对小鼠进行脑脊液蛋白质组纵向分析,以揭示速效抗抑郁药(2R,6R)-羟基去甲氯胺酮(HNK)的急性和持续作用机制。

Longitudinal CSF proteome profiling in mice to uncover the acute and sustained mechanisms of action of rapid acting antidepressant (2R,6R)-hydroxynorketamine (HNK).

作者信息

Herzog David P, Perumal Natarajan, Manicam Caroline, Treccani Giulia, Nadig Jens, Rossmanith Milena, Engelmann Jan, Jene Tanja, Hasch Annika, van der Kooij Michael A, Lieb Klaus, Gassen Nils C, Grus Franz H, Müller Marianne B

机构信息

Department of Psychiatry and Psychotherapy and Focus Program Translational Neurosciences, Johannes Gutenberg University Medical Center Mainz, Mainz, Germany.

Experimental and Translational Ophthalmology, Department of Ophthalmology, Johannes Gutenberg University Medical Center, Mainz, Germany.

出版信息

Neurobiol Stress. 2021 Sep 29;15:100404. doi: 10.1016/j.ynstr.2021.100404. eCollection 2021 Nov.

Abstract

Delayed onset of antidepressant action is a shortcoming in depression treatment. Ketamine and its metabolite (2R,6R)-hydroxynorketamine (HNK) have emerged as promising rapid-acting antidepressants. However, their mechanism of action remains unknown. In this study, we first described the anxious and depression-prone inbred mouse strain, DBA/2J, as an animal model to assess the antidepressant-like effects of ketamine and HNK . To decode the molecular mechanisms mediating HNK's rapid antidepressant effects, a longitudinal cerebrospinal fluid (CSF) proteome profiling of its acute and sustained effects was conducted using an unbiased, hypothesis-free mass spectrometry-based proteomics approach. A total of 387 proteins were identified, with a major implication of significantly differentially expressed proteins in the glucocorticoid receptor (GR) signaling pathway, providing evidence for a link between HNK and regulation of the stress hormone system. Mechanistically, we identified HNK to repress GR-mediated transcription and reduce hormonal sensitivity of GR In addition, mammalian target of rapamycin (mTOR) and brain-derived neurotrophic factor (BDNF) were predicted to be important upstream regulators of HNK treatment. Our results contribute to precise understanding of the temporal dynamics and molecular targets underlying HNK's rapid antidepressant-like effects, which can be used as a benchmark for improved treatment strategies for depression in future.

摘要

抗抑郁作用起效延迟是抑郁症治疗中的一个缺点。氯胺酮及其代谢物(2R,6R)-羟基去甲氯胺酮(HNK)已成为有前景的速效抗抑郁药。然而,它们的作用机制仍然未知。在本研究中,我们首先将易焦虑和抑郁的近交系小鼠品系DBA/2J描述为一种动物模型,以评估氯胺酮和HNK的抗抑郁样作用。为了解码介导HNK快速抗抑郁作用的分子机制,我们采用基于无偏、无假设质谱的蛋白质组学方法,对其急性和持续作用进行了纵向脑脊液(CSF)蛋白质组分析。共鉴定出387种蛋白质,其中糖皮质激素受体(GR)信号通路中显著差异表达的蛋白质具有重要意义,为HNK与应激激素系统调节之间的联系提供了证据。从机制上讲,我们发现HNK可抑制GR介导的转录并降低GR的激素敏感性。此外,雷帕霉素靶蛋白(mTOR)和脑源性神经营养因子(BDNF)被预测为HNK治疗的重要上游调节因子。我们的研究结果有助于精确理解HNK快速抗抑郁样作用的时间动态和分子靶点,可为未来改善抑郁症治疗策略提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d676/8488754/5ffb0c0b44d0/gr1.jpg

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