Bugay Vladislav, McCoy Alexandra Maxine, Lodge Daniel James, Brenner Robert, Frazer Alan, Carreno Flavia Regina
Department of Cellular and Integrative Physiology, University of Texas Health Science Center, San Antonio, TX, USA.
Department of Pharmacology, University of Texas Health Science Center, San Antonio, TX, USA.
Neuropsychopharmacology. 2020 Dec;45(13):2289-2298. doi: 10.1038/s41386-020-0772-2. Epub 2020 Jul 20.
Previous research has demonstrated that selective modulation of hippocampal transmission by systemic administration of an α5-GABA receptor negative allosteric modulator, L-655,708, reproduces the sustained antidepressant-like (AD-like) effect of R,S-ketamine in the absence of any psychotomimetic or abuse-related effects. Pharmacological, electrophysiological (whole-cell patch clamp), and behavioral approaches were used to examine the mechanisms by which L-655,708 produces plasticity within the hippocampus that accounts for its sustained AD-like effect in rats. Inhibitors of either transcription or translation prevented the sustained AD-like effect of L-655,708. Unlike R,S-ketamine, L-655,708 did not cause an increase in the phosphorylation of the receptor for BDNF, TrkB, in the ventral hippocampus (vHipp) 30 or 60 min after its administration nor did administration of the TrkB inhibitor, K252a, directly into the vHipp, block the sustained AD-like effect of L-655,708. Similar to previous results with R,S-ketamine, administration of L-655,709 increased levels of GluA1 in the mPFC and, blockade of such receptors by direct administration of NBQX into the mPFC blocked the sustained AD-like effect of L-655,708. Patch-clamp recordings of ventral CA1 pyramidal cells 24 h after a single systemic administration of L-655,708 revealed a significant increase in input resistance, which resulted in an approximately two-fold increase in action potential frequency. These experiments indicate that the sustained AD-like effects of L-655,708 require protein synthesis and plasticity of GluA1 glutamate receptors in the mPFC. The drug also caused changes in GABA receptor gating properties in the vHipp with resultant changes in ventral CA1 that indirectly increases neuronal excitability. Such effects likely contribute to its sustained AD-like activity.
先前的研究表明,通过全身给药α5-γ-氨基丁酸(GABA)受体负变构调节剂L-655,708对海马体传递进行选择性调节,可重现R,S-氯胺酮的持续抗抑郁样(AD样)效应,且不存在任何拟精神病或与滥用相关的效应。采用药理学、电生理学(全细胞膜片钳)和行为学方法,研究L-655,708在海马体内产生可塑性从而导致其在大鼠中产生持续AD样效应的机制。转录或翻译抑制剂可阻止L-655,708持续的AD样效应。与R,S-氯胺酮不同,L-655,708给药后30或60分钟,腹侧海马体(vHipp)中脑源性神经营养因子(BDNF)的受体酪氨酸激酶B(TrkB)的磷酸化并未增加,将TrkB抑制剂K252a直接注入vHipp也不会阻断L-655,708持续的AD样效应。与先前R,S-氯胺酮的研究结果相似,L-655,709给药可增加内侧前额叶皮质(mPFC)中谷氨酸受体1(GluA1)的水平,将2,3-二氧-6-硝基喹喔啉-7-磺酰胺(NBQX)直接注入mPFC阻断此类受体可阻断L-655,708持续的AD样效应。单次全身给药L-655,708后24小时,对腹侧CA1锥体神经元进行膜片钳记录显示,输入电阻显著增加,导致动作电位频率增加约两倍。这些实验表明,L-655,708持续的AD样效应需要蛋白质合成以及mPFC中GluA1谷氨酸受体的可塑性。该药物还导致vHipp中GABA受体门控特性发生变化,进而导致腹侧CA1发生变化,并间接增加神经元兴奋性。这些效应可能有助于其持续的AD样活性。