Brakatselos Charalampos, Polissidis Alexia, Ntoulas George, Asprogerakas Michail-Zois, Tsarna Olga, Vamvaka-Iakovou Anastasia, Nakas Gerasimos, Delis Anastasios, Tzimas Petros, Skaltsounis Leandros, Silva Joana, Delis Foteini, Oliveira Joao Filipe, Sotiropoulos Ioannis, Antoniou Katerina
Department of Pharmacology, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110, Ioannina, Greece.
Center of Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, 11527, Athens, Greece.
Neuropsychopharmacology. 2024 Dec;50(2):388-400. doi: 10.1038/s41386-024-01977-1. Epub 2024 Sep 6.
Repeated administration of ketamine (KET) has been used to model schizophrenia-like symptomatology in rodents, but the psychotomimetic neurobiological and neuroanatomical underpinnings remain elusive. In parallel, the unmet need for a better treatment of schizophrenia requires the development of novel therapeutic strategies. Cannabidiol (CBD), a major non-addictive phytocannabinoid has been linked to antipsychotic effects with unclear mechanistic basis. Therefore, this study aims to clarify the neurobiological substrate of repeated KET administration model and to evaluate CBD's antipsychotic potential and neurobiological basis. CBD-treated male rats with and without prior repeated KET administration underwent behavioral analyses, followed by multilevel analysis of different brain areas including dopaminergic and glutamatergic activity, synaptic signaling, as well as electrophysiological recordings for the assessment of corticohippocampal and corticostriatal network activity. Repeated KET model is characterized by schizophrenia-like symptomatology and alterations in glutamatergic and dopaminergic activity mainly in the PFC and the dorsomedial striatum (DMS), through a bi-directional pattern. These observations are accompanied by glutamatergic/GABAergic deviations paralleled to impaired function of parvalbumin- and cholecystokinin-positive interneurons, indicative of excitation/inhibition (E/I) imbalance. Moreover, CBD counteracted the schizophrenia-like behavioral phenotype as well as reverted prefrontal abnormalities and ventral hippocampal E/I deficits, while partially modulated dorsostriatal dysregulations. This study adds novel insights to our understanding of the KET-induced schizophrenia-related brain pathology, as well as the CBD antipsychotic action through a region-specific set of modulations in the corticohippocampal and costicostrtiatal circuitry of KET-induced profile contributing to the development of novel therapeutic strategies focused on the ECS and E/I imbalance restoration.
重复给予氯胺酮(KET)已被用于在啮齿动物中模拟精神分裂症样症状,但拟精神病作用的神经生物学和神经解剖学基础仍不清楚。与此同时,对精神分裂症更好治疗方法的未满足需求要求开发新的治疗策略。大麻二酚(CBD)是一种主要的非成瘾性植物大麻素,其抗精神病作用的机制尚不清楚。因此,本研究旨在阐明重复给予KET模型的神经生物学基础,并评估CBD的抗精神病潜力及其神经生物学基础。对有或没有先前重复给予KET的CBD处理的雄性大鼠进行行为分析,然后对不同脑区进行多层次分析,包括多巴胺能和谷氨酸能活性、突触信号传导,以及用于评估皮质海马和皮质纹状体网络活动的电生理记录。重复给予KET模型的特征是出现精神分裂症样症状,谷氨酸能和多巴胺能活性改变,主要发生在前额叶皮质(PFC)和背内侧纹状体(DMS),呈双向模式。这些观察结果伴随着与小白蛋白和胆囊收缩素阳性中间神经元功能受损平行的谷氨酸能/γ-氨基丁酸能偏差,表明兴奋/抑制(E/I)失衡。此外,CBD抵消了精神分裂症样行为表型,恢复了前额叶异常和腹侧海马E/I缺陷,同时部分调节了背侧纹状体的失调。本研究为我们理解KET诱导的与精神分裂症相关的脑病理学,以及CBD通过对KET诱导的皮质海马和皮质纹状体回路进行区域特异性调节的抗精神病作用提供了新的见解,有助于开发专注于内源性大麻素系统(ECS)和E/I失衡恢复的新治疗策略。