Karanges Emily A, Ramos Linnet, Dampney Bruno, Suraev Anastasia S, Li Kong M, McGregor Iain S, Hunt Glenn E
School of Psychology, University of Sydney, NSW 2006, Australia.
Discipline of Pharmacology, Sydney Medical School, University of Sydney, NSW 2006, Australia.
Brain Res Bull. 2016 Mar;121:246-54. doi: 10.1016/j.brainresbull.2016.02.008. Epub 2016 Feb 11.
Adolescents and adults may respond differently to antidepressants, with poorer efficacy and greater probability of adverse effects in adolescents. The mechanisms underlying this differential response are largely unknown, but likely relate to an interaction between the neural effects of antidepressants and brain development. We used Fos immunohistochemistry to examine regional differences in adolescent (postnatal day (PND) 28) and young adult (PND 56) male, Wistar rats given a single injection of the selective serotonin reuptake inhibitor paroxetine (10mg/kg). Paroxetine induced widespread Fos expression in both adolescent and young adult rats. Commonly affected areas include the bed nucleus of the stria terminalis (dorsolateral), medial preoptic area, paraventricular hypothalamic and thalamic nuclei and central nucleus of the amygdala. Fos expression was generally lower in adolescents with significantly greater Fos expression observed in young adults in the prelimbic cortex, supraoptic nucleus, basolateral amygdala, lateral parabrachial and Kölliker-Fuse nuclei. However, a small subset of regions showed greater adolescent Fos expression including the nucleus accumbens shell, lateral habenula and dorsal raphe. Paroxetine increased plasma corticosterone concentrations in young adults, but not adolescents. Plasma paroxetine levels were not significantly different between the age groups. These results indicate a different c-Fos signature of acute paroxetine in adolescent rats, with greater activation in key mesolimbic and serotonergic regions, but a more subdued cortical, brainstem and hypothalamic response. This suggests that the atypical response of adolescents to paroxetine may be related to a blunted neuroendocrine response, combined with insufficient top-down regulation of limbic regions involved in reward and impulsivity.
青少年和成年人对抗抑郁药的反应可能不同,青少年使用抗抑郁药时疗效较差且出现不良反应的可能性更大。这种差异反应背后的机制在很大程度上尚不清楚,但可能与抗抑郁药的神经效应和大脑发育之间的相互作用有关。我们使用Fos免疫组织化学方法,研究了单次注射选择性5-羟色胺再摄取抑制剂帕罗西汀(10mg/kg)的青春期(出生后第28天)和年轻成年期(出生后第56天)雄性Wistar大鼠的区域差异。帕罗西汀在青春期和年轻成年期大鼠中均诱导了广泛的Fos表达。常见的受影响区域包括终纹床核(背外侧)、内侧视前区、室旁下丘脑和丘脑核以及杏仁核中央核。在青春期大鼠中,Fos表达通常较低,而在年轻成年大鼠的前边缘皮层、视上核、基底外侧杏仁核、外侧臂旁核和 Kölliker-Fuse核中观察到Fos表达明显更高。然而,一小部分区域显示青春期Fos表达更高,包括伏隔核壳、外侧缰核和中缝背核。帕罗西汀可提高年轻成年大鼠的血浆皮质酮浓度,但对青少年大鼠无此作用。不同年龄组之间的血浆帕罗西汀水平无显著差异。这些结果表明,青春期大鼠急性帕罗西汀具有不同的c-Fos特征,关键的中脑边缘和5-羟色胺能区域激活更强,但皮质、脑干和下丘脑的反应更不明显。这表明青少年对帕罗西汀的非典型反应可能与神经内分泌反应减弱以及对参与奖赏和冲动的边缘区域自上而下的调节不足有关。