Division of Basic Biomedical Sciences, Sanford School of Medicine, University of South Dakota, Vermillion, SD 57069, United States of America; Sioux Falls VA Healthcare System, Sioux Falls, SD 57105, United States of America.
Division of Basic Biomedical Sciences, Sanford School of Medicine, University of South Dakota, Vermillion, SD 57069, United States of America.
Prog Neuropsychopharmacol Biol Psychiatry. 2020 Jan 10;96:109754. doi: 10.1016/j.pnpbp.2019.109754. Epub 2019 Aug 24.
Major depressive disorder and related illnesses are globally prevalent, with a significant risk for suicidality if untreated. Antidepressant drugs that are currently prescribed do not benefit 30% of treated individuals. Furthermore, there is a delay of 3 or more weeks before a reduction in symptoms. Results from preclinical studies have indicated an important role for trophic factors in regulating behavior. Erythropoietin (Epo), which is widely prescribed for anemia, has been shown to produce robust neurotrophic actions in the CNS. Although Epo's antidepressant activity has been successfully demonstrated in multiple clinical trials, the inherent ability to elevate RBC counts and other hematological parameters preclude its development as a mainstream CNS drug. A chemically engineered derivative, carbamoylated Epo (Cepo) has no hematological activity, but retains the neurotrophic actions of Epo. Cepo is therefore an attractive candidate to be tested as an antidepressant.
To evaluate the antidepressant properties of Cepo in established antidepressant-responsive rodent behavioral assays.
Adult male and female BALB/c mice were used for this study. Cepo (30 μgrams/ kg BWT) or vehicle (PBS) was administered intraperitoneally for 4 days before the test of novelty induced hypophagia and subsequently at five hours before testing in forced swim test (FST), tail suspension test (TST) and open field test (OFT). To obtain mechanistic insight we examined the phosphorylation of the transcription factor cAMP response element binding protein (CREB).
Administration of Cepo at 30 μgrams/ kg BWT, for 4 days produced significant reduction in latency to consume a palatable drink in a novel environment in male and female mice. Male BALB/c mice had a significant reduction in immobility in both tail suspension and forced swim tests, and female mice exhibited lower immobility in the forced swim test.
重度抑郁症和相关疾病在全球范围内普遍存在,如果未经治疗,自杀风险很大。目前开的抗抑郁药对 30%的治疗人群没有效果。此外,症状缓解需要 3 周或更长时间。临床前研究结果表明,营养因子在调节行为方面起着重要作用。促红细胞生成素(Epo)被广泛用于治疗贫血,已被证明在中枢神经系统中产生强大的神经营养作用。尽管 Epo 的抗抑郁作用已在多项临床试验中得到成功证实,但它升高红细胞计数和其他血液学参数的固有能力使其无法成为主流的中枢神经系统药物。一种化学工程衍生的产物,氨甲酰化促红细胞生成素(Cepo)没有血液学活性,但保留了 Epo 的神经营养作用。因此,Cepo 是一种很有吸引力的候选药物,可以作为抗抑郁药进行测试。
评估 Cepo 在已建立的抗抑郁反应性啮齿动物行为测定中的抗抑郁特性。
本研究使用成年雄性和雌性 BALB/c 小鼠。在新奇诱导的摄食量减少测试前 4 天,腹腔内给予 Cepo(30 微克/公斤体重)或载体(PBS),随后在强迫游泳测试(FST)、悬尾测试(TST)和旷场测试(OFT)前 5 小时给药。为了获得机制上的见解,我们检查了转录因子 cAMP 反应元件结合蛋白(CREB)的磷酸化。
给予 Cepo 30 微克/公斤体重,连续 4 天,可显著降低雄性和雌性小鼠在新环境中饮用美味饮料的潜伏期。雄性 BALB/c 小鼠在悬尾和强迫游泳试验中的不动时间明显减少,而雌性小鼠在强迫游泳试验中的不动时间较低。