School of Chinese Medicine, LKS Faculty of Medicine, the University of Hong Kong, 10 Sassoon Road, Pokfulam, Hong Kong, China.
Shanghai Mental Health Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Phytomedicine. 2019 Oct;63:153012. doi: 10.1016/j.phymed.2019.153012. Epub 2019 Jul 4.
Menopause is closely associated with the risk of anxiety and depression in a woman's life. Despite the numerous reports on the effects of Radix rehmanniae extract (RRE) on various types of depression, there are few studies exploring the effects of RRE on the menopausal anxiety and depression.
To investigate whether RRE could alleviate the menopausal anxiety and depression in ovariectomized (OVX) mice submitted to chronic unpredictable mild stress (CUMS).
OVX mice were treated with 2.6 g/kg RRE for 5 weeks. After a series of behavior tests, serum, uterus, and brain tissues were collected for the measurement of neurotransmitters and their related biomarkers, neurotrophins, and estrogen receptor α (ERα) and β (ERβ).
RRE showed antidepressant and anxiolytic effects through these behavior tests, but had no effects on the OVX-induced weight gains, uterine shrinkage and drop of serum estrogen level. RRE restored the levels of serotonin (5-HT), dopamine (DA) and its metabolite 3,4-dihydroxyphenylacetic acid (DOPAC), Glutamate (Glu), gamma-Aminobutyric acid (GABA) and their related biomarkers in different brain regions. RRE also reversed OVX-induced decrease in the expression levels of neurotrophins in uterus and brain regions except for uterine nerve growth factor (NGF). Moreover, RRE restored and even enhanced ERβ expression levels in uterus and brain without affecting uterine, hippocampal and cortical ERα.
This study demonstrated the antidepressant and anxiolytic effects of RRE in OVX mice, which were possibly mediated via their modulation of brain neurotransmitters, and regulation of neurotrophins and activation of ERβ.
更年期与女性生活中的焦虑和抑郁风险密切相关。尽管有大量关于红参提取物(RRE)对各种类型抑郁症影响的报道,但很少有研究探讨 RRE 对更年期焦虑和抑郁的影响。
研究 RRE 是否可以缓解慢性不可预测轻度应激(CUMS)所致去卵巢(OVX)小鼠的更年期焦虑和抑郁。
OVX 小鼠用 2.6g/kg RRE 治疗 5 周。一系列行为测试后,采集血清、子宫和脑组织,以测量神经递质及其相关生物标志物、神经营养因子和雌激素受体α(ERα)和β(ERβ)。
RRE 通过这些行为测试表现出抗抑郁和抗焦虑作用,但对 OVX 引起的体重增加、子宫收缩和血清雌激素水平下降没有影响。RRE 恢复了不同脑区 5-羟色胺(5-HT)、多巴胺(DA)及其代谢产物 3,4-二羟基苯乙酸(DOPAC)、谷氨酸(Glu)、γ-氨基丁酸(GABA)和相关生物标志物的水平。RRE 还逆转了 OVX 引起的子宫和脑区神经生长因子(NGF 除外)表达水平下降。此外,RRE 恢复甚至增强了子宫和脑区的 ERβ 表达水平,而不影响子宫、海马和皮质的 ERα。
本研究表明 RRE 对 OVX 小鼠具有抗抑郁和抗焦虑作用,这可能是通过调节脑内神经递质、调节神经营养因子和激活 ERβ 来实现的。