Laboratory of Metabolic Brain Diseases, Institute of Metabolic Disease Research and Drug Development, China Medical University, No. 77, Puhe Road, Shenbei District, Shenyang, People's Republic of China.
Department of Laboratory Medicine & Pathology in the Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.
Neurochem Res. 2018 Aug;43(8):1692-1701. doi: 10.1007/s11064-018-2585-9. Epub 2018 Jul 2.
Here we present the data indicating that chronic treatment with three antibipolar drugs, lithium, carbamazepine and valproic acid regulates Cav-1/PTEN/PI3K/AKT/GSK-3β signalling pathway and glycogen content in primary cultured astrocytes. All three drugs down-regulate gene expression of Caveoline 1 (Cav-1), decrease membrane content of phosphatase and tensin homolog (PTEN), increase activity of phosphatidylinositol-4,5-bisphosphate 3-kinase (PI3K) and serine-threonine kinase (AKT), and elevate glycogen synthase kinase 3β (GSK-3β) phosphorylation thus suppressing its activity. As expected, treatment with any of these three drugs increases glycogen content in astrocytes. Our findings indicate that regulation of glycogen content via Cav-1/PTEN/AKT/GSK-3β pathway by the three anti-bipoar drugs may be responsible for therapeutic effects of these drugs, and Cav-1 is an important signal element that may contribute to pathogenesis of various CNS diseases and regulation of its gene expression may be one of the underlying mechanisms of drug action for antibipolar drugs and antidepressants currently in clinical use.
在这里,我们呈现的数据表明,三种抗双相情感障碍药物(锂、卡马西平和丙戊酸)的慢性治疗可调节原代培养星形胶质细胞中的 Cav-1/PTEN/PI3K/AKT/GSK-3β信号通路和糖原含量。这三种药物都下调了窖蛋白 1(Cav-1)的基因表达,减少了磷酸酶和张力蛋白同源物(PTEN)的膜含量,增加了磷酸肌醇-4,5-二磷酸 3-激酶(PI3K)和丝氨酸-苏氨酸激酶(AKT)的活性,并升高了糖原合酶激酶 3β(GSK-3β)的磷酸化,从而抑制其活性。正如预期的那样,这三种药物中的任何一种处理都会增加星形胶质细胞中的糖原含量。我们的研究结果表明,这三种抗双相情感障碍药物通过 Cav-1/PTEN/AKT/GSK-3β 通路调节糖原含量可能是这些药物治疗效果的原因,Cav-1 是一个重要的信号元件,可能与各种中枢神经系统疾病的发病机制有关,调节其基因表达可能是目前临床使用的抗双相情感障碍药物和抗抑郁药作用机制之一。