选择性5-羟色胺再摄取抑制剂、安非他酮和曲唑酮对线粒体功能及单胺氧化酶同工酶活性的不同影响。
Different Effects of SSRIs, Bupropion, and Trazodone on Mitochondrial Functions and Monoamine Oxidase Isoform Activity.
作者信息
Ľupták Matej, Fišar Zdeněk, Hroudová Jana
机构信息
Institute of Pharmacology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Albertov 4, 128 00 Prague, Czech Republic.
Department of Psychiatry, First Faculty of Medicine, Charles University and General University Hospital in Prague, Ke Karlovu 11, 120 00 Prague, Czech Republic.
出版信息
Antioxidants (Basel). 2023 Jun 2;12(6):1208. doi: 10.3390/antiox12061208.
Mitochondrial dysfunction is involved in the pathophysiology of psychiatric and neurodegenerative disorders and can be used as a modulator and/or predictor of treatment responsiveness. Understanding the mitochondrial effects of antidepressants is important to connect mitochondria with their therapeutic and/or adverse effects. Pig brain-isolated mitochondria were used to evaluate antidepressant-induced changes in the activity of electron transport chain (ETC) complexes, monoamine oxidase (MAO), mitochondrial respiratory rate, and ATP. Bupropion, escitalopram, fluvoxamine, sertraline, paroxetine, and trazodone were tested. All tested antidepressants showed significant inhibition of complex I and IV activities at high concentrations (50 and 100 µmol/L); complex II + III activity was reduced by all antidepressants except bupropion. Complex I-linked respiration was reduced by escitalopram >> trazodone >> sertraline. Complex II-linked respiration was reduced only by bupropion. Significant positive correlations were confirmed between complex I-linked respiration and the activities of individual ETC complexes. MAO activity was inhibited by all tested antidepressants, with SSRIs causing a greater effect than trazodone and bupropion. The results indicate a probable association between the adverse effects of high doses of antidepressants and drug-induced changes in the activity of ETC complexes and the respiratory rate of mitochondria. In contrast, MAO inhibition could be linked to the antidepressant, procognitive, and neuroprotective effects of the tested antidepressants.
线粒体功能障碍参与了精神疾病和神经退行性疾病的病理生理过程,并且可作为治疗反应性的调节因子和/或预测指标。了解抗抑郁药对线粒体的影响对于将线粒体与它们的治疗作用和/或不良反应联系起来很重要。使用猪脑分离的线粒体来评估抗抑郁药引起的电子传递链(ETC)复合物、单胺氧化酶(MAO)活性、线粒体呼吸速率和ATP的变化。对安非他酮、艾司西酞普兰、氟伏沙明、舍曲林、帕罗西汀和曲唑酮进行了测试。所有测试的抗抑郁药在高浓度(50和100μmol/L)时均显示出对复合物I和IV活性的显著抑制;除安非他酮外,所有抗抑郁药均降低了复合物II + III的活性。艾司西酞普兰>>曲唑酮>>舍曲林降低了与复合物I相关的呼吸作用。仅安非他酮降低了与复合物II相关的呼吸作用。复合物I相关的呼吸作用与各个ETC复合物的活性之间证实存在显著正相关。所有测试的抗抑郁药均抑制MAO活性,其中选择性5-羟色胺再摄取抑制剂(SSRI)的作用比曲唑酮和安非他酮更大。结果表明高剂量抗抑郁药的不良反应与药物引起的ETC复合物活性变化和线粒体呼吸速率之间可能存在关联。相比之下,MAO抑制可能与测试的抗抑郁药的抗抑郁、促认知和神经保护作用有关。
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