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氯胺酮通过 HCN1-BDNF 信号通路对 PTSD 小鼠模型的情绪功能障碍和空间认知缺陷的影响。

Effect of ketamine on mood dysfunction and spatial cognition deficits in PTSD mouse models via HCN1-BDNF signaling.

机构信息

School of Psychology, Weifang Medical University, 7166# Baotong West Street, Weifang, Shandong 261053, China; National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital/Institute of Mental Health and the Key Laboratory of Mental Health, Ministry of Health (Peking University), Beijing, China.

Student affairs office, Silicon Lake College, 168 Greenland Avenue, Huaqiao International Business Zone, Kunshan, Jiangsu 215332, China.

出版信息

J Affect Disord. 2021 May 1;286:248-258. doi: 10.1016/j.jad.2021.02.058. Epub 2021 Mar 4.

Abstract

BACKGROUND

Post-traumatic stress disorder (PTSD) is a debilitating mental disease with high morbidity and major social and economic relevance. No efficient treatment for PTSD has thus far been identified. Clinical research has shown that ketamine can rapidly alleviate symptoms in patients with chronic PTSD; however, its pharmacological mechanism has yet to be determined.

METHODS

This study aimed to identify a model of single prolonged stress (SPS), which induced PTSD-like features in adult mice. Once the model was established, stress-related behavioral changes in the mouse model were evaluated after intraperitoneal injection of ketamine (10 mg/kg). Alterations in certain proteins (HCN1, BDNF, and PSD95) and synaptic ultrastructure in the prefrontal cortex (PFC) and hippocampus (HIP) were measured.

RESULTS

The mice under the SPS model exhibited anxiety- and depression-like behaviors and induced spatial cognitive deficits, accompanied by elevated HCN1 protein expression in the PFC and HIP, reduced brain-derived neurotrophic factor (BDNF) and PSD95 proteins, and alterations in synaptic morphology. After ketamine administration, the SPS-treated mice restored their protein levels and synaptic ultrastructure in the PFC, and their PTSD-like behaviors improved. However, learning and memory in the SPS-treated mice did not improve in the water maze test, and no significant changes in protein level and synaptic ultrastructure in the HIP were shown.

LIMITATIONS

The electrophysiological mechanism of the HCN1 ion channel after ketamine administration was not explored.

CONCLUSION

Ketamine could generally improve SPS-induced mood dysfunction in mice but exerted no effect on the spatial cognitive function, which could be related to the alterations in synaptic morphology and function mediated by HCN1-related BDNF signaling in the PFC and HIP.

摘要

背景

创伤后应激障碍(PTSD)是一种致残性精神疾病,发病率高,具有重要的社会和经济意义。迄今为止,尚未发现有效的 PTSD 治疗方法。临床研究表明,氯胺酮可以迅速缓解慢性 PTSD 患者的症状;然而,其药理机制尚未确定。

方法

本研究旨在建立一种单一延长应激(SPS)模型,该模型可诱导成年小鼠出现 PTSD 样特征。在建立模型后,通过腹腔注射氯胺酮(10mg/kg)评估小鼠模型的应激相关行为变化。测量前额叶皮层(PFC)和海马(HIP)中某些蛋白质(HCN1、BDNF 和 PSD95)和突触超微结构的变化。

结果

SPS 模型小鼠表现出焦虑和抑郁样行为,并导致空间认知功能障碍,同时 PFC 和 HIP 中的 HCN1 蛋白表达增加,脑源性神经营养因子(BDNF)和 PSD95 蛋白减少,突触形态改变。给予氯胺酮后,SPS 处理的小鼠恢复了 PFC 中的蛋白水平和突触超微结构,PTSD 样行为得到改善。然而,SPS 处理的小鼠在水迷宫测试中学习和记忆没有改善,HIP 中的蛋白水平和突触超微结构没有显示出显著变化。

局限性

氯胺酮给药后 HCN1 离子通道的电生理机制未被探索。

结论

氯胺酮通常可以改善 SPS 诱导的小鼠情绪功能障碍,但对空间认知功能没有影响,这可能与 PFC 和 HIP 中 HCN1 相关的 BDNF 信号介导的突触形态和功能改变有关。

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