depression is associated with several alterations, including reduced neuronal plasticity and impaired synaptic function, which represent an important target of pharmacological intervention.
In the present study, we have investigated the ability of the antipsychotic drug lurasidone to modulate behavioral and neuroplastic alterations in the chronic mild stress model of depression.
Rats that show reduced sucrose consumption after 2 weeks of chronic mild stress have reduced expression of the pool of Bdnf transcripts with the long 3' untranslated region (3'-UTR) that may be targeted to the synaptic compartment, suggesting the contribution of the neurotrophin to the behavioral dysfunction produced by chronic mild stress. The downregulation of Bdnf expression persisted also after 7 weeks of chronic mild stress, whereas chronic lurasidone treatment improved anhedonia in chronic mild stress rats and restored Bdnf mRNA levels in the prefrontal cortex. Moreover, chronic lurasidone treatment was able to normalize chronic mild stress-induced defects of Psd95 and Gfap as well as changes in molecular regulators of protein translation at the synapse, including mTOR and eEF2.
These results demonstrate that lurasidone shows antidepressant properties in the chronic mild stress model through the modulation of synaptic and neuroplastic proteins. Such changes may contribute to the amelioration of functional capacities, which are deteriorated in patients with major depression and stress-related disorders.
重度抑郁症与多种改变相关,包括神经元可塑性降低和突触功能受损,这些改变是药物干预的重要靶点。
在本研究中,我们研究了抗精神病药物鲁拉西酮在慢性轻度应激抑郁模型中调节行为和神经可塑性改变的能力。
在慢性轻度应激2周后蔗糖消耗减少的大鼠中,具有长3'非翻译区(3'-UTR)的脑源性神经营养因子(Bdnf)转录本池的表达降低,该转录本可能定位于突触区室,提示神经营养因子对慢性轻度应激所致行为功能障碍有影响。慢性轻度应激7周后,Bdnf表达下调仍持续存在,而慢性鲁拉西酮治疗改善了慢性轻度应激大鼠的快感缺失,并恢复了前额叶皮质中Bdnf mRNA水平。此外,慢性鲁拉西酮治疗能够使慢性轻度应激诱导的突触后致密蛋白95(Psd95)和胶质纤维酸性蛋白(Gfap)缺陷以及突触处蛋白质翻译的分子调节因子(包括雷帕霉素靶蛋白(mTOR)和真核生物延伸因子2(eEF2))的变化正常化。
这些结果表明,鲁拉西酮通过调节突触和神经可塑性蛋白在慢性轻度应激模型中表现出抗抑郁特性。这些变化可能有助于改善功能能力,而这些功能能力在重度抑郁症和应激相关障碍患者中会恶化。