Department of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami, FL 33136, United States; Bruce W. Carter Department of Veterans Affairs Medical Center, Miami, FL 33125, United States.
Department of Biochemistry and Molecular Biology, Miller School of Medicine, University of Miami, Miami, FL 33136, United States.
Brain Behav Immun. 2020 Oct;89:51-58. doi: 10.1016/j.bbi.2020.05.068. Epub 2020 May 29.
Major depression is a prevalent, debilitating disease, yet therapeutic interventions for depression are frequently inadequate. Many clinical and pre-clinical studies have demonstrated that depression is associated with aberrant activation of the inflammatory system, raising the possibility that reducing inflammation may provide antidepressant effects. Using the learned helplessness mouse model, we tested if susceptibility or recovery were affected by deficiency in either of two receptors that initiate inflammatory signaling, Toll-like receptor-4 (TLR4) and TLR2, using knockout male mice. TLR4 mice displayed a strong resistance to learned helplessness, confirming that blocking inflammatory signaling through TLR4 provides robust protection against this depression-like behavior. Surprisingly, TLR2 mice displayed increased susceptibility to learned helplessness, indicating that TLR2-mediated signaling counteracts susceptibility. TLR2-mediated signaling also promotes recovery, as TLR2 mice demonstrated a severe impairment in recovery from learned helplessness. That TLR2 actually protects from learned helplessness was further verified by the finding that administration of the TLR2 agonist Pam3CSK4 reduced susceptibility to learned helplessness. Treatment with Pam3CSK4 also reversed chronic restraint stress-induced impaired sociability and impaired learning in the novel object recognition paradigm, demonstrating that TLR2 stimulation can protect from multiple impairments caused by stress. In summary, these results demonstrate that TLR2-mediated signaling provides a counter-signal to oppose deleterious effects of stress that may be related to depression, and indicate that TLR2 and TLR4 act oppositely to balance mood-relevant responses to stress.
重度抑郁症是一种普遍存在且使人衰弱的疾病,但治疗抑郁症的方法常常不够充分。许多临床前和临床研究表明,抑郁症与炎症系统的异常激活有关,这增加了减轻炎症可能具有抗抑郁作用的可能性。使用习得性无助小鼠模型,我们测试了两种起始炎症信号的受体(Toll 样受体 4(TLR4)和 TLR2)中任一种缺失是否会影响易感性或恢复,使用敲除雄性小鼠进行了测试。TLR4 小鼠对习得性无助表现出强烈的抵抗力,证实通过 TLR4 阻断炎症信号可提供针对这种类似抑郁行为的强大保护作用。令人惊讶的是,TLR2 小鼠对习得性无助的易感性增加,表明 TLR2 介导的信号传导可对抗易感性。TLR2 介导的信号传导也促进了恢复,因为 TLR2 小鼠在从习得性无助中恢复时表现出严重的障碍。TLR2 实际上可防止习得性无助的发现进一步证实了这一点,即 TLR2 激动剂 Pam3CSK4 的给药可降低习得性无助的易感性。Pam3CSK4 的治疗还逆转了慢性束缚应激引起的社交障碍和新颖物体识别范式中的学习障碍,表明 TLR2 刺激可防止应激引起的多种损伤。总之,这些结果表明 TLR2 介导的信号传导提供了一种对抗应激的有害影响的反向信号,这可能与抑郁症有关,并表明 TLR2 和 TLR4 以相反的方式平衡与应激相关的情绪反应。