Department of Neurology, Renmin Hospital, Hubei University of Medicine 39(#) Chaoyang Middle Road, Shiyan, Hubei 442000, PR China.
Department of Neurology, The Second People's Hospital of Three Gorges University, 21(#) Xiling Yi Road, Yichang, Hubei 443002, PR China.
Compr Psychiatry. 2019 Oct;94:152122. doi: 10.1016/j.comppsych.2019.152122. Epub 2019 Aug 20.
Schizophrenia is a mental disorder characterized by hyperlocomotion, cognitive symptoms, and social withdrawal. Brain-derived neurotrophic factor (BDNF) and postsynaptic density (PSD)-95 are related to schizophrenia-like deficits via regulating the synaptic ultrastructure, and play a role in drug therapy. Vinpocetine is a nootropic phosphodiesterase-1 (PDE-1) inhibitor that can reverse ketamine-induced schizophrenia-like deficits by increasing BDNF expression. However, the effects of vinpocetine on alleviating schizophrenia-like deficits via reversing the synaptic ultrastructure by regulating BDNF-related PSD-95 have not been sufficiently studied.
In this study, the schizophrenic model was built using ketamine (30 mg/kg) for 14 consecutive days. The effect of vinpocetine on reversing schizophrenia-like behaviors was examined via behavioral testing followed by treatment with certain doses of vinpocetine (20 mg/kg, i.p.). The BDNF and PSD-95 levels in the posterior cingulate cortex (PCC) were measured using biochemical assessments. In addition, the synaptic ultrastructure was observed using transmission electron microscopy (TEM).
Ketamine induced drastic schizophrenia-like behaviors, lower protein levels of BDNF and PSD-95, and a change in the synaptic ultrastructure in the PCC. After treatment, the vinpocetine revealed a marked amendment in schizophrenia-like behaviors induced by ketamine, including higher locomotor behavior, lower cognitive behavior, and social withdrawal defects. Vinpocetine could increase the PSD-95 protein level by up-regulating the expression of BDNF. In addition, the synaptic ultrastructure was changed after vinpocetine administration, including a reduction in the thickness and curvature of the synaptic interface, as well as an increase in synaptic cleft width in the PCC.
Vinpocetine can reverse the synaptic ultrastructure by regulating BDNF-related PSD-95 to alleviate schizophrenia-like deficits induced by ketamine in rats.
精神分裂症是一种以过度运动、认知症状和社会退缩为特征的精神障碍。脑源性神经营养因子(BDNF)和突触后密度(PSD)-95 通过调节突触超微结构与精神分裂症样缺陷相关,并且在药物治疗中发挥作用。长春西汀是一种磷酸二酯酶-1(PDE-1)抑制剂,通过增加 BDNF 表达可以逆转氯胺酮诱导的精神分裂症样缺陷。然而,长春西汀通过调节 BDNF 相关的 PSD-95 来逆转突触超微结构,从而缓解精神分裂症样缺陷的效果尚未得到充分研究。
在这项研究中,使用连续 14 天的氯胺酮(30mg/kg)构建精神分裂症模型。通过行为测试检查长春西汀逆转精神分裂症样行为的效果,随后用一定剂量的长春西汀(20mg/kg,腹腔注射)进行治疗。使用生化评估测量后扣带回皮质(PCC)中的 BDNF 和 PSD-95 水平。此外,使用透射电子显微镜(TEM)观察突触超微结构。
氯胺酮诱导出明显的精神分裂症样行为,BDNF 和 PSD-95 蛋白水平降低,PCC 中的突触超微结构发生变化。治疗后,长春西汀明显改善了氯胺酮诱导的精神分裂症样行为,包括运动行为增加、认知行为降低和社会回避缺陷。长春西汀通过上调 BDNF 的表达增加 PSD-95 蛋白水平。此外,长春西汀给药后突触超微结构发生改变,包括突触界面厚度和曲率减小,以及 PCC 中突触间隙宽度增加。
长春西汀可以通过调节 BDNF 相关的 PSD-95 来逆转突触超微结构,从而缓解氯胺酮诱导的大鼠精神分裂症样缺陷。