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瑞帕斯汀(GLYX-13)对创伤后应激障碍的治疗具有潜在疗效:大鼠内侧前额叶皮质中N-甲基-D-天冬氨酸受体介导的可塑性过程的特征分析

Rapastinel (GLYX-13) has therapeutic potential for the treatment of post-traumatic stress disorder: Characterization of a NMDA receptor-mediated metaplasticity process in the medial prefrontal cortex of rats.

作者信息

Burgdorf Jeffrey, Kroes Roger A, Zhang Xiao-lei, Gross Amanda L, Schmidt Mary, Weiss Craig, Disterhoft John F, Burch Ronald M, Stanton Patric K, Moskal Joseph R

机构信息

Falk Center for Molecular Therapeutics, Department of Biomedical Engineering, Northwestern University, 1801 Maple Ave., Suite 4300, Evanston, IL 60201, USA.

Naurex Inc., 1801 Maple Ave., Suite 4300, Evanston, IL 60201, USA.

出版信息

Behav Brain Res. 2015 Nov 1;294:177-85. doi: 10.1016/j.bbr.2015.07.039. Epub 2015 Jul 22.

Abstract

Rapastinel (GLYX-13) is a NMDA receptor modulator with glycine-site partial agonist properties. It is a robust cognitive enhancer and shows rapid and long-lasting antidepressant properties in both animal models and in humans. Contextual fear extinction (CFE) in rodents has been well characterized and used extensively as a model to study the neurobiological mechanisms of post-traumatic stress disorder (PTSD). Since CFE is NMDA receptor modulated and neural circuitry in the medial prefrontal cortex (MPFC) regulates both depression and PTSD, studies were undertaken to examine the effects of rapastinel for its therapeutic potential in PTSD and to use rapastinel as a tool to study its underlying glutamatergic mechanisms. A 21-day chronic mild unpredictable stress (CUS) rat model was used to model depression and PTSD. The effects of CUS alone compared to No CUS controls, and the effects of rapastinel (3 mg/kg IV) on CUS-treated animals were examined. The effect of rapastinel was first assessed using CUS-treated rats in three depression models, Porsolt, sucrose preference, and novelty-induced hypophagia tests, and found to produce a complete reversal of the depressive-like state in each model. Rapastinel was then assessed in a MPFC-dependent positive emotional learning paradigm and in CFE and again a reversal of the impairments induced by CUS treatment was observed. Both synaptic plasticity and metaplasticity, as measured by the induction of long-term potentiation in rat MPFC slice preparations, was found to be markedly impaired in CUS-treated animals. This impairment was reversed when CUS-treated rats were administered rapastinel and tested 24 h later. Transcriptomic analysis of MPFC mRNA expression in CUS-treated rats corroborated the link between rapastinel's behavioral effects and synaptic plasticity. A marked enrichment in both the LTP and LTD connectomes in rapastinel-treated CUS rats was observed compared to CUS-treated controls. The effects of rapastinel on depression models, PEL, and most importantly on CFE demonstrate the therapeutic potential of rapastinel for the treatment of PTSD. Moreover, rapastinel appears to elicit its therapeutic effects through a NMDA receptor-mediated, LTP-like, metaplasticity process in the MPFC.

摘要

瑞帕斯汀(GLYX-13)是一种具有甘氨酸位点部分激动剂特性的N-甲基-D-天冬氨酸(NMDA)受体调节剂。它是一种强大的认知增强剂,在动物模型和人类中均表现出快速且持久的抗抑郁特性。啮齿动物的情境性恐惧消退(CFE)已得到充分表征,并被广泛用作研究创伤后应激障碍(PTSD)神经生物学机制的模型。由于CFE受NMDA受体调节,且内侧前额叶皮质(MPFC)中的神经回路调节抑郁和PTSD,因此开展了相关研究,以检验瑞帕斯汀对PTSD的治疗潜力,并将瑞帕斯汀用作研究其潜在谷氨酸能机制的工具。采用21天慢性轻度不可预测应激(CUS)大鼠模型来模拟抑郁和PTSD。研究了单独的CUS与无CUS对照组相比的效果,以及瑞帕斯汀(3毫克/千克静脉注射)对接受CUS处理动物的影响。首先在三个抑郁模型(波索尔特、蔗糖偏好和新奇诱导性摄食抑制试验)中使用接受CUS处理的大鼠评估瑞帕斯汀的效果,发现在每个模型中它都能完全逆转抑郁样状态。然后在依赖MPFC的积极情绪学习范式和CFE中评估瑞帕斯汀,再次观察到它能逆转CUS处理诱导的损伤。通过在大鼠MPFC脑片制备中诱导长时程增强来测量,发现CUS处理的动物中突触可塑性和元可塑性均明显受损。当给接受CUS处理的大鼠注射瑞帕斯汀并在24小时后进行测试时,这种损伤得到了逆转。对接受CUS处理的大鼠MPFC mRNA表达的转录组分析证实了瑞帕斯汀的行为效应与突触可塑性之间的联系。与接受CUS处理的对照组相比,观察到接受瑞帕斯汀处理的CUS大鼠在长时程增强和长时程抑制连接组中均有明显富集。瑞帕斯汀对抑郁模型、积极情绪学习以及最重要的对CFE的影响证明了其治疗PTSD的潜力。此外,瑞帕斯汀似乎通过MPFC中NMDA受体介导的、类似长时程增强的元可塑性过程发挥其治疗作用。

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