Lee Hae-June, Kim Hyun-Yong, Oh Se Jong, Son Yeonghoon, Kang Kyung Jun, Nam Kyung Rok, Choi Jae Yong
Division of Radiation Biomedical Research, Korea Institute of Radiological & Medical Sciences, Seoul, Korea.
Division of Applied RI, Korea Institute of Radiological & Medical Sciences, Seoul, Korea.
Mol Imaging Biol. 2024 Oct;26(5):879-887. doi: 10.1007/s11307-024-01944-8. Epub 2024 Aug 22.
Many patients with Alzheimer's disease (AD) also have psychosis, and it has been reported that these patients have more severely impaired cognitive functions than patients without psychosis. The glutamatergic system in the brain is known to play an important role in memory and learning in the neural circuits. However, there has been limited research on how antipsychotic drugs affect the glutamatergic system of AD. Therefore, we aimed to investigate the effects of aripiprazole on the glutamatergic system in an animal model of AD using functional molecular imaging.
In this study, 5xFAD mice were used as the animal model. At the age of 5 months, the mice were divided into wild-type, vehicle control, and aripiprazole-treated groups (n = 6 per group). The aripiprazole-treated group was administered aripiprazole for 2 months at a dose of 1 mg·kg·day. At 7 months of age, the animals underwent behavioral tests and glutamate positron emission tomography (PET) scans.
The aripiprazole-treated group exhibited alleviated memory impairment in a novel object recognition test. Moreover, this group displayed 7-8% higher binding in the glutamate PET scan than the vehicle-treated 5xFAD group. Postmortem examination confirmed the recovery of glutamatergic damage.
The administration of aripiprazole alleviated memory impairment and restored the damaged glutamatergic system in 5xFAD mice. Although the use of aripiprazole in AD patients may be a constraint in terms of safety, we confirmed the possibility that the administration of antipsychotic drugs can be effective in AD.
许多阿尔茨海默病(AD)患者也伴有精神病性症状,据报道,这些患者的认知功能受损程度比没有精神病性症状的患者更为严重。已知大脑中的谷氨酸能系统在神经回路的记忆和学习中起重要作用。然而,关于抗精神病药物如何影响AD患者谷氨酸能系统的研究有限。因此,我们旨在使用功能分子成像技术研究阿立哌唑对AD动物模型中谷氨酸能系统的影响。
在本研究中,使用5xFAD小鼠作为动物模型。在5个月大时,将小鼠分为野生型、载体对照组和阿立哌唑治疗组(每组n = 6)。阿立哌唑治疗组以1 mg·kg·天的剂量给予阿立哌唑2个月。在7个月大时,对动物进行行为测试和谷氨酸正电子发射断层扫描(PET)。
在新颖物体识别测试中,阿立哌唑治疗组的记忆障碍得到缓解。此外,该组在谷氨酸PET扫描中的结合率比载体治疗的5xFAD组高7-8%。死后检查证实谷氨酸能损伤得到恢复。
阿立哌唑的给药缓解了5xFAD小鼠的记忆障碍并恢复了受损的谷氨酸能系统。尽管在安全性方面,阿立哌唑在AD患者中的使用可能存在限制,但我们证实了抗精神病药物给药对AD有效的可能性。