Department of Psychiatry, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Biomedical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea.
Psychopharmacology (Berl). 2022 Feb;239(2):443-454. doi: 10.1007/s00213-021-06015-2. Epub 2021 Oct 30.
Accumulating evidence indicates critical involvement of mammalian target of rapamycin (mTOR) in the treatment of depressive disorders, epilepsy, and neurodegenerative disorders through its signal transduction mechanisms related to protein translation, autophagy, and synaptic remodeling. Electroconvulsive seizure (ECS) treatment is a potent antidepressive, anti-convulsive, and neuroprotective therapeutic modality; however, its effects on mTOR signaling have not yet been clarified.
The effect of ECS on the mTOR complex 1 (mTORC1) pathway was investigated in the rat frontal cortex. ECS or sham treatment was administered once per day for 10 days (E10X or sham), and compound C was administered through the intracerebroventricular cannula. Changes in mTORC1-associated signaling molecules and their interactions were analyzed.
E10X reduced phosphorylation of mTOR downstream substrates, including p70S6K, S6, and 4E-BP1, and increased inhibitory phosphorylation of mTOR at Thr2446 compared to the sham group in the rat frontal cortex, indicating E10X-induced inhibition of mTORC1 activity. Akt and ERK1/2, upstream kinases that activate mTORC1, were not inhibited; however, AMPK, which can inhibit mTORC1, was activated. AMPK-responsive phosphorylation of Raptor at Ser792 and TSC2 at Ser1387 inhibiting mTORC1 was increased by E10X. Moreover, intrabrain inhibition of AMPK restored E10X-induced changes in the phosphorylation of S6, Raptor, and TSC2, indicating mediation of AMPK in E10X-induced mTOR inhibition.
Repeated ECS treatments inhibit mTORC1 signaling by interactive crosstalk between mTOR and AMPK pathways, which could play important roles in the action of ECS via autophagy induction.
越来越多的证据表明,哺乳动物雷帕霉素靶蛋白(mTOR)通过与其相关的蛋白翻译、自噬和突触重塑的信号转导机制,在治疗抑郁症、癫痫和神经退行性疾病方面具有重要作用。电惊厥治疗(ECT)是一种有效的抗抑郁、抗惊厥和神经保护治疗方式;然而,其对 mTOR 信号的影响尚未阐明。
在大鼠额叶皮层中研究了 ECT 对 mTOR 复合物 1(mTORC1)通路的影响。ECT 或假处理每天一次,共 10 天(E10X 或假处理),并通过脑室内套管给予化合物 C。分析 mTORC1 相关信号分子及其相互作用的变化。
与假处理组相比,E10X 降低了大鼠额叶皮层中 mTOR 下游底物(包括 p70S6K、S6 和 4E-BP1)的磷酸化水平,并增加了 mTOR 在 Thr2446 的抑制性磷酸化,表明 E10X 诱导了 mTORC1 活性的抑制。激活 mTORC1 的上游激酶 Akt 和 ERK1/2 没有被抑制;然而,能够抑制 mTORC1 的 AMPK 被激活。E10X 增加了 AMPK 响应性 Raptor 在 Ser792 和 TSC2 在 Ser1387 的磷酸化,抑制 mTORC1。此外,脑内 AMPK 抑制恢复了 E10X 诱导的 S6、Raptor 和 TSC2 磷酸化的变化,表明 AMPK 在 E10X 诱导的 mTOR 抑制中起介导作用。
重复的 ECT 处理通过 mTOR 和 AMPK 途径的相互作用抑制 mTORC1 信号,这可能通过诱导自噬在 ECT 的作用中发挥重要作用。