Department of Anesthesiology, Pharmacology, Physiology, and Neuroscience, Rutgers, The State University of New Jersey, New Jersey Medical School, Newark, NJ, USA.
Department of Anesthesiology, Pharmacology, Physiology, and Neuroscience, Rutgers, The State University of New Jersey, New Jersey Medical School, Newark, NJ, USA.
Neuropharmacology. 2018 Feb;129:47-56. doi: 10.1016/j.neuropharm.2017.11.013. Epub 2017 Nov 8.
Alcoholism and psychiatric disorders like depression and anxiety are often comorbid. Although the mechanisms underlying this comorbidity are unclear, emerging evidence suggests that maladaptation of the glial glutamate transporter GLT-1 may play a role. Findings from animal and human studies have linked aversive states, including those related to drugs of abuse and depression, to aberrant activity in the lateral habenula (LHb). The relationship between GLT-1 maladaptation, LHb activity, and abnormal behaviors related to alcohol withdrawal, however, remains unknown. Here we show that dihydrokainic acid (DHK), a GLT-1 blocker, potentiated glutamatergic transmission to LHb neurons in slices from ethanol naïve rats; this potentiation, though, was not observed in slices from rats withdrawn from repeated in vivo ethanol administration, suggesting reduced GLT-1 function. Furthermore, GLT-1 protein expression was reduced in the LHb of withdrawn rats. This reduction was restored by systemic administration of ceftriaxone, a β-lactam antibiotic known to increase GLT-1 expression. Systemic ceftriaxone treatment also normalized the hyperactivity of LHb neurons in slices from withdrawn rats, which was reversed by bath-applied DHK. Finally, systemic administration of ceftriaxone alleviated depression- and anxiety-like behaviors, which was fully blocked by intra-LHb administrations of DHK, suggesting that GLT-1's function in the LHb is critical. These findings highlight the significant role of LHb astrocytic GLT-1 in the hyperactivity of LHb neurons, and in depressive- and anxiety-like behaviors during ethanol withdrawal. Thus, GLT-1 in the LHb could serve as a therapeutic target for psychiatric disorders comorbid with ethanol withdrawal.
酒精中毒和抑郁症、焦虑症等精神障碍常常并发。虽然这种共病的机制尚不清楚,但新出现的证据表明,神经胶质谷氨酸转运体 GLT-1 的适应不良可能起作用。动物和人类研究的结果将厌恶状态(包括与滥用药物和抑郁相关的状态)与外侧缰核(LHb)的异常活动联系起来。然而,GLT-1 适应不良、LHb 活性与与酒精戒断相关的异常行为之间的关系尚不清楚。在这里,我们表明二氢酮酸(DHK),一种 GLT-1 阻断剂,增强了来自乙醇未处理大鼠切片中 LHb 神经元的谷氨酸能传递;然而,在来自反复体内乙醇给药的大鼠的切片中没有观察到这种增强作用,表明 GLT-1 功能降低。此外,LHb 中的 GLT-1 蛋白表达在戒断大鼠中减少。这种减少通过全身给予头孢曲松(一种已知增加 GLT-1 表达的β-内酰胺抗生素)得到恢复。全身头孢曲松治疗还使 LHb 神经元在戒断大鼠切片中的过度活跃正常化,该过度活跃可被浴中应用的 DHK 逆转。最后,全身给予头孢曲松可缓解抑郁和焦虑样行为,这可被 LHb 内给予 DHK 完全阻断,表明 LHb 中的 GLT-1 功能至关重要。这些发现强调了 LHb 星形胶质细胞 GLT-1 在 LHb 神经元过度活跃以及在乙醇戒断期间抑郁和焦虑样行为中的重要作用。因此,LHb 中的 GLT-1 可以作为治疗与乙醇戒断并发的精神障碍的靶点。