Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Int J Neuropsychopharmacol. 2018 Jun 1;21(6):616-622. doi: 10.1093/ijnp/pyy023.
Due to the heterogeneity of psychiatric illnesses and overlapping mechanisms, patients with psychosis are differentially responsive to pharmaceutical drugs. In addition to having therapeutic effects for schizophrenia and bipolar disorder, antipsychotics and mood stabilizers have many clinical applications and are used unconventionally due to their direct and indirect effects on neurotransmitters. Synapsins, a family of neuronal phosphoproteins, play a key regulatory role in neurotransmitter release at synapses. In this study, we investigated the effects of mood stabilizers, lithium, and valproic acid on synapsin gene expression in the rat brain.
Intraperitoneal injections of saline, lithium, and valproic acid were administered to male Sprague Dawley rats twice daily for 14 d, corresponding to their treatment group. Following decapitation and brain tissue isolation, mRNA was extracted from various brain regions including the hippocampus, striatum, prefrontal cortex, and frontal cortex.
Biochemical analysis revealed that lithium significantly increased gene expression of synapsin I in the striatum, synapsin IIa in the hippocampus and prefrontal cortex, and synapsin IIb in the hippocampus and striatum. Valproic acid significantly increased synapsin IIa in the hippocampus and prefrontal cortex, as well as synapsin IIb in the hippocampus and striatum.
These significant changes in synapsin I and II expression may implicate a common transcription factor, early growth response 1, in its mechanistic pathway. Overall, these results elucidate mechanisms through which lithium and valproic acid act on downstream targets compared with antipsychotics and provide deeper insight on the involvement of synaptic proteins in treating neuropsychiatric illnesses.
由于精神疾病的异质性和重叠的机制,精神病患者对药物的反应不同。抗精神病药和心境稳定剂除了对精神分裂症和双相情感障碍有治疗作用外,由于它们对神经递质的直接和间接作用,还有许多临床应用,并被非常规使用。突触蛋白是一类神经元磷酸蛋白,在突触中神经递质释放中起关键调节作用。在这项研究中,我们研究了心境稳定剂锂和丙戊酸对大鼠脑内突触蛋白基因表达的影响。
雄性 Sprague Dawley 大鼠每天腹腔注射生理盐水、锂和丙戊酸钠两次,共 14 天,对应于他们的治疗组。断头后分离脑组织,从海马体、纹状体、前额叶皮层和额叶等不同脑区提取 mRNA。
生化分析显示,锂显著增加了纹状体中突触蛋白 I、海马体和前额叶皮层中突触蛋白 IIa 以及海马体和纹状体中突触蛋白 IIb 的基因表达。丙戊酸显著增加了海马体和前额叶皮层中的突触蛋白 IIa 以及海马体和纹状体中的突触蛋白 IIb。
突触蛋白 I 和 II 的这种显著变化可能暗示了一个共同的转录因子早期生长反应 1 参与了其机制途径。总的来说,这些结果阐明了与抗精神病药相比,锂和丙戊酸作用于下游靶标的机制,并深入了解了突触蛋白在治疗神经精神疾病中的作用。