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芍药苷对大鼠脑卒中后抑郁的抗抑郁样作用

Antidepressant-like effects of paeoniflorin on post-stroke depression in a rat model.

作者信息

Hu Ming-Zhe, Wang An-Rong, Zhao Ze-Yu, Chen Xiang-Yan, Li Yan-Bin, Liu Bin

机构信息

a The Second Clinical College of Guangzhou University of Chinese Medicine , Guangzhou , China.

b Shandong University of Traditional Chinese Medicine , Jinan , China.

出版信息

Neurol Res. 2019 May;41(5):446-455. doi: 10.1080/01616412.2019.1576361. Epub 2019 Feb 13.

DOI:10.1080/01616412.2019.1576361
PMID:30759063
Abstract

BACKGROUND

Post-stroke depression (PSD) is one of the most prevalent emotional disorders after stroke and often results in poor outcomes. However, the underlying physiopathologic mechanism and effective treatment of PSD remain poorly elucidated.

OBJECTIVE

To investigate whether paeoniflorin has antidepressant-like activity in a rat model of PSD.

METHODS

Rats were randomly divided into four groups: sham-operated control (Sham), PSD, paeoniflorin (with PSD) and fluoxetine group(with PSD). PSD was developed by the right middle cerebral artery occlusion followed 21 days chronic unpredictable mild stress combined (CUMS) with raised alone. Tests of sucrose preference and open field were used to assess the depression-like behavior. Neurological function was evaluated by neurological deficit score and beam balance test. Expression of phosphorylated CREB (p-CREB) and brain-derived neurotrophic factor (BDNF) in the CA1 region of the hippocampal complex was evaluated by western blot and immunofluorescence.

RESULTS

Te depressive-like behaviors markedly improved after paeoniflorin and fluoxetine treatment. Furthermore, paeoniflorin treatment significantly increased BDNF and p-CREB expression in the CA1 region.

CONCLUSIONS

Observed results suggested that paeoniflorin could ameliorate the symptoms and improve the functional capability of PSD rats, similar to the effect of fluoxetine.

ABBREVIATIONS

PSD: post-stroke depression; CUMS: chronic unpredictable mild stress stimulation; MCAO: middle cerebral artery occlusion; OFT: open field test; SPT: sucrose preference test, NDS: neurological deficit score, BBT: beam balance test; BDNF: brain-derived neurotrophic factor protein; p-CREB: phosphorylated Cyclic-AMP responsive element binding protein.

摘要

背景

中风后抑郁(PSD)是中风后最常见的情绪障碍之一,常导致不良后果。然而,PSD的潜在生理病理机制和有效治疗方法仍不清楚。

目的

研究芍药苷在PSD大鼠模型中是否具有抗抑郁样活性。

方法

将大鼠随机分为四组:假手术对照组(Sham)、PSD组、芍药苷组(伴PSD)和氟西汀组(伴PSD)。通过右侧大脑中动脉闭塞,随后21天慢性不可预测轻度应激联合单独饲养来建立PSD模型。采用蔗糖偏好试验和旷场试验评估抑郁样行为。通过神经功能缺损评分和横梁平衡试验评估神经功能。采用蛋白质免疫印迹法和免疫荧光法评估海马复合体CA1区磷酸化CREB(p-CREB)和脑源性神经营养因子(BDNF)的表达。

结果

芍药苷和氟西汀治疗后,抑郁样行为明显改善。此外,芍药苷治疗显著增加了CA1区BDNF和p-CREB的表达。

结论

观察结果表明,芍药苷可改善PSD大鼠的症状并提高其功能能力,类似于氟西汀的作用。

缩写

PSD:中风后抑郁;CUMS:慢性不可预测轻度应激刺激;MCAO:大脑中动脉闭塞;OFT:旷场试验;SPT:蔗糖偏好试验;NDS:神经功能缺损评分;BBT:横梁平衡试验;BDNF:脑源性神经营养因子蛋白;p-CREB:磷酸化环磷酸腺苷反应元件结合蛋白

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