Brooker S M, Gobeske K T, Chen J, Peng C-Y, Kessler J A
Department of Neurology, Northwestern University's Feinberg School of Medicine, Chicago, IL, USA.
Mol Psychiatry. 2017 Jun;22(6):910-919. doi: 10.1038/mp.2016.160. Epub 2016 Oct 4.
Many antidepressants stimulate adult hippocampal neurogenesis, but the mechanisms by which they increase neurogenesis and modulate behavior are incompletely understood. Here we show that hippocampal bone morphogenetic protein (BMP) signaling is modulated by antidepressant treatment, and that the changes in BMP signaling mediate effects of antidepressant treatment on neural progenitor cell proliferation and behavior. Treatment with the selective serotonin reuptake inhibitor fluoxetine suppressed BMP signaling in the adult mouse hippocampus both by decreasing levels of BMP4 ligand and increasing production of the BMP inhibitor noggin. Increasing BMP signaling in the hippocampus via viral overexpression of BMP4 blocked the effects of fluoxetine on proliferation in the dentate gyrus and on depressive behavior. Conversely, inhibiting BMP signaling via viral overexpression of noggin in the hippocampus or infusion of noggin into the ventricles exerted antidepressant and anxiolytic activity along with an increase in hippocampal neurogenesis. Similarly, conditional genetic deletion of the type II BMP receptor in Ascl1-expressing cells promoted neurogenesis and reduced anxiety- and depression-like behaviors, suggesting that neural progenitor cells contribute to the effects of BMP signaling on affective behavior. These observations indicate that BMP signaling in the hippocampus regulates depressive behavior, and that decreasing BMP signaling may be required for the effects of some antidepressants. Thus BMP signaling is a new and powerful potential target for the treatment of depression.
许多抗抑郁药可刺激成年海马神经发生,但其增加神经发生并调节行为的机制尚未完全明确。在此,我们表明海马骨形态发生蛋白(BMP)信号传导受抗抑郁药治疗的调节,且BMP信号传导的变化介导了抗抑郁药治疗对神经祖细胞增殖和行为的影响。选择性5-羟色胺再摄取抑制剂氟西汀治疗可通过降低BMP4配体水平和增加BMP抑制剂头蛋白的产生来抑制成年小鼠海马中的BMP信号传导。通过病毒过表达BMP4增加海马中的BMP信号传导可阻断氟西汀对齿状回增殖和抑郁行为的影响。相反,通过在海马中病毒过表达头蛋白或向脑室注射头蛋白来抑制BMP信号传导,可产生抗抑郁和抗焦虑活性,并增加海马神经发生。同样,在表达Ascl1的细胞中条件性基因缺失II型BMP受体可促进神经发生,并减少焦虑样和抑郁样行为,这表明神经祖细胞参与了BMP信号传导对情感行为的影响。这些观察结果表明,海马中的BMP信号传导调节抑郁行为,某些抗抑郁药的作用可能需要降低BMP信号传导。因此,BMP信号传导是治疗抑郁症的一个新的强大潜在靶点。