Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Department of Pharmacology and Toxicology, University of Toronto, Toronto, ON, Canada.
Int J Neuropsychopharmacol. 2021 Jul 14;24(6):505-518. doi: 10.1093/ijnp/pyab002.
Deficits in somatostatin-positive gamma-aminobutyric acid interneurons (SST+ GABA cells) are commonly reported in human studies of mood and anxiety disorder patients. A causal link between SST+ cell dysfunction and symptom-related behaviors has been proposed based on rodent studies showing that chronic stress, a major risk factor for mood and anxiety disorders, induces a low SST+ GABA cellular phenotype across corticolimbic brain regions; that lowering Sst, SST+ cell, or GABA functions induces depressive-/anxiety-like behaviors (a rodent behavioral construct collectively defined as "behavioral emotionality"); and that disinhibiting SST+ cells has antidepressant-like effects. Recent studies found that compounds preferentially potentiating receptors mediating SST+ cell functions, α5-GABAA receptor positive allosteric modulators (α5-PAMs), achieved antidepressant-like effects. Together, the evidence suggests that SST+ cells regulate mood and cognitive functions that are disrupted in mood disorders and that rescuing SST+ cell function via α5-PAM may represent a targeted therapeutic strategy.
We developed a mouse model allowing chemogenetic manipulation of brain-wide SST+ cells and employed behavioral characterization 30 minutes after repeated acute silencing to identify contributions to symptom-related behaviors. We then assessed whether an α5-PAM, GL-II-73, could rescue behavioral deficits.
Brain-wide SST+ cell silencing induced features of stress-related illnesses, including elevated neuronal activity and plasma corticosterone levels, increased anxiety- and anhedonia-like behaviors, and impaired short-term memory. GL-II-73 led to antidepressant- and anxiolytic-like improvements among behavioral deficits induced by brain-wide SST+ cell silencing.
Our data validate SST+ cells as regulators of mood and cognitive functions and demonstrate that bypassing low SST+ cell function via α5-PAM represents a targeted therapeutic strategy.
在情绪和焦虑障碍患者的人类研究中,通常会报告生长抑素阳性 γ-氨基丁酸能中间神经元(SST+GABA 细胞)缺陷。基于啮齿动物研究表明,慢性应激(情绪和焦虑障碍的主要危险因素)会诱导皮质边缘脑区 SST+GABA 细胞表型降低,提出了 SST+细胞功能障碍与症状相关行为之间的因果关系;降低 Sst、SST+细胞或 GABA 功能会诱导抑郁/焦虑样行为(一种啮齿动物行为结构,统称为“行为情感”);并且抑制 SST+细胞具有抗抑郁样作用。最近的研究发现,优先增强 SST+细胞功能的化合物,即 α5-GABAA 受体正变构调节剂(α5-PAMs),具有抗抑郁样作用。综上所述,证据表明 SST+细胞调节情绪和认知功能,而这些功能在情绪障碍中受到破坏,通过 α5-PAM 恢复 SST+细胞功能可能代表一种有针对性的治疗策略。
我们开发了一种允许化学遗传学操纵全脑 SST+细胞的小鼠模型,并在反复急性沉默后 30 分钟进行行为特征分析,以确定对症状相关行为的贡献。然后,我们评估了 α5-PAM GL-II-73 是否可以挽救行为缺陷。
全脑 SST+细胞沉默诱导了与应激相关疾病的特征,包括神经元活动和血浆皮质酮水平升高、焦虑和快感缺失样行为增加以及短期记忆受损。GL-II-73 导致了由全脑 SST+细胞沉默引起的行为缺陷的抗抑郁和抗焦虑样改善。
我们的数据验证了 SST+细胞作为情绪和认知功能的调节剂的作用,并表明通过 α5-PAM 绕过低 SST+细胞功能代表了一种有针对性的治疗策略。