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幼年大鼠早期使用抗精神病药物治疗会引发成年后血清素受体的长期改变。

Early antipsychotic treatment in juvenile rats elicits long-term alterations to the adult serotonin receptors.

作者信息

De Santis Michael, Huang Xu-Feng, Deng Chao

机构信息

Antipsychotic Research Laboratory, Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia.

School of Medicine, University of Wollongong, Wollongong, NSW, Australia.

出版信息

Neuropsychiatr Dis Treat. 2018 Jun 14;14:1569-1583. doi: 10.2147/NDT.S158545. eCollection 2018.

Abstract

BACKGROUND

Antipsychotic drug (APD) prescription/use in children has increased significantly worldwide, despite limited insight into potential long-term effects of treatment on adult brain functioning. While initial long-term studies have uncovered alterations to behaviors following early APD treatment, further investigations into potential changes to receptor density levels of related neurotransmitter (NT) systems are required.

METHODS

The current investigation utilized an animal model for early APD treatment with aripiprazole, olanzapine, and risperidone in male and female juvenile rats to investigate potential long-term changes to the adult serotonin (5-HT) NT system. Levels of 5-HT, 5-HT, and 5-HT receptors were measured in the prefrontal cortex (PFC), caudate putamen (CPu), nucleus accumbens (NAc), and hippocampus via Western Blot and receptor autoradiography.

RESULTS

In the male cohort, long-term changes to 5-HT and 5-HT receptors were found mostly across hippocampal and cortical brain regions following early aripiprazole and olanzapine treatment, while early risperidone treatment changed 5-HT receptor levels in the NAc and PFC. Lesser effects were uncovered in the female cohort with aripiprazole, olanzapine and risperidone to alter 5-HT and 5-HT receptors in NAc and hippocampal brain regions, respectively.

CONCLUSION

The results of this study suggest that early treatment of various APDs in juvenile rats may cause gender and brain regional specific changes in 5-HT and 5-HT receptors in the adult brain.

摘要

背景

尽管对于抗精神病药物(APD)治疗对成人大脑功能的潜在长期影响了解有限,但全球范围内儿童使用APD的处方量/使用量已显著增加。虽然初步的长期研究发现早期APD治疗后行为会发生改变,但仍需要进一步研究相关神经递质(NT)系统受体密度水平的潜在变化。

方法

本研究采用动物模型,对雄性和雌性幼年大鼠进行阿立哌唑、奥氮平和利培酮的早期APD治疗,以研究对成年血清素(5-HT)NT系统的潜在长期变化。通过蛋白质免疫印迹法和受体放射自显影术测量前额叶皮质(PFC)、尾状壳核(CPu)、伏隔核(NAc)和海马体中5-HT、5-HT和5-HT受体的水平。

结果

在雄性队列中,早期阿立哌唑和奥氮平治疗后,5-HT和5-HT受体的长期变化主要出现在海马体和皮质脑区,而早期利培酮治疗则改变了NAc和PFC中的5-HT受体水平。在雌性队列中,阿立哌唑、奥氮平和利培酮对NAc和海马体脑区中5-HT和5-HT受体的改变作用较小。

结论

本研究结果表明,幼年大鼠早期使用各种APD治疗可能会导致成年大脑中5-HT和5-HT受体出现性别和脑区特异性变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b44/6011877/cea8e7d2da1c/ndt-14-1569Fig1.jpg

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