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临床有效的强迫症治疗可预防5-羟色胺1B受体诱导的重复行为和纹状体激活。

Clinically effective OCD treatment prevents 5-HT1B receptor-induced repetitive behavior and striatal activation.

作者信息

Ho Emily V, Thompson Summer L, Katzka William R, Sharifi Mitra F, Knowles James A, Dulawa Stephanie C

机构信息

Department of Psychiatry and Behavioral Neuroscience, University of Chicago, 924 E. 57th St. Room R018, MC 3077, Chicago, IL, 60637, USA.

Committee on Neurobiology, University of Chicago, Chicago, IL, 60637, USA.

出版信息

Psychopharmacology (Berl). 2016 Jan;233(1):57-70. doi: 10.1007/s00213-015-4086-8. Epub 2015 Sep 30.

Abstract

RATIONALE

Serotonin-1B receptor (5-HT1BR) agonist treatment induces obsessive-compulsive disorder (OCD)-like behaviors including locomotor stereotypy, prepulse inhibition deficits, and delayed alternation disruptions, which are selectively prevented by clinically effective OCD treatment. However, the role of 5-HT1BRs in modulating other repetitive behaviors or OCD-like patterns of brain activation remains unclear.

OBJECTIVES

We assessed the effects of 5-HT1BR agonism on digging, grooming, and open field behaviors in mice. We also quantified effects on neuronal activation in brain regions overactivated in OCD. Finally, we assessed whether effects of the 5-HT1BR challenge could be blocked by clinically effective, but not ineffective, drug treatments.

METHODS

Mice were tested in open field, dig, and splash tests after acute treatment with saline, 1, 3, 5, or 10 mg/kg RU24969 (5-HT1B/1A agonist). Behavioral effects of RU24969 were also tested following co-treatment with vehicle, 1 mg/kg WAY100635 (5-HT1A antagonist) and 5 or 10 mg/kg GR127935 (5HT1B/D antagonist). Separate mice were behaviorally assessed following chronic pretreatment with vehicle with 10 mg/kg fluoxetine or 20 mg/kg desipramine and acute treatment with saline or 10 mg/kg RU24969. Brains were analyzed for Fos expression in the orbitofrontal cortex, the dorsal striatum, and the cerebellum.

RESULTS

RU24969 induced robust locomotor stereotypy and decreased rearing, digging, and grooming. Effects were blocked by GR127935 but not by WAY100635. RU24969 also increased Fos expression in the dorsal striatum. Chronic fluoxetine, but not desipramine, alleviated 5-HT1BR-induced effects.

CONCLUSIONS

We report novel 5-HT1BR-induced behaviors and striatal activation that were alleviated only by clinically effective pharmacological OCD treatment. Studying the mechanisms underlying these effects could provide insight into OCD pathophysiology.

摘要

理论依据

5-羟色胺-1B受体(5-HT1BR)激动剂治疗会诱发类似强迫症(OCD)的行为,包括运动刻板行为、前脉冲抑制缺陷和延迟交替中断,而临床有效的强迫症治疗可选择性地预防这些行为。然而,5-HT1BR在调节其他重复行为或大脑激活的类似强迫症模式中的作用仍不清楚。

目的

我们评估了5-HT1BR激动对小鼠挖掘、梳理毛发和旷场行为的影响。我们还量化了其对强迫症中过度激活的脑区神经元激活的影响。最后,我们评估了5-HT1BR激发的效应是否能被临床有效的而非无效的药物治疗所阻断。

方法

在用生理盐水、1、3、5或10mg/kg RU24969(5-HT1B/1A激动剂)急性处理后,对小鼠进行旷场、挖掘和溅水试验。在用载体、1mg/kg WAY100635(5-HT1A拮抗剂)和5或10mg/kg GR127935(5HT1B/D拮抗剂)联合处理后,也测试了RU24969的行为效应。在用载体、10mg/kg氟西汀或20mg/kg地昔帕明进行慢性预处理并分别用生理盐水或10mg/kg RU24969急性处理后,对单独的小鼠进行行为评估。分析大脑眶额皮质、背侧纹状体和小脑中的Fos表达。

结果

RU24969诱发了强烈的运动刻板行为,并减少了竖毛、挖掘和梳理毛发行为。这些效应被GR127935阻断,但未被WAY100635阻断。RU24969还增加了背侧纹状体中的Fos表达。慢性氟西汀而非地昔帕明减轻了5-HT1BR诱导的效应。

结论

我们报告了新的5-HT1BR诱导行为和纹状体激活,只有临床有效的强迫症药物治疗才能减轻这些症状。研究这些效应背后的机制可能有助于深入了解强迫症的病理生理学。

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