Szot Patricia, Franklin Allyn, Miguelez Cristina, Wang Yangqing, Vidaurrazaga Igor, Ugedo Luisa, Sikkema Carl, Wilkinson Charles W, Raskind Murray A
Mental Illness Research, Education and Clinical Center, Veterans Administration Puget Sound Health Care System, Seattle, WA, USA; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Mental Illness Research, Education and Clinical Center, Veterans Administration Puget Sound Health Care System, Seattle, WA, USA.
Neuropharmacology. 2016 Feb;101:76-86. doi: 10.1016/j.neuropharm.2015.09.003. Epub 2015 Sep 8.
Depression is a common co-morbid condition most often observed in subjects with mild cognitive impairment (MCI) and during the early stages of Alzheimer's disease (AD). Dysfunction of the central noradrenergic nervous system is an important component in depression. In AD, locus coeruleus (LC) noradrenergic neurons are significantly reduced pathologically and the reduction of LC neurons is hypothesized to begin very early in the progression of the disorder; however, it is not known if dysfunction of the noradrenergic system due to early LC neuronal loss is involved in mediating depression in early AD. Therefore, the purpose of this study was to determine in an animal model if a loss of noradrenergic LC neurons results in depressive-like behavior. The LC noradrenergic neuronal population was reduced by the bilateral administration of the neurotoxin 6-hydroxydopamine (6-OHDA) directly into the LC. Forced swim test (FST) was performed three weeks after the administration of 6-OHDA (5, 10 and 14 μg/μl), animals administered the 5 μg/μl of 6-OHDA demonstrated a significant increase in immobility, indicating depressive-like behavior. This increase in immobility at the 5 μg/μl dose was observed with a minimal loss of LC noradrenergic neurons as compared to LC neuronal loss observed at 10 and 14 μg/μl dose. A significant positive correlation between the number of surviving LC neurons after 6-OHDA and FST immobile time was observed, suggesting that in animals with a minimal loss of LC neurons (or a greater number of surviving LC neurons) following 6-OHDA demonstrated depressive-like behavior. As the 6-OHDA-induced loss of LC neurons is increased, the time spent immobile is reduced. Depressive-like behavior was also observed with the 5 μg/μl dose of 6-OHDA with a second behavior test, sucrose consumption. FST increased immobility following 6-OHDA (5 μg/μl) was reversed by the administration of a single dose of L-1-3-4-dihydroxyphenylalanine (DOPA) or l-threo-3,4-dihydroxyphenylserine (DOPS) prior to behavioral assessment. Surviving LC neurons 3 weeks after 6-OHDA (5 μg/μl) demonstrated compensatory changes of increased firing frequency, a more irregular firing pattern, and a higher percentage of cells firing in bursts. These results indicate that depressive-like behavior in mice is observed following the administration of 6-OHDA and the loss of LC noradrenergic neurons; however, the depressive-like behavior correlates positively with the number of surviving LC neurons with 6-OHDA administration. This data suggests the depression observed in MCI subjects and in the early stages of AD may due to the hypothesized early, minimal loss of LC neurons with remaining LC neurons being more active than normal.
抑郁症是一种常见的共病状况,最常出现在轻度认知障碍(MCI)患者以及阿尔茨海默病(AD)早期阶段的患者身上。中枢去甲肾上腺素能神经系统功能障碍是抑郁症的一个重要组成部分。在AD中,蓝斑(LC)去甲肾上腺素能神经元在病理上显著减少,并且推测LC神经元的减少在疾病进展的很早阶段就已开始;然而,尚不清楚早期LC神经元丢失导致的去甲肾上腺素能系统功能障碍是否参与介导早期AD中的抑郁症状。因此,本研究的目的是在动物模型中确定去甲肾上腺素能LC神经元的丢失是否会导致类似抑郁的行为。通过将神经毒素6-羟基多巴胺(6-OHDA)双侧直接注射到LC中来减少LC去甲肾上腺素能神经元数量。在注射6-OHDA(5、10和14μg/μl)三周后进行强迫游泳试验(FST),注射5μg/μl 6-OHDA的动物静止不动时间显著增加,表明出现了类似抑郁的行为。与注射10和14μg/μl剂量时观察到的LC神经元丢失相比,5μg/μl剂量时观察到的静止不动时间增加是在LC去甲肾上腺素能神经元仅有最小程度丢失的情况下出现的。观察到6-OHDA注射后存活的LC神经元数量与FST静止不动时间之间存在显著正相关,这表明在6-OHDA注射后LC神经元仅有最小程度丢失(或存活的LC神经元数量较多)的动物表现出类似抑郁的行为。随着6-OHDA诱导的LC神经元丢失增加,静止不动时间减少。在第二项行为测试——蔗糖消耗试验中,5μg/μl剂量的6-OHDA也观察到了类似抑郁的行为。在行为评估前给予单剂量的L-1-3-4-二羟基苯丙氨酸(DOPA)或L-苏式-3,4-二羟基苯丝氨酸(DOPS)可逆转6-OHDA(5μg/μl)注射后FST中静止不动时间的增加。6-OHDA(5μg/μl)注射三周后存活的LC神经元表现出放电频率增加、放电模式更不规则以及爆发式放电细胞百分比更高的代偿性变化。这些结果表明,注射6-OHDA以及LC去甲肾上腺素能神经元丢失后,小鼠出现了类似抑郁的行为;然而,类似抑郁的行为与6-OHDA注射后存活的LC神经元数量呈正相关。该数据表明,在MCI患者和AD早期阶段观察到的抑郁症可能是由于推测的早期LC神经元最小程度丢失,而剩余的LC神经元比正常情况下更活跃所致。