Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Center of Functionally Integrative Neuroscience, Department of Clinical Medicine, Health, Aarhus University, Nørrebrogade 44, Building 10G, 8000, Aarhus C, Denmark.
Psychopharmacology (Berl). 2018 Mar;235(3):627-640. doi: 10.1007/s00213-017-4781-8. Epub 2017 Nov 19.
Major depressive disorder (MDD) is a growing problem worldwide. Though, the etiology remains unresolved, circadian rhythm disturbances are frequently observed in MDD and thus is speculated to play a key role herein. The present study focuses on circadian rhythm disturbances in the chronic mild stress (CMS) animal model of depression and examined whether the atypical antidepressant, agomelatine, which is mediating its action via melatonergic and serotonergic receptors, is capable of resynchronizing the perturbed rhythm. Melatonin is often used as a marker of the circadian phase, but the functional and behavioral output is dictated on a cellular level by the molecular clock, driven by the clock genes. We applied in situ hybridization histochemistry to measure the expression levels of the core clock genes, period (Per) 1 and 2 and bone and muscle ARNT-like protein 1 (Bmal1), in multiple brain regions believed to be implicated in depression. Agomelatine showed an antidepressant-like effect in the sucrose consumption test and an anxiolytic-like profile in the elevated zero maze. We found that CMS increased nighttime melatonin release in rats and that agomelatine attenuated this effect. Stress was shown to have a time and region-specific effect on clock gene expression in the brain. Treatment with agomelatine failed to normalize clock gene expression, and the observed modifying effect on gene expression did not associate with the antidepressant-like effect. This suggests that the antidepressant actions of agomelatine are mainly independent of circadian rhythm synchronization and, in this regard, not superior to traditional antidepressants tested in our model.
重度抑郁症(MDD)是全球日益严重的问题。尽管其病因仍未解决,但在 MDD 中经常观察到昼夜节律紊乱,因此推测其在此中起关键作用。本研究专注于抑郁症慢性轻度应激(CMS)动物模型中的昼夜节律紊乱,并研究了是否可以通过调节褪黑素能和血清素能受体起作用的非典型抗抑郁药阿戈美拉汀(agonelatine)使紊乱的节律恢复同步。褪黑素通常用作昼夜节律相位的标志物,但在细胞水平上,由时钟基因驱动的分子时钟决定了功能和行为输出。我们应用原位杂交组织化学来测量多个被认为与抑郁症有关的脑区中核心时钟基因周期(Per)1 和 2 和骨和肌肉 ARNT 样蛋白 1(Bmal1)的表达水平。阿戈美拉汀在蔗糖消耗测试中显示出抗抑郁样作用,在高架零迷宫中显示出抗焦虑样特征。我们发现 CMS 增加了大鼠夜间褪黑素的释放,而阿戈美拉汀减弱了这种作用。应激对大脑中时钟基因表达具有时间和区域特异性的影响。阿戈美拉汀治疗未能使时钟基因表达正常化,并且观察到的对基因表达的修饰作用与抗抑郁样作用无关。这表明阿戈美拉汀的抗抑郁作用主要独立于昼夜节律同步,并且在这方面并不优于我们模型中测试的传统抗抑郁药。