Farooqui Ali A, Gao Yonglin, Coghlan Megan A, El-Mallakh Rifaat S
Psychiatry, University of Louisville School of Medicine, Louisville, USA.
Cureus. 2022 May 5;14(5):e24765. doi: 10.7759/cureus.24765. eCollection 2022 May.
Introduction Inflammation is believed to play a role in both bipolar illness and unipolar depression. Markers of inflammation are elevated during acute mood episodes. Specifically, gene expressions of the nucleotide-binding domain and leucine-rich repeat pyrin domain containing 3 ()-related proteins in peripheral blood have been purported to be upregulated in patients with bipolar disorder. We examined the elaboration of NLRP3 in the ouabain animal model of bipolar disorder. Methods The frontal cortex, hippocampus, and basal ganglia tissue from young, male Sprague-Dawley rats who received intracerebroventricular (ICV) ouabain as a model of bipolar disorder or artificial cerebrospinal fluid (aCSF) were examined for NLRP3 utilizing protein immunoblot (Western) analysis. Results We could not demonstrate any NLRP3 in rat brain, but NLRP3 was detected in control from mouse brain and lung. Discussion This study demonstrates that the manifestation of manic behavior in rats treated with ICV ouabain is not accompanied by elaboration of NLRP3 inflammasome. This raises the question of the primacy of inflammation in the pathophysiology of mania. If these findings are reproduced in this and other animal models of mania, they would raise important questions about whether inflammation is a primary or secondary phenomenon in the brains of subjects with bipolar disorder.
引言 炎症被认为在双相情感障碍和单相抑郁症中均起作用。在急性情绪发作期间,炎症标志物会升高。具体而言,据报道双相情感障碍患者外周血中含核苷酸结合结构域和富含亮氨酸重复序列的吡啉结构域3(NLRP3)相关蛋白的基因表达上调。我们在哇巴因双相情感障碍动物模型中研究了NLRP3的情况。
方法 利用蛋白质免疫印迹(Western)分析,检测接受脑室内(ICV)注射哇巴因作为双相情感障碍模型或人工脑脊液(aCSF)的年轻雄性Sprague-Dawley大鼠的额叶皮质、海马体和基底神经节组织中的NLRP3。
结果 我们在大鼠脑中未检测到任何NLRP3,但在小鼠脑和肺的对照中检测到了NLRP3。
讨论 本研究表明,脑室内注射哇巴因处理的大鼠出现躁狂行为时,并未伴有NLRP3炎性小体的形成。这就引发了炎症在躁狂症病理生理学中首要地位的问题。如果这些发现在该躁狂症动物模型及其他模型中得到重现,它们将引发关于炎症在双相情感障碍患者大脑中是原发性还是继发性现象的重要问题。