Tang Zhuo-Jun, Zou Wei, Yuan Juan, Zhang Ping, Tian Ying, Xiao Zhi-Fang, Li Mang-Hong, Wei Hai-Jun, Tang Xiao-Qing
aDepartment of Neurology, Nanhua Affiliated Hospital bInstitute of Neuroscience cDepartment of Biochemistry, Medical College dKey Laboratory for Cognitive Disorders and Neurodegenerative Diseases, University of South China, Hengyang, Hunan, People's Republic of China.
Behav Pharmacol. 2015 Aug;26(5):427-35. doi: 10.1097/FBP.0000000000000143.
Depression is highly prevalent in individuals with diabetes, and depressive symptoms are less responsive to current antidepressant therapies. Oxidative stress plays a major role both in the pathogenesis of diabetes and in major depression and anxiety disorders. Hydrogen sulfide (H2S), the third gaseous mediator, is a novel signaling molecule in the brain that has both antioxidative activity and antidepressant-like and anxiolytic-like effects. We hypothesized that H2S could produce antidepressant-like and anxiolytic-like effects in diabetic patients through its antioxidative effect. To test this hypothesis, we generated streptozotocin (STZ)-induced diabetic rats. We found that H2S alleviated depressive-like behaviors of STZ-induced diabetic rats in the forced swimming and tail suspension tests and reduced their anxiety-like behaviors in the elevated plus maze test. We also found that H2S significantly reduced levels of malondialdehyde and 4-hydroxynonenal and elevated levels of superoxide dismutase and reduced glutathione in the hippocampus of STZ-induced diabetic rats. The results provide evidence for antidepressant-like and anxiolytic-like effects of H2S in STZ-induced diabetic rats and suggest that the therapeutic effects may result from inhibition of hippocampal oxidative stress. These findings suggest that elevating H2S signaling is a potential target for treatment of depressive and anxiety disorders related to diabetes.
抑郁症在糖尿病患者中极为普遍,且抑郁症状对当前的抗抑郁疗法反应较差。氧化应激在糖尿病的发病机制以及重度抑郁症和焦虑症中均起主要作用。硫化氢(H₂S)作为第三种气体介质,是大脑中的一种新型信号分子,具有抗氧化活性以及类抗抑郁和类抗焦虑作用。我们推测,H₂S可能通过其抗氧化作用对糖尿病患者产生类抗抑郁和类抗焦虑作用。为验证这一假设,我们制备了链脲佐菌素(STZ)诱导的糖尿病大鼠。我们发现,在强迫游泳试验和悬尾试验中,H₂S减轻了STZ诱导的糖尿病大鼠的抑郁样行为,在高架十字迷宫试验中减少了它们的焦虑样行为。我们还发现,H₂S显著降低了STZ诱导的糖尿病大鼠海马体中丙二醛和4-羟基壬烯醛的水平,并提高了超氧化物歧化酶和还原型谷胱甘肽的水平。这些结果为H₂S对STZ诱导的糖尿病大鼠具有类抗抑郁和类抗焦虑作用提供了证据,并表明治疗作用可能源于对海马体氧化应激的抑制。这些发现表明,增强H₂S信号传导是治疗与糖尿病相关的抑郁和焦虑症的一个潜在靶点。