Affiliated Wuhan Mental Health Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430012, China.
Department of Psychiatry, Wuhan Mental Health Center, Wuhan, 430012, China.
Transl Psychiatry. 2023 Jun 27;13(1):229. doi: 10.1038/s41398-023-02527-x.
Major depression disorder (MDD) is one of the most common psychiatric disorders and one of the leading causes of disability in worldwide. Both inflammation and GABAergic dysfunction have been implicated in the pathophysiology of MDD. Caspase-1, a classic inflammatory caspase, regulates AMPARs-mediated glutamatergic neurotransmission. However, the role of caspase-1 in chronic stress-induced GABAergic dysfunction remains largely unknown. In this study, we found that serum and hippocampal caspase-1-IL-1β levels increased significantly in chronic restraint stress (CRS) mice, and a significant negative correlation occurred between levels of caspase-1 and depression-like behaviors. Furthermore, CRS significantly decreased GAD67 mRNA levels and GABAergic neurotransmission accompanied by the reduction of GABA concentration, reduced the amplitude and frequency of mIPSCs inhibitory postsynaptic currents (mIPSCs) and the decreased surface expression of GABARs γ2 subunit in the hippocampus. Genetic deficiency of caspase-1 not only blocked CRS-induced depression-like behaviors, but also alleviated CRS-induced impairments in GABAergic neurotransmission. Finally, reexpression of caspase-1 in the hippocampus of Caspase-1 mice increased susceptibility to stress-induced anxiety- and depression-like behaviors through inhibiting GAD67 expression and GABARs-mediated synaptic transmission. Our study suggests that CRS dysregulates GABAergic neurotransmission via increasing the levels of caspase-1-mediated neuroinflammation in the hippocampus, ultimately leading to depression-like behaviors. This work illustrates that targeting caspase-1 may provide potential therapeutic benefits to stress-related GABAergic dysfunction in the pathogenesis of MDD.
重度抑郁症(MDD)是最常见的精神疾病之一,也是全球致残的主要原因之一。炎症和 GABA 能功能障碍都与 MDD 的病理生理学有关。半胱天冬酶-1(经典炎症半胱天冬酶)调节 AMPAR 介导的谷氨酸能神经传递。然而,慢性应激诱导的 GABA 能功能障碍中 caspase-1 的作用在很大程度上仍然未知。在这项研究中,我们发现慢性束缚应激(CRS)小鼠血清和海马 caspase-1-IL-1β 水平显著升高,caspase-1 水平与抑郁样行为呈显著负相关。此外,CRS 显著降低 GAD67 mRNA 水平和 GABA 能神经传递,伴随着 GABA 浓度降低、抑制性突触后电流(mIPSCs)幅度和频率降低以及海马中 GABARsγ2 亚基表面表达减少。caspase-1 的基因缺失不仅阻断了 CRS 诱导的抑郁样行为,而且缓解了 CRS 诱导的 GABA 能神经传递损伤。最后,caspase-1 在 Caspase-1 小鼠海马中的重新表达通过抑制 GAD67 表达和 GABARs 介导的突触传递,增加了应激诱导的焦虑和抑郁样行为的易感性。我们的研究表明,CRS 通过增加海马中 caspase-1 介导的神经炎症水平来调节 GABA 能神经传递,最终导致抑郁样行为。这项工作表明,靶向半胱天冬酶-1可能为 MDD 发病机制中与应激相关的 GABA 能功能障碍提供潜在的治疗益处。