Peking University Sixth Hospital & Peking University Institute of Mental Health & Key Laboratory of Mental Health, Ministry of Health, (Peking University) & National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.
Department of Neurobiology, Key Laboratory of Medical Neurobiology of Ministry of Health of China.
Int J Neuropsychopharmacol. 2019 Jan 1;22(1):71-82. doi: 10.1093/ijnp/pyy073.
With the growing use of second-generation antipsychotics for the treatment of a spectrum of psychiatric illnesses in pregnancy, concerns have been raised about the long-term impact of these medications on offspring neurodevelopment. However, preclinical and clinical evidence on the lasting effects of prenatal antipsychotic exposure is still sparse.
Risperidone, a widely used second-generation antipsychotic, and haloperidol, a representative first-generation antipsychotic, were administered to pregnant C57BL/6N mice from embryonic day 6 to 16. Behavioral tests, immunohistochemical staining, Golgi-Cox technique, and western blot were used to determine the effects of prenatal antipsychotic exposure on the plasticity of the dentate gyrus and related behavior in adult male mice.
Both prenatal haloperidol- and risperidone-exposed mice showed recognition memory deficits but had no anxiety-related behavior. In addition, both prenatal haloperidol and risperidone exposure impaired the proliferation and maturation of adult-born dentate granule cells. We found that haloperidol exposure decreased dendritic length of dentate granule cells, while risperidone had no effect. However, both drugs inhibited dendrite branching in granule cells. Haloperidol exposure also significantly reduced total spine density in the middle dendritic segment of dentate gyrus. Prenatally risperidone-exposed mice only displayed a loss in thin and mushroom spines of infrapyramidal blade of dentate gyrus. Collectively, prenatal haloperidol exposure exerted more robust negative effects than risperidone.
These data provide evidence for the long-term programming effects of early-life exposure to antipsychotics on hippocampal plasticity and behavior.
随着第二代抗精神病药物在治疗一系列精神疾病中的应用日益广泛,人们对这些药物在孕期对后代神经发育的长期影响产生了担忧。然而,关于产前抗精神病药物暴露的持久影响的临床前和临床证据仍然很少。
利培酮,一种广泛使用的第二代抗精神病药物,和氟哌啶醇,一种代表性的第一代抗精神病药物,从胚胎第 6 天到第 16 天给予怀孕的 C57BL/6N 小鼠。行为测试、免疫组织化学染色、高尔基-考克斯技术和 Western blot 用于确定产前抗精神病药物暴露对成年雄性小鼠齿状回可塑性和相关行为的影响。
产前氟哌啶醇和利培酮暴露的小鼠均表现出识别记忆缺陷,但无焦虑相关行为。此外,产前氟哌啶醇和利培酮暴露均损害成年新生齿状回颗粒细胞的增殖和成熟。我们发现氟哌啶醇暴露降低了齿状回颗粒细胞的树突长度,而利培酮则没有影响。然而,两种药物均抑制了颗粒细胞的树突分支。氟哌啶醇暴露还显著降低了齿状回中间树突段的总棘密度。产前利培酮暴露的小鼠仅显示出下齿状回锥体层薄和蘑菇状棘突的丧失。总的来说,产前氟哌啶醇暴露比利培酮产生更显著的负性影响。
这些数据为早期生活中接触抗精神病药物对海马可塑性和行为的长期编程效应提供了证据。