Zhang Zhi-Bi, Xu Tian-Yong, You Ding-Yun, Yi Shuai, Liu Qing, Li Huifang-Jie, Gu Jin-Yun
Biomedical Engineering Center, Kunming Medical University, Kunming, People's Republic of China.
Experiment Center for Medical Science Research, Kunming, People's Republic of China.
Neuropsychiatr Dis Treat. 2018 Aug 20;14:2105-2114. doi: 10.2147/NDT.S163449. eCollection 2018.
A number of studies have demonstrated the significant and rapid antidepressant effects of ketamine, which is also known as a neurotoxic and illicit drug. Ketamine and alcohol are increasingly used together in clubs by teenagers and young adults. Previous studies have proven that chronic ketamine consumption induces a delayed and persistent activation of the dopamine (DA) system. However, the rewarding properties of recreational ketamine abuse remain unclear, and the underlying mechanisms of the effects on the DA system after administration of ketamine with ethanol are yet to be explored.
Here, we evaluated the effects of two different doses of ketamine (30 mg/kg and 60 mg/kg) with and without ethanol (0.3156 g/kg) on DA concentration in the rat's ventral tegmental area (VTA), a vital region in the reward and motivation system. We explored the effects of the combined drug treatment on the expression profiling of the DA metabolism genes, tyrosine hydroxylase, dopa decarboxylase, vesicular monoamine transporter 2, and synaptosomal-associated protein 25, as well as protein expression level of brain-derived neurotrophic factor in the rat's VTA.
We found that administration of ketamine with ethanol led to a significant increase of DA in the VTA associated with differential regulation of mRNA levels of the four DA metabolism genes and protein levels of brain-derived neurotrophic factor. Moreover, the rewarding properties of coadministration of ketamine and ethanol were related to dopaminergic neuron activation in the VTA.
These results indicated the possibility that combined drug treatment might positively affect the mesencephalic DA reward system.
多项研究已证实氯胺酮具有显著且快速的抗抑郁作用,而氯胺酮也是一种具有神经毒性的非法药物。青少年和年轻人在俱乐部中越来越多地同时使用氯胺酮和酒精。先前的研究已证明,长期使用氯胺酮会导致多巴胺(DA)系统延迟且持续的激活。然而,娱乐性氯胺酮滥用的奖赏特性仍不清楚,氯胺酮与乙醇联合给药后对DA系统产生影响的潜在机制尚待探索。
在此,我们评估了两种不同剂量的氯胺酮(30mg/kg和60mg/kg)分别与有无乙醇(0.3156g/kg)联合使用对大鼠腹侧被盖区(VTA)中DA浓度的影响,VTA是奖赏和动机系统中的一个关键区域。我们探究了联合药物治疗对大鼠VTA中DA代谢基因、酪氨酸羟化酶、多巴脱羧酶、囊泡单胺转运体2和突触体相关蛋白25的表达谱,以及脑源性神经营养因子蛋白表达水平的影响。
我们发现,氯胺酮与乙醇联合给药导致VTA中DA显著增加,这与四种DA代谢基因的mRNA水平和脑源性神经营养因子的蛋白水平的差异调节有关。此外,氯胺酮与乙醇联合给药的奖赏特性与VTA中多巴胺能神经元的激活有关。
这些结果表明联合药物治疗可能对中脑DA奖赏系统产生积极影响的可能性。