RU486 治疗创伤后应激导致的糖皮质激素失调和恐惧相关异常的效果:早期与晚期干预。

Effects of RU486 in Treatment of Traumatic Stress-Induced Glucocorticoid Dysregulation and Fear-Related Abnormalities: Early versus Late Intervention.

机构信息

Laboratory of Cognitive Neuroscience, Department of Physiology and Biophysics, Graduate Institute of Physiology, National Defense Medical Center, Taipei 11490, Taiwan.

Genomics Research Center, Academia Sinica, Taipei 11529, Taiwan.

出版信息

Int J Mol Sci. 2022 May 14;23(10):5494. doi: 10.3390/ijms23105494.

Abstract

Central glucocorticoid receptor (GR) activity is enhanced following traumatic events, playing a key role in the stress-related cognitive abnormalities of posttraumatic stress disorder (PTSD). GR antagonists are expected to have potential as pharmacological agents to treat PTSD-related symptoms such as anxiety and fear memory disruption. However, an incubation period is usually required and stress-induced abnormalities do not develop immediately following the trauma; thus, the optimal intervention timing should be considered. Single prolonged stress (SPS) was employed as a rodent PTSD model to examine the effects of early or late (1-7 versus 8-14 days after the SPS) sub-chronic RU486 (a GR antagonist) administration. Behaviorally, fear conditioning and anxiety behavior were assessed using the fear-conditioning test and elevated T-maze (ETM), respectively. Neurochemically, the expressions of GR, FK506-binding proteins 4 and 5 (FKBP4 and FKBP5), and early growth response-1 (Egr-1) were assessed in the hippocampus, medial prefrontal cortex (mPFC), amygdala, and hypothalamus, together with the level of plasma corticosterone. Early RU486 administration could inhibit SPS-induced behavioral abnormalities and glucocorticoid system dysregulation by reversing the SPS-induced fear extinction deficit, and preventing SPS-reduced plasma corticosterone levels and SPS-induced Egr-1 overexpression in the hippocampus. Early RU486 administration following SPS also increased the FKBP5 level in the hippocampus and hypothalamus. Finally, both early and late RU486 administration inhibited the elevated hippocampal FKBP4 level and hypothalamus GR level in the SPS rats. Early intervention with a GR antagonist aids in the correction of traumatic stress-induced fear and anxiety dysregulation.

摘要

中枢糖皮质激素受体(GR)活性在创伤后增强,在创伤后应激障碍(PTSD)的应激相关认知异常中发挥关键作用。GR 拮抗剂有望成为治疗 PTSD 相关症状(如焦虑和恐惧记忆障碍)的药物。然而,通常需要一个潜伏期,并且应激诱导的异常不会在创伤后立即发生;因此,应该考虑最佳的干预时机。单次延长应激(SPS)被用作啮齿动物 PTSD 模型,以研究早期或晚期(SPS 后 1-7 天与 8-14 天)亚慢性 RU486(GR 拮抗剂)给药的影响。行为上,使用恐惧条件反射测试和高架 T 迷宫(ETM)分别评估恐惧条件反射和焦虑行为。神经化学上,评估了海马体、内侧前额叶皮层(mPFC)、杏仁核和下丘脑的 GR、FK506 结合蛋白 4 和 5(FKBP4 和 FKBP5)和早期生长反应-1(Egr-1)的表达,以及血浆皮质酮水平。早期 RU486 给药可以通过逆转 SPS 诱导的恐惧消退缺陷、防止 SPS 降低海马体皮质酮水平和 SPS 诱导的 Egr-1 过表达来抑制 SPS 诱导的行为异常和糖皮质激素系统失调。SPS 后早期 RU486 给药还增加了海马体和下丘脑的 FKBP5 水平。最后,早期和晚期 RU486 给药均抑制了 SPS 大鼠海马体中升高的 FKBP4 水平和下丘脑 GR 水平。GR 拮抗剂的早期干预有助于纠正创伤应激引起的恐惧和焦虑失调。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9588/9141845/acbd3c68d10d/ijms-23-05494-g001.jpg

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