Ren Q, Ma M, Yang C, Zhang J-C, Yao W, Hashimoto K
Division of Clinical Neuroscience, Chiba University Center for Forensic Mental Health, Chiba, Japan.
Transl Psychiatry. 2015 Oct 27;5(10):e666. doi: 10.1038/tp.2015.157.
Depression is a core symptom of methamphetamine (METH) withdrawal during the first several weeks of abstinence. However, the precise mechanisms underlying METH withdrawal symptoms remain unknown. Brain-derived neurotrophic factor (BDNF) and its specific receptor, tropomyosin-related kinase (TrkB), have a role the in pathophysiology of depression. In this study, we examined the role of BDNF-TrkB signaling in different brain regions of male mice with METH withdrawal symptoms. Repeated METH (3 mg kg(-1) per day for 5 days) administration to mice caused a long-lasting depression-like behavior including anhedonia. Western blot analysis showed that BDNF levels in the nucleus accumbens (NAc) of METH-treated mice were significantly higher than those of control mice whereas BDNF levels in other regions, including the prefrontal cortex and hippocampus, were not altered. METH-induced depression-like behavior, behavioral sensitization and dendritic changes in the NAc shell were improved by subsequent subchronic administration of TrkB antagonist ANA-12 (0.5 mg kg(-1) per day for 14 days), but not TrkB agonist 7,8-dihydroxyflavone (10 mg kg(-1) per day for 14 days). In vivo microdialysis showed that METH (1 mg kg(-1))-induced dopamine release in NAc shell of METH-treated mice was attenuated after subsequent subchronic ANA-12 administration. Interestingly, a single bilateral infusion of ANA-12 into the NAc shell, but not NAc core, showed a rapid and long-lasting therapeutic effect. However, ketamine and paroxetine had no effect. These findings suggest that increased BDNF-TrkB signaling in the NAc shell has an important role in the behavioral abnormalities after withdrawal from repeated METH administration, and that TrkB antagonists are potential therapeutic drugs for withdrawal symptoms in METH abusers.
在禁欲的最初几周,抑郁是甲基苯丙胺(METH)戒断的核心症状。然而,METH戒断症状背后的确切机制仍不清楚。脑源性神经营养因子(BDNF)及其特异性受体原肌球蛋白相关激酶(TrkB)在抑郁症的病理生理学中起作用。在本研究中,我们研究了BDNF-TrkB信号在出现METH戒断症状的雄性小鼠不同脑区中的作用。给小鼠重复注射METH(每天3mg/kg,共5天)会导致持久的抑郁样行为,包括快感缺失。蛋白质免疫印迹分析表明,METH处理小鼠伏隔核(NAc)中的BDNF水平显著高于对照小鼠,而包括前额叶皮质和海马体在内的其他区域的BDNF水平未改变。随后亚慢性给予TrkB拮抗剂ANA-12(每天0.5mg/kg,共14天)可改善METH诱导的抑郁样行为、行为敏化和NAc壳中的树突变化,但给予TrkB激动剂7,8-二羟基黄酮(每天10mg/kg,共14天)则无此效果。体内微透析显示,在随后亚慢性给予ANA-12后,METH(1mg/kg)诱导的METH处理小鼠NAc壳中的多巴胺释放减弱。有趣的是,向NAc壳而非NAc核心单侧双侧注射ANA-12显示出快速且持久的治疗效果。然而,氯胺酮和帕罗西汀无效。这些发现表明,NAc壳中BDNF-TrkB信号的增加在重复给予METH后戒断的行为异常中起重要作用,并且TrkB拮抗剂是METH滥用者戒断症状的潜在治疗药物。