Department of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Department of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Psychiatry Res. 2016 Jun 30;240:123-130. doi: 10.1016/j.psychres.2016.03.053. Epub 2016 Apr 13.
Electroconvulsive therapy (ECT) is an effective treatment for depression, but it can induce learning and memory impairment. Our previous study found propofol (γ-aminobutyric acid (GABA) receptor agonist) could ameliorate electroconvulsive shock (ECS, an analog of ECT to animals)-induced cognitive impairment, however, the underlying molecular mechanisms remain unclear. This study aimed to investigate the effects of propofol on metaplasticity and autophosphorylation of CaMKIIa in stressed rats receiving ECS. Depressive-like behavior and learning and memory function were assessed by sucrose preference test and Morris water test respectively. LTP were tested by electrophysiological experiment, the expression of CaMKIIa, p-T305-CaMKII in hippocampus and CaMKIIα in hippocampal PSD fraction were evaluated by western blot. Results suggested ECS raised the baseline fEPSP and impaired the subsequent LTP, increased the expression of p-T305-CaMKII and decreased the expression of CaMKIIα in hippocampal PSD fraction, leading to cognitive dysfunction in stressed rats. Propofol could down-regulate the baseline fEPSP and reversed the impairment of LTP partly, decreased the expression of p-T305-CaMKII and increased the expression of CaMKIIα in hippocampal PSD fraction and alleviated ECS-induced learning and memory impairment. In conclusion, propofol ameliorates ECS-induced learning and memory impairment, possibly by regulation of synaptic metaplasticity via p-T305-CaMKII.
电抽搐治疗(ECT)是治疗抑郁症的有效方法,但它会引起学习和记忆障碍。我们之前的研究发现,异丙酚(GABA 受体激动剂)可以改善电休克(ECT 的动物模型)引起的认知障碍,然而,其潜在的分子机制尚不清楚。本研究旨在探讨异丙酚对接受 ECS 的应激大鼠的可塑性和 CaMKIIa 自磷酸化的影响。通过蔗糖偏好试验和 Morris 水迷宫试验分别评估抑郁样行为和学习记忆功能。通过电生理实验测试 LTP,通过 Western blot 评估海马 CA MK IIa、p-T305-CA MK II 的表达和海马 PSD 部分的 CA MK IIα的表达。结果表明,ECT 增加了基础 fEPSP 并损害了随后的 LTP,增加了 p-T305-CA MK II 的表达,减少了海马 PSD 部分的 CA MK IIα的表达,导致应激大鼠认知功能障碍。异丙酚可下调基础 fEPSP,并部分逆转 LTP 的损害,降低 p-T305-CA MK II 的表达,增加海马 PSD 部分的 CA MK IIα的表达,减轻 ECT 引起的学习和记忆障碍。总之,异丙酚改善 ECT 引起的学习和记忆障碍,可能通过 p-T305-CA MK II 调节突触可塑性。