维拉唑酮:一种对纹状体中甲哌啶酸诱导基因调控影响较小的选择性 5-羟色胺再摄取抑制剂:5-HT1A 受体的作用。
Vilazodone, a Selective Serotonin Reuptake Inhibitor with Diminished Impact on Methylphenidate-Induced Gene Regulation in the Striatum: Role of 5-HT1A Receptor.
机构信息
Stanson Toshok Center for Brain Function and Repair, Rosalind Franklin University of Medicine and Science, North Chicago, IL, 60064, USA.
Department of Psychological and Brain Sciences, Institute for Neuroscience, Texas A&M University, College Station, TX, 77843, USA.
出版信息
Mol Neurobiol. 2024 Apr;61(4):1907-1919. doi: 10.1007/s12035-023-03688-y. Epub 2023 Oct 9.
Selective serotonin reuptake inhibitors (SSRIs), including fluoxetine, are frequently combined with medical psychostimulants such as methylphenidate (Ritalin), for example, in the treatment of attention-deficit hyperactivity disorder/depression comorbidity. Co-exposure to these medications also occurs with misuse of methylphenidate as a recreational drug by patients on SSRIs. Methylphenidate, a dopamine reuptake blocker, produces moderate addiction-related gene regulation. Findings show that SSRIs such as fluoxetine given in conjunction with methylphenidate potentiate methylphenidate-induced gene regulation in the striatum in rats, consistent with a facilitatory action of serotonin on addiction-related processes. These SSRIs may thus increase methylphenidate's addiction liability. Here, we investigated the effects of a novel SSRI, vilazodone, on methylphenidate-induced gene regulation. Vilazodone differs from prototypical SSRIs in that, in addition to blocking serotonin reuptake, it acts as a partial agonist at the 5-HT1A serotonin receptor subtype. Studies showed that stimulation of the 5-HT1A receptor tempers serotonin input to the striatum. We compared the effects of acute treatment with vilazodone (10-20 mg/kg) with those of fluoxetine (5 mg/kg) on striatal gene regulation (zif268, substance P, enkephalin) induced by methylphenidate (5 mg/kg), by in situ hybridization histochemistry combined with autoradiography. We also assessed the impact of blocking 5-HT1A receptors by the selective antagonist WAY-100635 (0.5 mg/kg) on these responses. Behavioral effects of these drug treatments were examined in parallel in an open-field test. Our results show that, in contrast to fluoxetine, vilazodone did not potentiate gene regulation induced by methylphenidate in the striatum, while vilazodone enhanced methylphenidate-induced locomotor activity. However, blocking 5-HT1A receptors by WAY-100635 unmasked a potentiating effect of vilazodone on methylphenidate-induced gene regulation, thus confirming an inhibitory role for 5-HT1A receptors. Our findings suggest that vilazodone may serve as an adjunct SSRI with diminished addiction facilitating properties and identify the 5-HT1A receptor as a potential therapeutic target to treat addiction.
选择性 5-羟色胺再摄取抑制剂(SSRIs),包括氟西汀,常与医学上的精神兴奋剂如哌醋甲酯(利他林)联合使用,例如在治疗注意力缺陷多动障碍/抑郁共病中。这些药物的共同暴露也发生在 SSRIs 患者滥用哌醋甲酯作为娱乐药物时。哌醋甲酯,一种多巴胺再摄取阻滞剂,产生适度的与成瘾相关的基因调节。研究结果表明,氟西汀等 SSRIs 与哌醋甲酯联合使用可增强大鼠纹状体中哌醋甲酯诱导的基因调节,这与 5-羟色胺对与成瘾相关过程的促进作用一致。因此,这些 SSRIs 可能会增加哌醋甲酯的成瘾性。在这里,我们研究了一种新型 SSRI 维拉佐酮对哌醋甲酯诱导的基因调节的影响。维拉佐酮与典型的 SSRIs 不同,除了阻断 5-羟色胺再摄取外,它还作为 5-HT1A 血清素受体亚型的部分激动剂。研究表明,刺激 5-HT1A 受体可以调节 5-羟色胺对纹状体的输入。我们比较了急性给予维拉佐酮(10-20mg/kg)与氟西汀(5mg/kg)对哌醋甲酯(5mg/kg)诱导的纹状体基因调节(zif268、物质 P、脑啡肽)的影响,通过原位杂交组织化学与放射自显影相结合的方法。我们还评估了选择性拮抗剂 WAY-100635(0.5mg/kg)阻断 5-HT1A 受体对这些反应的影响。在一个开阔场测试中,我们还平行地检查了这些药物治疗的行为效应。我们的结果表明,与氟西汀相反,维拉佐酮不会增强哌醋甲酯在纹状体中诱导的基因调节,而维拉佐酮增强了哌醋甲酯诱导的运动活性。然而,WAY-100635 阻断 5-HT1A 受体揭示了维拉佐酮对哌醋甲酯诱导的基因调节的增强作用,从而证实了 5-HT1A 受体的抑制作用。我们的发现表明,维拉佐酮可能作为一种辅助性 SSRI,具有降低成瘾促进特性,并确定 5-HT1A 受体作为治疗成瘾的潜在治疗靶点。
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