Sarkisova Karine Yu, Gabova Alexandra V, Fedosova Ekaterina A, Shatskova Alla B, Narkevich Victor B, Kudrin Vladimir S
Institute of Higher Nervous Activity and Neurophysiology of Russian Academy of Sciences, Butlerova Str. 5A, Moscow 117485, Russia.
Federal State Budgetary Institution "Scientific Research Institute of Pharmacology named after V.V. Zakusov", Baltiyskaya Str. 8, Moscow 125315, Russia.
Int J Mol Sci. 2023 Aug 4;24(15):12425. doi: 10.3390/ijms241512425.
Depression is a severe and widespread psychiatric disease that often accompanies epilepsy. Antidepressant treatment of depression comorbid with epilepsy is a major concern due to the risk of seizure aggravation. SAMe, a universal methyl donor for DNA methylation and the synthesis of brain monoamines, is known to have high antidepressant activity. This study aimed to find out whether L-methionine (L-MET), a precursor of SAMe, can have antidepressant and/or anxiolytic effects in the WAG/Rij rat model of depression comorbid with absence epilepsy. The results indicate that L-MET reduces the level of anxiety and depression in WAG/Rij rats and suppresses associated epileptic seizures, in contrast to conventional antidepressant imipramine, which aggravates absence seizures. The antidepressant effect of L-MET was comparable with that of the conventional antidepressants imipramine and fluoxetine. However, the antidepressant profile of L-MET was more similar to imipramine than to fluoxetine. Taken together, our findings suggest that L-MET could serve as a promising new antidepressant drug with anxiolytic properties for the treatment of depression comorbid with absence epilepsy. Increases in the level of monoamines and their metabolites-DA, DOPAC, HVA, NA, and MHPG-in several brain structures, is suggested to be a neurochemical mechanism of the beneficial phenotypic effect of L-MET.
抑郁症是一种严重且普遍的精神疾病,常与癫痫相伴。由于存在癫痫发作加剧的风险,对癫痫合并抑郁症进行抗抑郁治疗是一个主要关注点。S-腺苷甲硫氨酸(SAMe)是一种用于DNA甲基化和脑单胺合成的通用甲基供体,已知具有较高的抗抑郁活性。本研究旨在探究SAMe的前体L-蛋氨酸(L-MET)在失神癫痫合并抑郁症的WAG/Rij大鼠模型中是否具有抗抑郁和/或抗焦虑作用。结果表明,与会加重失神发作的传统抗抑郁药丙咪嗪相比,L-MET可降低WAG/Rij大鼠的焦虑和抑郁水平,并抑制相关癫痫发作。L-MET的抗抑郁作用与传统抗抑郁药丙咪嗪和氟西汀相当。然而,L-MET的抗抑郁谱与丙咪嗪比与氟西汀更为相似。综上所述,我们的研究结果表明,L-MET有望成为一种有前景的新型抗抑郁药物,具有抗焦虑特性,可用于治疗失神癫痫合并的抑郁症。几种脑结构中,单胺及其代谢产物——多巴胺(DA)、3,4-二羟基苯乙酸(DOPAC)、高香草酸(HVA)、去甲肾上腺素(NA)和3-甲氧基-4-羟基苯乙二醇(MHPG)水平的升高,被认为是L-MET产生有益表型效应的神经化学机制。