INSERM U846, Stem Cell and Brain Research Institute, Université Lyon 1, Lyon, F-69008, France.
Neuropharmacological Research, Lundbeck Research USA, 215 College Road, Paramus, NJ 07652, USA.
Prog Neuropsychopharmacol Biol Psychiatry. 2015 Apr 3;58:38-46. doi: 10.1016/j.pnpbp.2014.12.002. Epub 2014 Dec 16.
Depression is frequently associated with cognitive disturbances. Vortioxetine is a multimodal acting antidepressant that functions as a 5-HT3 and 5-HT7 and 5-HT1D receptor antagonist, 5-HT1B receptor partial agonist, 5-HT1A receptor agonist and inhibitor of the 5-HT transporter. Given its pharmacological profile, the present study was undertaken to determine whether vortioxetine could modulate several preclinical parameters known to be involved in cognitive processing. In the dorsal hippocampus of anaesthetized rats, the high-frequency stimulation of the Schaffer collaterals provoked a stable long-term potentiation (LTP) of ~25%. Interestingly, vortioxetine (10mg/kg, i.p.) counteracted the suppressant effect of elevated platform stress on hippocampal LTP induction. In the novel object recognition test, vortioxetine (10mg/kg, i.p.) increased the time spent exploring the novel object during the retention test and this pro-cognitive effect was prevented by the partial 5-HT3 receptor agonist SR57227 (1mg/kg, i.p.). Finally, compared to fluoxetine, sustained administration of vortioxetine (5mg/kg/day, s.c.) induced a rapid increase of cell proliferation in the hippocampal dentate gyrus. In summary, vortioxetine prevented the effect of stress on hippocampal LTP, increased rapidly hippocampal cell proliferation and enhanced short-term episodic memory, via, at least in part, its 5-HT3 receptor antagonism. Taken together, these preclinical data suggest that the antidepressant vortioxetine may have a beneficial effect on human cognitive processes.
抑郁症常伴有认知障碍。文拉法辛是一种多模式作用的抗抑郁药,作为 5-HT3 和 5-HT7 和 5-HT1D 受体拮抗剂、5-HT1B 受体部分激动剂、5-HT1A 受体激动剂和 5-HT 转运体抑制剂发挥作用。鉴于其药理学特性,本研究旨在确定文拉法辛是否能调节几种已知与认知加工有关的临床前参数。在麻醉大鼠的背侧海马体中,高频刺激沙费尔侧枝会引起稳定的长时程增强(LTP)约 25%。有趣的是,文拉法辛(10mg/kg,ip)抵消了高架平台应激对海马体 LTP 诱导的抑制作用。在新物体识别测试中,文拉法辛(10mg/kg,ip)增加了在保留测试中探索新物体的时间,而这种认知促进作用被部分 5-HT3 受体激动剂 SR57227(1mg/kg,ip)所阻止。最后,与氟西汀相比,文拉法辛(5mg/kg/天,sc)的持续给药会迅速增加海马齿状回的细胞增殖。总之,文拉法辛通过其 5-HT3 受体拮抗作用,防止了应激对海马体 LTP 的影响,迅速增加了海马体的细胞增殖,增强了短期情景记忆。这些临床前数据表明,抗抑郁药文拉法辛可能对人类认知过程有有益的影响。