Department of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, China.
Institute of Neuroscience, Fourth Military Medical University, Xi'an, 710032, China.
Mol Cell Biochem. 2018 May;442(1-2):59-72. doi: 10.1007/s11010-017-3193-8. Epub 2017 Sep 25.
Repetitive transcranial magnetic stimulation (rTMS) is a useful monotherapy for depression or adjunctive therapy for resistant depression. However, the anti-depressive effects of different parameters and the underlying mechanisms remain unclear. Here, we aimed to assess the effect of rTMS with different parameters (1/5/10 Hz, 0.84/1.26 T) on the depressive-like behaviors, 5-hydroxytryptamine (5-HT), 5-HIAA (5-hydroxyindoleacetic acid) and DA and NE levels, and monoamine oxidase A (MAO-A) activity in chronic unpredictable stress-treated rats, along with the expression of sirtuin 1 (Sirt1) and MAO-A in the prefrontal cortex (PFC) and cortex-derived astrocytes from new-born rats. Moreover, the depressive-like behaviors were monitored following the transcranial injection of the Sirt1 inhibitor EX527 (1 mM) daily for 1 week. We found that rTMS treatment (5/10 Hz, 0.84/1.26 T) ameliorated depressive-like behaviors, increased 5-HT, DA and NE levels, decreased the 5-HIAA level and Sirt1 and MAO-A expression, and reduced MAO-A activity in the PFC. The depressive-like behaviors were also ameliorated after the transcranial injection of EX527. Importantly, rTMS (5/10 Hz, 0.84/1.26 T) inhibited Sirt1 and MAO-A expressions in astrocytes and Sirt1 knockdown with short hairpin RNA decreased MAO-A expression in astrocytes. These results suggest that the inhibition of Sirt1/MAO-A expression in astrocytes in the PFC may contribute to the different anti-depressive effects of rTMS with different parameters, and may also provide a novel insight into the mechanisms underlying major depressive disorder.
重复经颅磁刺激(rTMS)是一种有效的抑郁症单药治疗或难治性抑郁症的辅助治疗方法。然而,不同参数的抗抑郁效果及其潜在机制仍不清楚。在这里,我们旨在评估不同参数(1/5/10 Hz,0.84/1.26 T)的 rTMS 对慢性不可预测性应激处理大鼠的抑郁样行为、5-羟色胺(5-HT)、5-羟吲哚乙酸(5-HIAA)和 DA 及 NE 水平以及单胺氧化酶 A(MAO-A)活性的影响,以及新生大鼠前额叶皮层(PFC)和皮层衍生星形胶质细胞中 Sirtuin 1(Sirt1)和 MAO-A 的表达。此外,在每天经颅注射 Sirt1 抑制剂 EX527(1 mM)1 周后,监测大鼠的抑郁样行为。我们发现,rTMS 治疗(5/10 Hz,0.84/1.26 T)改善了抑郁样行为,增加了 5-HT、DA 和 NE 水平,降低了 5-HIAA 水平和 Sirt1 和 MAO-A 的表达,降低了 PFC 中的 MAO-A 活性。经颅注射 EX527 后,大鼠的抑郁样行为也得到了改善。重要的是,rTMS(5/10 Hz,0.84/1.26 T)抑制了星形胶质细胞中的 Sirt1 和 MAO-A 表达,短发夹 RNA 敲低 Sirt1 降低了星形胶质细胞中的 MAO-A 表达。这些结果表明,PFC 中星形胶质细胞的 Sirt1/MAO-A 表达抑制可能是不同参数 rTMS 抗抑郁作用不同的原因,也可能为理解重度抑郁症的发病机制提供新的思路。
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