Ceyzériat Kelly, Gloria Yesica, Tsartsalis Stergios, Fossey Christine, Cailly Thomas, Fabis Frédéric, Millet Philippe, Tournier Benjamin B
Division of Adult Psychiatry, Department of Psychiatry, University Hospitals of Geneva, 1206 Geneva, Switzerland.
Division of Nuclear medicine, Diagnostic Department, University Hospitals and Geneva University of Geneva, 1206 Geneva, Switzerland.
Brain Commun. 2021 Mar 10;3(2):fcab029. doi: 10.1093/braincomms/fcab029. eCollection 2021.
Dopamine pathways alterations are reported in Alzheimer's disease. However, it is difficult in humans to establish when these deficits appear and their impact in the course of Alzheimer's disease. In the TgF344-Alzheimer's disease rat model at the age of 6 months, we showed a reduction in release of striatal dopamine due to serotonin 5HT-receptor blockade, in the absence of alterations in 5HT-receptor binding, suggesting a reduction in 5HT-receptor-dopamine system connectivity. In addition, a functional hypersensitivity of postsynaptic dopamine D-receptors and D-autoreceptors was also reported without any change in D-receptor density and in the absence of amyloid plaques or overexpression of the 18 kDa translocator protein (an inflammatory marker) in areas of the dopamine system. Citalopram, a selective serotonin reuptake inhibitor, induced functional 5HT-receptor-D-receptor connectivity changes but had no effect on D-autoreceptor hypersensitivity. In older rats, dopamine cell bodies overexpressed translocator protein and dopamine projection sites accumulated amyloid. Interestingly, the 5HT-receptor density is decreased in the accumbens subdivisions and the substantia nigra pars compacta. This reduction in the striatum is related to the astrocytic expression of 5HT-receptor. Our results indicate that both serotonin/dopamine connectivity and dopamine signalling pathways are dysregulated and potentially represent novel early diagnostic and therapeutic avenues.
据报道,阿尔茨海默病存在多巴胺通路改变。然而,在人类中很难确定这些缺陷何时出现以及它们在阿尔茨海默病病程中的影响。在6个月大的TgF344-阿尔茨海默病大鼠模型中,我们发现,在5-羟色胺(5HT)受体结合无改变的情况下,由于5HT受体阻断,纹状体多巴胺释放减少,这表明5HT受体-多巴胺系统的连接性降低。此外,还报道了突触后多巴胺D受体和D自身受体的功能超敏反应,而D受体密度没有任何变化,且在多巴胺系统区域没有淀粉样斑块或18 kDa转位蛋白(一种炎症标志物)的过表达。西酞普兰是一种选择性5-羟色胺再摄取抑制剂,可诱导功能性5HT受体-D受体连接性变化,但对D自身受体超敏反应没有影响。在老年大鼠中,多巴胺细胞体中转位蛋白过表达,多巴胺投射部位积聚淀粉样蛋白。有趣的是,伏隔核亚区和黑质致密部的5HT受体密度降低。纹状体中的这种降低与5HT受体的星形细胞表达有关。我们的结果表明,5-羟色胺/多巴胺连接性和多巴胺信号通路均失调,可能代表了新的早期诊断和治疗途径。