Boo Kyung-Jun, Gonzales Edson Luck, Remonde Chilly Gay, Seong Jae Young, Jeon Se Jin, Park Yeong-Min, Ham Byung-Joo, Shin Chan Young
School of Medicine and Center for Neuroscience Research, Konkuk University, Seoul 05029, Republic of Korea.
Graduate School of Medicine, Korea University, Seoul 02841, Republic of Korea.
Biomol Ther (Seoul). 2023 Mar 1;31(2):161-167. doi: 10.4062/biomolther.2022.073. Epub 2022 Oct 7.
Despite the various medications used in clinics, the efforts to develop more effective treatments for depression continue to increase in the past decades mainly because of the treatment-resistant population, and the testing of several hypotheses- and target-based treatments. Undesirable side effects and unresponsiveness to current medications fuel the drive to solve this top global health problem. In this study, we focused on neuroinflammatory response-mediated depression which represents a cluster of depression etiology both in animal models and humans. Several meta-analyses reported that proinflammatory cytokines such as interleukin 6 (IL-6) and tumor necrosis factor-α (TNF-α) were increased in major depressive disorder patients. Inflammatory mediators implicated in depression include type-I interferon and inflammasome pathways. To elucidate the molecular mechanisms of neuroinflammatory cascades underlying the pathophysiology of depression, we introduced hycanthone, an antischistosomal drug, to check whether it can counteract depressive-like behaviors and normalize the inflammation-induced changes . Lipopolysaccharide (LPS) treatment increased proinflammatory cytokine expression in the murine microglial cells as well as the stimulation of type I interferon-related pathways that are directly or indirectly regulated by Janus kinase-signal transducer and activator of transcription (JAK-STAT) activation. Hycanthone treatment attenuated those changes possibly by inhibiting the JAK-STAT pathway and inflammasome activation. Hycanthone also ameliorated depressive-like behaviors by LPS. Taken together, we suggest that the inhibitory action of hycanthone against the interferon pathway leading to attenuation of depressive-like behaviors can be a novel therapeutic mechanism for treating depression.
尽管临床上使用了各种药物,但在过去几十年里,开发更有效抑郁症治疗方法的努力仍在不断增加,这主要是因为存在难治性患者群体,以及对几种基于假设和靶点的治疗方法进行了试验。当前药物产生的不良副作用和无反应性推动了解决这一全球首要健康问题的进程。在本研究中,我们聚焦于神经炎症反应介导的抑郁症,它在动物模型和人类中均代表了一类抑郁症病因。多项荟萃分析报告称,在重度抑郁症患者中,白细胞介素6(IL-6)和肿瘤坏死因子-α(TNF-α)等促炎细胞因子水平升高。与抑郁症相关的炎症介质包括I型干扰素和炎性小体途径。为了阐明抑郁症病理生理学背后神经炎症级联反应的分子机制,我们引入了一种抗血吸虫药物海恩酮,以检查它是否能对抗抑郁样行为并使炎症诱导的变化恢复正常。脂多糖(LPS)处理增加了小鼠小胶质细胞中促炎细胞因子的表达,以及由Janus激酶-信号转导和转录激活因子(JAK-STAT)激活直接或间接调节的I型干扰素相关途径的激活。海恩酮处理可能通过抑制JAK-STAT途径和炎性小体激活来减轻这些变化。海恩酮还改善了LPS诱导的抑郁样行为。综上所述,我们认为海恩酮对干扰素途径的抑制作用导致抑郁样行为减弱,这可能是一种治疗抑郁症的新治疗机制。