Department ofDermatology, Medical School of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi Province, China.
Department ofNeurology, Second Affiliated Hospital, Medical School of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi Province, China.
Clin Exp Dermatol. 2018 Apr;43(3):254-261. doi: 10.1111/ced.13378. Epub 2018 Jan 8.
The prevalence of anxiety and depression is significantly higher in individuals with psoriasis than in the general population. Clinical data also show that anti-anxiety and antidepression drugs can reduce skin lesions in patients with psoriasis, but the actual mechanism is still poorly understood.
To investigate whether brain-derived neurotrophic factor (BDNF) and tropomyosin receptor kinase B (TrKB) signalling plays a role in the mechanism underlying psoriasis with depression and anxiety behaviours.
Expression of BDNF and tropomyosin receptor kinase B (TrKB) in the K5.Stat3C mouse, an animal model of psoriasis, were investigated by reverse transcription PCR and Western blotting. Anxiety-like behaviours in the elevated-plus maze test and changes in BDNF/TrkB that have been implicated in depression and anxiety behaviours were measured. Skin lesions induced by 12-O-tetradecanoyl phorbol-13-acetate (TPA) were also measured when the mice were administered fluoxetine and K252a, an antagonist of TrkB.
The antidepression and anti-anxiety drug fluoxetine reduced TPA-induced skin lesions and increased expression of BDNF and TrkB in K5.Stat3C mice. More importantly, the effects of fluoxetine were reversed by the TrkB antagonist K252a.
BDNF/TrkB signalling participates in the pathological mechanism of depression and anxiety behaviours in psoriasis. Our findings provide a new therapeutic strategy for the treatment of skin lesions in psoriasis.
患有银屑病的个体中焦虑和抑郁的患病率明显高于普通人群。临床数据还表明,抗焦虑和抗抑郁药物可以减少银屑病患者的皮肤损伤,但实际机制仍知之甚少。
探讨脑源性神经营养因子(BDNF)和原肌球蛋白受体激酶 B(TrKB)信号在伴有抑郁和焦虑行为的银屑病发病机制中的作用。
通过逆转录 PCR 和 Western blot 检测 K5.Stat3C 小鼠(银屑病动物模型)中 BDNF 和 tropomyosin receptor kinase B(TrKB)的表达。通过高架十字迷宫试验测量焦虑样行为,以及与抑郁和焦虑行为相关的 BDNF/TrKB 的变化。当给予氟西汀和 TrkB 拮抗剂 K252a 时,还测量了 TPA 诱导的皮肤损伤。
抗抑郁药氟西汀可减少 TPA 诱导的皮肤损伤,并增加 K5.Stat3C 小鼠中 BDNF 和 TrKB 的表达。更重要的是,TrkB 拮抗剂 K252a 逆转了氟西汀的作用。
BDNF/TrKB 信号参与了银屑病中抑郁和焦虑行为的病理机制。我们的发现为治疗银屑病的皮肤损伤提供了一种新的治疗策略。