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在大脑发育早期暴露于谷胱甘肽缺乏的成年 Sprague-Dawley 大鼠中,重复联合使用艾司西酞普兰和阿立哌唑对类精神分裂症样行为和 BDNF mRNA 表达的影响。

Impact of repeated co-treatment with escitalopram and aripiprazole on the schizophrenia-like behaviors and BDNF mRNA expression in the adult Sprague-Dawley rats exposed to glutathione deficit during early postnatal development of the brain.

机构信息

Department of Pharmacology, Maj Institute of Pharmacology, Polish Academy of Sciences, 12 Smętna Street, Kraków, Poland.

Department of Experimental Neuroendocrinology, Maj Institute of Pharmacology, Polish Academy of Sciences,, 12 Smętna Street, Kraków, Poland.

出版信息

Pharmacol Rep. 2021 Dec;73(6):1712-1723. doi: 10.1007/s43440-021-00318-z. Epub 2021 Aug 16.

Abstract

BACKGROUND

Preclinical and clinical studies have indicated that impaired endogenous synthesis of glutathione during early postnatal development plays a significant role in the pathophysiology of schizophrenia. Moreover, some studies have suggested that antidepressants are able to increase the activity of atypical antipsychotics which may efficiently improve the treatment of negative and cognitive symptoms of schizophrenia.

METHODS

In the present study, we investigated the influence of repeated co-treatment with escitalopram and aripiprazole on the schizophrenia-like behavior and BDNF mRNA expression in adult rats exposed to glutathione deficit during early postnatal development. Male pups between the postnatal days p5-p16 were treated with the inhibitor of glutathione synthesis, BSO (L-buthionine-(S,R)-sulfoximine) and the dopamine uptake inhibitor, GBR 12,909 alone or in combination. Escitalopram and aripiprazole were given repeatedly for 21 days before the tests. On p90-92 rats were evaluated in the behavioral and biochemical tests.

RESULTS

BSO given alone and together with GBR 12,909 induced deficits in the studied behavioral tests and decreased the expression of BDNF mRNA. Repeated aripiprazole administration at a higher dose reversed these behavioral deficits. Co-treatment with aripiprazole and an ineffective dose of escitalopram also abolished the behavioral deficits in the studied tests.

CONCLUSION

The obtained data indicated that the inhibition of glutathione synthesis in early postnatal development induced long-term deficits corresponding to schizophrenia-like behavior and decreased the BDNF mRNA expression in adult rats, and these behavioral deficits were reversed by repeated treatment with a higher dose of aripiprazole and also by co-treatment with aripiprazole and ineffective dose of escitalopram.

摘要

背景

临床前和临床研究表明,在出生后早期发育过程中谷胱甘肽内源性合成受损在精神分裂症的病理生理学中起着重要作用。此外,一些研究表明,抗抑郁药能够增加非典型抗精神病药物的活性,从而有效地改善精神分裂症的阴性和认知症状的治疗效果。

方法

在本研究中,我们研究了重复联合使用艾司西酞普兰和阿立哌唑对暴露于谷胱甘肽缺乏的新生大鼠成年期类似精神分裂症行为和 BDNF mRNA 表达的影响。雄性幼鼠在出生后第 5-16 天接受谷胱甘肽合成抑制剂 BSO(L-丁硫氨酸-(S,R)-亚砜)和多巴胺摄取抑制剂 GBR 12909 单独或联合处理。在测试前重复给予艾司西酞普兰和阿立哌唑 21 天。在 p90-92 天,大鼠进行行为和生化测试。

结果

BSO 单独和与 GBR 12909 联合使用会导致研究行为测试中的缺陷,并降低 BDNF mRNA 的表达。重复给予较高剂量的阿立哌唑可逆转这些行为缺陷。重复给予阿立哌唑和无效剂量的艾司西酞普兰联合治疗也消除了研究测试中的行为缺陷。

结论

这些数据表明,在出生后早期发育过程中抑制谷胱甘肽合成会导致长期出现类似精神分裂症的行为缺陷,并降低成年大鼠的 BDNF mRNA 表达,而这些行为缺陷可通过重复给予较高剂量的阿立哌唑和重复给予阿立哌唑和无效剂量的艾司西酞普兰联合治疗来逆转。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2a4/8599398/1dc31f1fc513/43440_2021_318_Fig1_HTML.jpg

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