Benham Rebecca S, Hewage Nishani B, Suckow Raymond F, Engin Elif, Rudolph Uwe
Laboratory of Genetic Neuropharmacology, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA; Department of Psychiatry, Harvard Medical School, 401 Park Drive, Boston, MA, 02215, USA.
Analytical Psychopharmacology Laboratory, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, USA.
Behav Brain Res. 2017 Aug 14;332:172-179. doi: 10.1016/j.bbr.2017.05.063. Epub 2017 Jun 3.
Deficits in neuronal inhibition via gamma-aminobutyric acid (GABA) type A receptors (GABAA-Rs) are implicated in the pathophysiology of major depressive disorder and the therapeutic effects of current antidepressant treatments, however, the relevant GABAA-R subtype as defined by its alpha subunit is still unknown. We previously reported anxiety- and depressive-like behavior in alpha2+/- and alpha2-/- mice, respectively (Vollenweider, 2011). We sought to determine whether this phenotype could be reversed by chronic antidepressant treatment. Adult male mice received 4 or 8mg/kg fluoxetine or 53mg/kg desipramine in their drinking water for four weeks before undergoing behavioral testing. In the novelty suppressed feeding test, desipramine had anxiolytic-like effects reducing the latencies to bite and to eat the pellet in both wild-type and alpha2+/- mice. Surprisingly, 4mg/kg fluoxetine had anxiogenic-like effects in alpha2+/- mice increasing latency to bite and to eat while 8mg/kg fluoxetine increased the latency to eat in both wild-type and alpha2+/- mice. In the forced swim and tail suspension tests, chronic desipramine treatment increased latency to immobility in wild-type and alpha2-/- mice. In contrast, chronic fluoxetine treatment increased immobility in alpha2-/- mice in both tasks while generally having no effect in wild-type mice. These findings suggest that in preclinical paradigms of anxiety and behavioral despair the antidepressant-like effects of desipramine are independent of alpha2-containing GABAA-Rs, while a reduction in alpha2 expression leads to an increased sensitivity to anxiogenic- and prodepressant-like effects with chronic fluoxetine treatment, pointing to a potential role of alpha2-containing GABAA-Rs in the response to serotonin-selective antidepressants.
通过γ-氨基丁酸(GABA)A型受体(GABAA-Rs)介导的神经元抑制功能缺陷与重度抑郁症的病理生理学及当前抗抑郁治疗的疗效有关,然而,由其α亚基定义的相关GABAA-R亚型仍不清楚。我们之前分别报道了α2+/-和α2-/-小鼠出现焦虑样和抑郁样行为(沃伦韦德,2011年)。我们试图确定这种表型是否可以通过慢性抗抑郁治疗得到逆转。成年雄性小鼠在接受行为测试前四周,在饮水中给予4或8mg/kg氟西汀或53mg/kg地昔帕明。在新奇抑制摄食试验中,地昔帕明具有抗焦虑样作用,可缩短野生型和α2+/-小鼠咬食和摄食颗粒的潜伏期。令人惊讶的是,4mg/kg氟西汀在α2+/-小鼠中具有致焦虑样作用,增加了咬食和摄食的潜伏期,而8mg/kg氟西汀则增加了野生型和α2+/-小鼠摄食的潜伏期。在强迫游泳和悬尾试验中,慢性地昔帕明治疗增加了野生型和α2-/-小鼠的不动潜伏期。相比之下,慢性氟西汀治疗在两项任务中均增加了α2-/-小鼠的不动时间,而在野生型小鼠中通常没有影响。这些发现表明,在焦虑和行为绝望的临床前模型中,地昔帕明的抗抑郁样作用独立于含α2的GABAA-Rs,而α2表达的降低会导致慢性氟西汀治疗后对致焦虑样和促抑郁样作用的敏感性增加,这表明含α2的GABAA-Rs在对5-羟色胺选择性抗抑郁药的反应中可能起作用。