Zhao Bin-Bin, Chen Lin-Lin, Long Qing-Hua, Xie Guang-Jing, Xu Bo, Li Ze-Fei, Wang Ping, Li Hanmin
Hubei University of Chinese Medicine, Wuhan, China.
Hubei Hospital of Traditional Chinese Medicine (Affiliated Hospital of Hubei University of Traditional Chinese Medicine), Hubei University of Chinese Medicine, Wuhan, China.
Front Psychol. 2019 Nov 12;10:2462. doi: 10.3389/fpsyg.2019.02462. eCollection 2019.
The reasons for the relationship between depression and chronic liver disease (CLD) are complex and multifactorial. Further research is needed to decipher the etiology and establish an optimal management approach for depression in patients, including the potential role of non-pharmacological treatments. monosodium glutamate (MSG)-treated rats are more likely to develop anxiogenic- and depressive-like behaviors, which could be related to the dysfunction of serotonergic system. In this study, partial hepatectomy (PH) was performed in MSG-treated rats and the histopathological changes were observed in orbitofrontal cortex (OFC) and liver. The effect of escitalopram, a widely used antidepressant, on neural and liver injury in this model was also examined. The MSG + PH-treated rats displayed decreased distances traveled in total, in center arena, and in the left side of arena in inner open field test (OFT), as compared to saline, saline + PH, and MSG-treated animals. The present study established that PH aggravated anxiety-like depressive behaviors in MSG-treated rats, concordant with damaged Nissl bodies (and neurites), decreased IBA-1 and Sox-2 expression in OFC and neurotransmitter disorder. Escitalopram treatment could alleviate these pathological changes as well as reduce hepatic steatosis and lipid metabolism.
抑郁症与慢性肝病(CLD)之间关系的原因复杂且具有多因素性。需要进一步研究以阐明病因,并为患者的抑郁症确立最佳管理方法,包括非药物治疗的潜在作用。经谷氨酸钠(MSG)处理的大鼠更易出现焦虑样和抑郁样行为,这可能与血清素能系统功能障碍有关。在本研究中,对经MSG处理的大鼠进行了部分肝切除术(PH),并观察了眶额皮质(OFC)和肝脏的组织病理学变化。还研究了广泛使用的抗抑郁药艾司西酞普兰对该模型中神经和肝脏损伤的影响。与生理盐水、生理盐水+PH和经MSG处理的动物相比,经MSG+PH处理的大鼠在旷场试验(OFT)中的总行进距离、中央区域行进距离和左侧区域行进距离均减少。本研究证实,PH加重了经MSG处理大鼠的焦虑样抑郁行为,这与尼氏体(和神经突)受损、OFC中IBA-1和Sox-2表达降低以及神经递质紊乱一致。艾司西酞普兰治疗可减轻这些病理变化,并减少肝脏脂肪变性和脂质代谢。