Xiamen Hospital of Traditional Chinese Medicine affiliated to Fujian University of Traditional Chinese Medicine, Xiamen 361009, Fujian province, PR China; Research base of TCM syndrome, Fujian University of Traditional Chinese Medicine, Fuzhou 350108, Fujian province, PR China.
Xiamen Hospital of Traditional Chinese Medicine affiliated to Fujian University of Traditional Chinese Medicine, Xiamen 361009, Fujian province, PR China.
Biomed Pharmacother. 2018 Sep;105:45-52. doi: 10.1016/j.biopha.2018.04.035. Epub 2018 May 26.
Chaihu Shugan San (CSS), a traditional Chinese medicine formula, has been used to treat depression for hundreds of years. Recently, the antidepressant-like mechanism of CSS has been increasingly evaluated and demonstrated. However, there are few studies focused on the involvement of the neurotrophic system in mediating the antidepressant-like effects of CSS. Considering the high prevalence of perimenopausal depression around the world, the goal of the present study was to determine whether brain-derived neurotrophic factor (BDNF) signaling is required for the antidepressant-like effects of CSS in perimenopausal depressive-like rats. The results indicate that CSS reverses depressive-like behaviors and attenuates the downregulation of BDNF in the hippocampus of perimenopausal rats exposed to chronic unpredictable mild stress (CUMS). We found that the TrkB antagonist K252 not only blocks the effects of CSS on behavioral improvement but also abolishes the activation of CSS in BDNF-TrkB signaling. As a result, the downstream targets of BDNF signaling, such as the ERK and Akt pathways, are significantly inhibited by K252a. Furthermore, CSS increases hippocampal neurogenesis, while K252a fully prevents this action. In conclusion, the present results demonstrate that the activation of the hippocampal BDNF-TrkB-ERK/Akt signaling pathway is required for the antidepressant-like effects of CSS on the depressive-like state during perimenopause. Additionally, this study also demonstrates that neurogenesis is required for the effects of antidepressants in aging perimenopausal animals and provides fundamental evidence for the clinical application of CSS.
柴胡疏肝散(CSS)是一种传统的中药方剂,已经有数百年来被用于治疗抑郁症。最近,CSS 的抗抑郁作用机制越来越受到关注和验证。然而,很少有研究关注神经营养系统在介导 CSS 抗抑郁样作用中的作用。考虑到围绝经期抑郁症在全球的高发病率,本研究旨在确定脑源性神经营养因子(BDNF)信号是否是 CSS 在围绝经期抑郁样大鼠中发挥抗抑郁样作用所必需的。结果表明,CSS 逆转了抑郁样行为,并减轻了慢性不可预测轻度应激(CUMS)暴露的围绝经期大鼠海马中 BDNF 的下调。我们发现,TrkB 拮抗剂 K252 不仅阻断了 CSS 对行为改善的作用,而且还消除了 CSS 对 BDNF-TrkB 信号的激活。结果,BDNF 信号的下游靶标,如 ERK 和 Akt 途径,被 K252a 显著抑制。此外,CSS 增加了海马神经发生,而 K252a 完全阻止了这一作用。总之,本研究结果表明,海马 BDNF-TrkB-ERK/Akt 信号通路的激活是 CSS 对围绝经期抑郁样状态发挥抗抑郁样作用所必需的。此外,本研究还表明,神经发生是抗抑郁药在衰老围绝经期动物中发挥作用所必需的,为 CSS 的临床应用提供了基础证据。
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