Casarotto Plinio C, Santos Paula C dos, Lucas Guilherme A, Biojone Caroline, Pobbe Roger L H, Vilela-Costa Heloisa H, Joca Samia R L, Guimarães Francisco S, Zangrossi Hélio
Department of Pharmacology, Ribeirao Preto Medical School, University of Sao Paulo, Brazil.
Department of Ophtamology, Otorhinolaringology and Head and Neck Surgery, Ribeirao Preto Medical School, University of Sao Paulo, Brazil.
Eur Neuropsychopharmacol. 2015 Jun;25(6):913-22. doi: 10.1016/j.euroneuro.2015.03.004. Epub 2015 Mar 17.
A wealth of evidence implicates the BDNF-TRKB system in the therapeutic effects of antidepressant drugs (ADs) on mood disorders. However, little is known about the involvement of this system in the panicolytic property also exerted by these compounds. In the present study we evaluated the participation of the BDNF-TRKB system of the dorsal periaqueductal gray matter (DPAG), a core structure involved in the pathophysiology of panic disorder, in AD-induced panicolytic-like effects in rats. The results showed that short- (3 days) or long-term (21 days) systemic treatment with the tricyclic ADs imipramine, clomipramine or desipramine increased BDNF levels in the DPAG. Only longterm treatment with the selective serotonin reuptake inhibitor fluoxetine was able to increase BDNF levels in this structure. After 21-day treatment, fluoxetine and the three tricyclic ADs used also increased BDNF concentration in the hippocampus, a key area implicated in their mood-related actions. Neither in the DPAG nor hippocampus did long-term treatment with the standard anxiolytics diazepam, clonazepam or buspirone affect BDNF levels. Imipramine, both after short and long-term administration, and fluoxetine under the latter regimen, raised the levels of phosphorylated TRKB in the DPAG. Short-term treatment with imipramine or BDNF microinjection inhibited escape expression in rats exposed to the elevated T maze, considered as a panicolytic-like effect. This anti-escape effect was attenuated by the intra-DPAG administration of the TRK receptor antagonist k252a. Altogether, our data suggests that facilitation of the BDNF-TRKB system in the DPAG is implicated in the panicolytic effect of ADs.
大量证据表明,脑源性神经营养因子(BDNF)-酪氨酸激酶受体B(TRKB)系统与抗抑郁药物(ADs)对情绪障碍的治疗作用有关。然而,对于该系统是否参与这些化合物所具有的抗惊恐特性,人们却知之甚少。在本研究中,我们评估了中脑导水管周围灰质背侧(DPAG)的BDNF-TRKB系统(惊恐障碍病理生理学中的一个核心结构)在ADs诱导的大鼠抗惊恐样效应中的作用。结果显示,用三环类抗抑郁药丙咪嗪、氯米帕明或去甲丙咪嗪进行短期(3天)或长期(21天)全身治疗可提高DPAG中的BDNF水平。只有用选择性5-羟色胺再摄取抑制剂氟西汀进行长期治疗才能提高该结构中的BDNF水平。经过21天的治疗后,氟西汀和所使用的三种三环类抗抑郁药还可提高海马体中的BDNF浓度,海马体是与它们情绪相关作用有关的一个关键区域。用标准抗焦虑药地西泮、氯硝西泮或丁螺环酮进行长期治疗,对DPAG和海马体中的BDNF水平均无影响。丙咪嗪在短期和长期给药后,以及氟西汀在长期给药方案下,均可提高DPAG中磷酸化TRKB的水平。丙咪嗪短期治疗或BDNF微量注射可抑制暴露于高架T迷宫中的大鼠的逃避反应,这被视为一种抗惊恐样效应。TRK受体拮抗剂K252a脑室内给药可减弱这种抗逃避效应。总之,我们的数据表明,DPAG中BDNF-TRKB系统的促进作用与ADs的抗惊恐效应有关。