Department of Pharmacotherapeutics, Faculty of Pharmaceutical Sciences, Fukuoka University, 8-19-1, Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan.
Department of Pharmacotherapeutics, Faculty of Pharmaceutical Sciences, Fukuoka University, 8-19-1, Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan.
J Affect Disord. 2024 Jun 15;355:478-486. doi: 10.1016/j.jad.2024.04.008. Epub 2024 Apr 2.
BACKGROUND: Sleep disturbances are not only frequent symptoms, but also risk factors for major depressive disorder. We previously reported that depressed patients who experienced "Hypersomnia" showed a higher and more rapid response rate under paroxetine treatment, but the underlying mechanism remains unclear. The present study was conducted to clarify the beneficial effects of sleep rebound through an experimental "Hypersomnia" rat model on glucocorticoid and hippocampal neuroplasticity associated with antidepressive potency. METHODS: Thirty-four male Sprague-Dawley rats were subjected to sham treatment, 72-h sleep deprivation, or sleep deprivation and subsequent follow-up for one week. Approximately half of the animals were sacrificed to evaluate adrenal weight, plasma corticosterone level, hippocampal content of mRNA isoforms, and protein of the brain-derived neurotrophic factor (Bdnf) gene. In the other half of the rats, Ki-67- and doublecortin (DCX)-positive cells in the hippocampus were counted via immunostaining to quantify adult neurogenesis. RESULTS: Prolonged sleep deprivation led to adrenal hypertrophy and an increase in the plasma corticosterone level, which had returned to normal after one week follow-up. Of note, sleep deprivation-induced decreases in hippocampal Bdnf transcripts containing exons II, IV, VI, and IX and BDNF protein levels, Ki-67-(+)-proliferating cells, and DCX-(+)-newly-born neurons were not merely reversed, but overshot their normal levels with sleep rebound. LIMITATIONS: The present study did not record electroencephalogram or assess behavioral changes of the sleep-deprived rats. CONCLUSIONS: The present study demonstrated that prolonged sleep deprivation-induced adversities are reversed or recovered by sleep rebound, which supports "Hypersomnia" in depressed patients as having a beneficial pharmacological effect.
背景:睡眠障碍不仅是常见的症状,也是发生重度抑郁症的风险因素。我们先前的研究报告显示,经历“过度嗜睡”的抑郁患者在接受帕罗西汀治疗时,应答率更高且更迅速,但潜在的机制仍不清楚。本研究旨在通过实验性“过度嗜睡”大鼠模型来阐明睡眠反弹对与抗抑郁效力相关的糖皮质激素和海马神经可塑性的有益影响。
方法:34 只雄性 Sprague-Dawley 大鼠接受假处理、72 小时睡眠剥夺或睡眠剥夺后进行一周的后续观察。大约一半的动物被处死,以评估肾上腺重量、血浆皮质酮水平、海马内脑源性神经营养因子(Bdnf)基因的 mRNA 亚型和蛋白的含量。在另一半大鼠中,通过免疫染色计数海马中的 Ki-67-和双皮质素(DCX)阳性细胞,以定量成年神经发生。
结果:长时间的睡眠剥夺导致肾上腺肥大和血浆皮质酮水平升高,一周的后续观察后恢复正常。值得注意的是,睡眠剥夺诱导的海马 Bdnf 转录本中包含外显子 II、IV、VI 和 IX 的缺失以及 BDNF 蛋白水平、Ki-67-(+)增殖细胞和 DCX-(+)新生神经元的减少不仅得到了逆转,而且在睡眠反弹时超过了正常水平。
局限性:本研究未记录睡眠剥夺大鼠的脑电图或评估其行为变化。
结论:本研究表明,长时间的睡眠剥夺引起的不利影响可通过睡眠反弹得到逆转或恢复,这支持了抑郁患者的“过度嗜睡”具有有益的药理学作用。