Department of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China; The Key Laboratory of Mental Disorder Management in Zhejiang Province, Hangzhou 310003, China.
Department of Orthopaedics and Traumatology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 999007, Hong Kong.
J Affect Disord. 2023 Mar 15;325:256-263. doi: 10.1016/j.jad.2023.01.031. Epub 2023 Jan 10.
BACKGROUND: The dysregulation of the dopamine system contributes to depressive-like behaviors in rats, and the neurological functions regulated by hypocretin are severely affected in depression. However, whether suvorexant plays a role in alleviating depression by affecting the dopamine system is unclear. METHODS: To preliminarily explore the mechanism of suvorexant (10 mg/kg) in the treatment of depression, the mRNA and protein expression of TH, Drd2, Drd3, GluN2A, DAT, and GluN2B in the striatum of rats was quantified by qPCR and western blotting. The plasma hypocretin-1 and dopamine levels and the striatal dopamine levels were determined by ELISA. RESULTS: i) Compared to those of the control group, chronic unpredictable mild stress (CUMS) rats showed depressive-like behaviors, which were subsequently reversed by treatment with suvorexant. ii) The mRNA and protein expressions of TH, Drd2, Drd3, GluN2A, and GluN2B in the striatum of CUMS were significantly increased compared with those in the controls, but decreased after suvorexant treatment. iii) Compared with those in the control group, the plasma and striatal dopamine levels of CUMS decreased while plasma hypocretin-1 levels increased, which was reversed after suvorexant treatment. LIMITATIONS: i) The suvorexant is a dual hypocretin receptor antagonist; however, the responsible receptor is unclear. ii) We only focused on related factors in the striatum but did not explore other brain regions, nor did we directly explore the relationship among these factors. CONCLUSION: Depressive-like behaviors induced by CUMS can be reversed by suvorexant, and the therapeutic effects of suvorexant may be mediated by affecting the dopamine system.
背景:多巴胺系统的失调导致大鼠出现类似抑郁的行为,而在抑郁症中,下丘脑分泌素调节的神经功能受到严重影响。然而,苏沃雷生是否通过影响多巴胺系统在缓解抑郁中发挥作用尚不清楚。
方法:为初步探讨苏沃雷生(10mg/kg)治疗抑郁的作用机制,通过 qPCR 和 Western blot 定量检测大鼠纹状体中 TH、Drd2、Drd3、GluN2A、DAT 和 GluN2B 的 mRNA 和蛋白表达。通过 ELISA 测定血浆下丘脑分泌素-1 和多巴胺水平以及纹状体多巴胺水平。
结果:i)与对照组相比,慢性不可预测轻度应激(CUMS)大鼠表现出类似抑郁的行为,而苏沃雷生治疗后这些行为得到逆转。ii)与对照组相比,CUMS 大鼠纹状体中 TH、Drd2、Drd3、GluN2A 和 GluN2B 的 mRNA 和蛋白表达明显增加,但苏沃雷生治疗后表达减少。iii)与对照组相比,CUMS 大鼠的血浆和纹状体多巴胺水平降低,而血浆下丘脑分泌素-1 水平升高,苏沃雷生治疗后这些改变得到逆转。
局限性:i)苏沃雷生是一种双重下丘脑分泌素受体拮抗剂;然而,负责的受体尚不清楚。ii)我们仅关注纹状体中的相关因素,但没有探索其他脑区,也没有直接探讨这些因素之间的关系。
结论:CUMS 诱导的类似抑郁行为可被苏沃雷生逆转,苏沃雷生的治疗效果可能通过影响多巴胺系统介导。
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