Department of Pharmacology, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Jiangsu Key Laboratory of Neurodegeneration, Department of Pharmacology, Nanjing Medical University, 101 Longmian Avenue, Nanjing, 211166, Jiangsu, China.
J Neuroinflammation. 2022 Oct 1;19(1):240. doi: 10.1186/s12974-022-02597-6.
Major depressive disorder (MDD) is a prevalent and devastating psychiatric illness. Unfortunately, the current therapeutic practice, generally depending on the serotonergic system for drug treatment is unsatisfactory and shows intractable side effects. Multiple evidence suggests that dopamine (DA) and dopaminergic signals associated with neuroinflammation are highly involved in the pathophysiology of depression as well as in the mechanism of antidepressant drugs, which is still in the early stage of study and well worthy of investigation.
We established two chronic stress models, including chronic unpredictable mild stress (CUMS), and chronic social defeat stress (CSDS), to complementarily recapitulate depression-like behaviors. Then, hippocampal tissues were used to detect inflammation-related molecules and signaling pathways. Pathological changes in depressive mouse hippocampal astrocytes were examined by RNA sequencing. After confirming the dopamine receptor 2 (Drd2)/β-arrestin2 signaling changes in the depressive mice brain, we then established the depressive mouse model using the β-arrestin2 knockout mice or administrating the β-arrestin2-biased Drd2 agonist to investigate the roles. Label-free mass spectrometry was used to identify the β-arrestin2-binding proteins as the underlying mechanisms. We modeled neuroinflammation with interleukin-6 (IL-6) and corticosterone treatment and characterized astrocytes using multiple methods including cell viability assay, flow cytometry, and confocal immunofluorescence.
Drd2-biased β-arrestin2 pathway is significantly changed in the progression of depression, and genetic deletion of β-arrestin2 aggravates neuroinflammation and depressive-like phenotypes. Mechanistically, astrocytic β-arrestin2 retains STAT3 in the cytoplasm by structural combination with STAT3, therefore, inhibiting the JAK-STAT3 pathway-mediated inflammatory activation. Furtherly, pharmacological activation of Drd2/β-arrestin2 pathway by UNC9995 abolishes the inflammation-induced loss of astrocytes and ameliorates depressive-like behaviors in mouse model for depression.
Drd2/β-arrestin2 pathway is a potential therapeutic target for depression and β-arrestin2-biased Drd2 agonist UNC9995 is identified as a potential anti-depressant strategy for preventing astrocytic dysfunctions and relieving neuropathological manifestations in mouse model for depression, which provides insights for the therapy of depression.
重度抑郁症(MDD)是一种普遍且严重的精神疾病。不幸的是,目前的治疗方法主要依赖于 5-羟色胺系统进行药物治疗,效果并不理想,且存在难以克服的副作用。大量证据表明,多巴胺(DA)和与神经炎症相关的多巴胺能信号在抑郁症的病理生理学以及抗抑郁药物的作用机制中都起着重要作用,这仍处于研究的早期阶段,非常值得研究。
我们建立了两种慢性应激模型,包括慢性不可预测轻度应激(CUMS)和慢性社交挫败应激(CSDS),以互补地重现抑郁样行为。然后,使用海马组织检测炎症相关分子和信号通路。通过 RNA 测序检查抑郁小鼠海马星形胶质细胞的病理变化。在确认抑郁小鼠大脑中多巴胺受体 2(Drd2)/β-arrestin2 信号变化后,我们使用β-arrestin2 敲除小鼠或给予β-arrestin2 偏向性 Drd2 激动剂建立抑郁小鼠模型,以研究其作用。无标记质谱用于鉴定β-arrestin2 结合蛋白作为潜在机制。我们使用白细胞介素 6(IL-6)和皮质酮处理模拟神经炎症,并使用包括细胞活力测定、流式细胞术和共聚焦免疫荧光在内的多种方法对星形胶质细胞进行特征分析。
Drd2 偏向性β-arrestin2 通路在抑郁症的进展中发生显著变化,β-arrestin2 的基因缺失会加重神经炎症和抑郁样表型。在机制上,星形胶质细胞β-arrestin2 通过与 STAT3 的结构结合将 STAT3 保留在细胞质中,从而抑制 JAK-STAT3 通路介导的炎症激活。进一步地,通过 UNC9995 药理学激活 Drd2/β-arrestin2 通路可消除炎症诱导的星形胶质细胞丢失,并改善抑郁小鼠模型的抑郁样行为。
Drd2/β-arrestin2 通路是治疗抑郁症的潜在靶点,β-arrestin2 偏向性 Drd2 激动剂 UNC9995 被确定为一种潜在的抗抑郁策略,可防止星形胶质细胞功能障碍并缓解抑郁小鼠模型中的神经病理学表现,为抑郁症的治疗提供了新的思路。