Li Yun, Peng Chun, Guo Xu, You Jun-Jie, Yadav Harishankar Prasad
Department of Neurology, The Affiliated Hospital of Dali University, Dali, Yunnan 671000, China.
Chin Med J (Engl). 2015 Nov 5;128(21):2926-31. doi: 10.4103/0366-6999.168058.
BACKGROUND: The pathophysiology of poststroke depression (PSD) remains elusive because of its proposed multifactorial nature. Accumulating evidence suggests that brain-derived neurotrophic factor (BDNF) plays a key role in the pathophysiology of depression and PSD. And the cerebellar dysfunction may be important in the etiology of depression; it is not clear whether it also has a major effect on the risk of PSD. This study aimed to explore the expression of BDNF and high-affinity receptors tyrosine kinase B (TrkB) in the cerebellum of rats with PSD. METHODS: The rat models with focal cerebral ischemic were made using a thread embolization method. PSD rat models were established with comprehensive separate breeding and unpredicted chronic mild stress (UCMS) on this basis. A normal control group, depression group, and a stroke group were used to compare with the PSD group. Thirteen rats were used in each group. Immunohistochemistry and reverse transcription-polymerase chain reaction (RT-PCR) for detecting the expression of BDNF and TrkB protein and mRNA in the cerebellum were used at the 29 th day following the UCMS. RESULTS: Compared with the normal control group and the stroke group, the number of BDNF immunoreactive (IR) positive neurons was less in the PSD group (P < 0.05). Furthermore, the number of TrkB IR positive cells was significantly less in the PSD group than that in the normal control group (P < 0.05). The gene expression of BDNF and TrkB in the cerebellum of PSD rats also decreased compared to the normal control group (P < 0.05). CONCLUSIONS: These findings suggested a possible association between expression of BDNF and TrkB in the cerebellum and the pathogenesis of PSD.
背景:由于其多因素性质,中风后抑郁症(PSD)的病理生理学仍不清楚。越来越多的证据表明,脑源性神经营养因子(BDNF)在抑郁症和PSD的病理生理学中起关键作用。并且小脑功能障碍在抑郁症病因中可能很重要;目前尚不清楚它是否也对PSD的风险有重大影响。本研究旨在探讨PSD大鼠小脑内BDNF和高亲和力受体酪氨酸激酶B(TrkB)的表达。 方法:采用线栓法制作局灶性脑缺血大鼠模型。在此基础上,通过综合单独饲养和不可预测的慢性轻度应激(UCMS)建立PSD大鼠模型。设正常对照组、抑郁症组和中风组与PSD组进行比较。每组使用13只大鼠。在UCMS后第29天,采用免疫组织化学和逆转录聚合酶链反应(RT-PCR)检测小脑内BDNF和TrkB蛋白及mRNA的表达。 结果:与正常对照组和中风组相比,PSD组BDNF免疫反应(IR)阳性神经元数量较少(P < 0.05)。此外,PSD组TrkB IR阳性细胞数量明显少于正常对照组(P < 0.05)。与正常对照组相比,PSD大鼠小脑内BDNF和TrkB的基因表达也降低(P < 0.05)。 结论:这些发现提示小脑内BDNF和TrkB的表达与PSD的发病机制之间可能存在关联。
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