Department of Pharmaceutical Sciences, Bill Gatton College of Pharmacy East Tennessee State University, Johnson City, TN, USA.
Vickie & Jack Farber Institute for Neuroscience, Department of Neuroscience, Thomas Jefferson University, Philadelphia, PA, USA.
Neurotox Res. 2021 Jun;39(3):667-676. doi: 10.1007/s12640-021-00347-9. Epub 2021 Mar 5.
Methylphenidate (MPH) is the most commonly prescribed drug for the treatment of ADHD in males and females. However, a majority of previous studies investigated the effect of MPH in only males, and little is known regarding consequences of female exposure to MPH. This is unfortunate because the few studies that have been conducted indicate that females have a greater sensitivity to MPH. Previous research in male mice has shown that chronic exposure to MPH causes dopaminergic neurons within the nigrostriatal pathway to be more sensitive to the Parkinsonian toxin 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP). However, estrogen has been shown to protect dopaminergic neurons from MPTP neurotoxicity. Therefore, in this study, we test the hypothesis that chronic MPH exposure in female mice will render dopaminergic neurons in the nigrostriatal pathway more sensitive to MPTP, and that estrogen may play a protective role. Interestingly, proestrus females exhibited greater sensitivity to MPTP, with significantly reduced dopaminergic neurons in the SN and significant increases in DA quinone production. Chronic MPH exposure contributed to GSH depletion, but surprisingly, it did not increase dopamine quinone levels or dopaminergic cell loss. There were no significant differences in anestrus animals, with the exception of a depletion in GSH seen when animals received chronic high-dose (10 mg/kg) MPH followed by MPTP. Thus, estrogen may actually sensitize neurons to MPTP in this model, and chronic MPH may contribute to GSH depletion within the striatum. This study provides insight into how chronic psychostimulant use may affect males and females differently.
哌醋甲酯(MPH)是治疗男性和女性注意力缺陷多动障碍(ADHD)最常用的药物。然而,大多数先前的研究仅在男性中调查了 MPH 的效果,而对于女性接触 MPH 的后果知之甚少。这很不幸,因为已经进行的少数研究表明,女性对 MPH 的敏感性更高。先前在雄性小鼠中的研究表明,慢性暴露于 MPH 会使黑质纹状体通路中的多巴胺能神经元对帕金森病毒素 1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)更敏感。然而,雌激素已被证明可保护多巴胺能神经元免受 MPTP 神经毒性。因此,在这项研究中,我们检验了这样一个假设,即慢性 MPH 暴露在雌性小鼠中会使黑质纹状体通路中的多巴胺能神经元对 MPTP 更敏感,而雌激素可能发挥保护作用。有趣的是,发情前期雌性小鼠对 MPTP 更敏感,黑质中的多巴胺能神经元明显减少,DA 醌的产生显著增加。慢性 MPH 暴露会导致 GSH 耗竭,但令人惊讶的是,它并没有增加多巴胺醌水平或多巴胺能细胞丢失。在未发情的动物中没有显着差异,除了在接受慢性高剂量(10mg/kg)MPH 后再给予 MPTP 的动物中观察到 GSH 耗竭。因此,雌激素实际上可能会使神经元在该模型中对 MPTP 敏感,而慢性 MPH 可能会导致纹状体中 GSH 耗竭。这项研究提供了关于慢性精神兴奋剂使用如何以不同方式影响男性和女性的见解。