Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada; Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.
Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada.
Neurosci Biobehav Rev. 2019 Oct;105:1-23. doi: 10.1016/j.neubiorev.2019.07.007. Epub 2019 Jul 20.
In order to expand the prospects of developing novel antidepressants for treatment-resistant populations, animal models should incorporate not only various stress-induced behavioural, neurochemical and endocrine parallels to major depressive disorder (MDD), but also aspects of heightened stress susceptibility and resistance to conventional drugs. This review focuses on the available literature supporting the Wistar-Kyoto (WKY) rat as a model of endogenous stress susceptibility and depression, and the role of synaptic plasticity in depression and antidepressant response in the context of this model. Accumulating evidence implicates a dysregulation of synaptic plasticity in the etiology of depression, leading to synaptic weakening and neuronal atrophy in vulnerable brain regions (hippocampus, prefrontal cortex). Furthermore, novel antidepressant treatments, particularly ketamine, may reverse the stress-induced loss of connectivity in these key neural circuits by engaging synaptic plasticity processes to "reset the system". Incorporating synaptic plasticity into the current framework of antidepressant action may serve to bridge understanding of an antidepressant's molecular and cellular effects with those related to regional structural plasticity and neural circuit functioning.
为了拓展治疗抵抗人群新型抗抑郁药物的研发前景,动物模型不仅应包含与重度抑郁症(MDD)相关的各种应激诱导的行为、神经化学和内分泌方面的变化,还应包含应激易感性和对传统药物抗性的方面。本篇综述主要关注现有的文献,以支持 Wistar-Kyoto(WKY)大鼠作为内源性应激易感性和抑郁的模型,以及在这种模型背景下突触可塑性在抑郁和抗抑郁反应中的作用。越来越多的证据表明,突触可塑性失调与抑郁的病因有关,导致脆弱脑区(海马体、前额叶皮层)的突触减弱和神经元萎缩。此外,新型抗抑郁药物治疗,特别是氯胺酮,可能通过参与突触可塑性过程来“重置系统”,从而逆转应激诱导的这些关键神经回路中的连接丧失。将突触可塑性纳入当前抗抑郁药作用的框架中,可以将抗抑郁药的分子和细胞作用与与区域结构可塑性和神经回路功能相关的作用联系起来。