1Memory Clinic, Department of Neurology,Charles University, 2nd Faculty of Medicine and Motol University Hospital,Prague,Czech Republic.
2Behavioural Neurogenetics Group, School of Psychology,Victoria University of Wellington,New Zealand.
Acta Neuropsychiatr. 2019 Apr;31(2):93-99. doi: 10.1017/neu.2018.31. Epub 2018 Dec 4.
Genetic and environmental factors interact in the development of major depressive disorder (MDD). While neurobiological correlates have only partially been elucidated, altered levels of calcitonin gene-related peptide (CGRP)-like immunoreactivity (LI) in animal models and in the cerebrospinal fluid of depressed patients were reported, suggesting that CGRP may be involved in the pathophysiology and/or be a trait marker of MDD. However, changes in CGRP brain levels resulting from interactions between genetic and environmental risk factors and the response to antidepressant treatment have not been explored.
We therefore superimposed maternal separation (MS) onto a genetic rat model (Flinders-sensitive and -resistant lines, FSL/FRL) of depression, treated these rats with antidepressants (escitalopram and nortriptyline) and measured CGRP-LI in selected brain regions.
CGRP was elevated in the frontal cortex, hippocampus and amygdala (but not in the hypothalamus) of FSL rats. However, MS did not significantly alter levels of this peptide. Likewise, there were no significant interactions between the genetic and environmental factors. Most importantly, neither escitalopram nor nortriptyline significantly altered brain CGRP levels.
Our data demonstrate that increased brain levels of CGRP are present in a well-established rat model of depression. Given that antidepressants have virtually no effect on the brain level of this peptide, our study indicates that further research is needed to evaluate the functional role of CGRP in the FSL model for depression.
遗传和环境因素在重度抑郁症(MDD)的发展中相互作用。虽然神经生物学相关性仅部分阐明,但据报道,动物模型和抑郁患者的脑脊液中降钙素基因相关肽(CGRP)样免疫反应性(LI)水平发生改变,这表明 CGRP 可能参与了 MDD 的病理生理学和/或作为 MDD 的特征标志物。然而,尚未探讨遗传和环境风险因素之间的相互作用以及抗抑郁治疗反应对 CGRP 脑水平的影响。
因此,我们将母体分离(MS)叠加到抑郁的遗传大鼠模型(弗林德斯敏感和抗性系,FSL/FRL)上,用抗抑郁药(依地普仑和去甲替林)治疗这些大鼠,并测量了选定脑区的 CGRP-LI。
FSL 大鼠的前额皮质、海马体和杏仁核(但下丘脑没有)中的 CGRP 升高。然而,MS 并未显著改变该肽的水平。同样,遗传和环境因素之间也没有显著的相互作用。最重要的是,依地普仑和去甲替林均未显著改变大脑中的 CGRP 水平。
我们的数据表明,在既定的抑郁大鼠模型中,大脑中的 CGRP 水平升高。鉴于抗抑郁药对该肽的大脑水平几乎没有影响,我们的研究表明,需要进一步研究以评估 CGRP 在 FSL 抑郁模型中的功能作用。