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氯胺酮与血清素能致幻剂2,5-二甲氧基-4-碘苯丙胺对海马可塑性和元可塑性的不同影响。

Divergent Effects of Ketamine and the Serotoninergic Psychedelic 2,5-Dimethoxy-4-Iodoamphetamine on Hippocampal Plasticity and Metaplasticity.

作者信息

Zahid Zarmeen, Sultan Ziyad W, Krause Bryan M, Wenthur Cody J, Pearce Robert A, Banks Matthew I

机构信息

Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, 53706.

School of Pharmacy, University of Wisconsin, Madison, WI, 53705.

出版信息

Psychedelic Med (New Rochelle). 2024 Sep;2(3):166-177. doi: 10.1089/psymed.2023.0061. Epub 2024 Sep 4.

Abstract

INTRODUCTION

Serotonergic psychedelics and ketamine produce rapid and long-lasting symptomatic relief in multiple psychiatric disorders. Evidence suggests that despite having distinct molecular targets, both drugs may exert therapeutic benefit via their pro-neuroplastic effects. Following treatment with ketamine or serotonergic psychedelics, patients are reported to be more open to behavioral change, which is leveraged for psychotherapy-assisted reframing of narratives of the self. This period of enhanced behavioral change is postulated to be supported by a post-treatment window of enhanced neural plasticity, but evidence for such 'metaplastic' effects is limited. In this study, we tested for neural plasticity and metaplasticity in murine hippocampus.

METHODS

Brain slices were obtained from C57BL/6J mice 24 hours after treatment (intraperitoneal injection) with saline, ketamine, or the serotonergic psychedelic 2,5-Dimethoxy-4-iodoamphetamine (DOI). Extracellular fiber volleys (FVs) and field excitatory postsynaptic potentials (fEPSPs) were recorded in of CA1 in response to stimulation of Schaffer collateral fibers before and after induction of short-term and long-term potentiation (STP, LTP).

RESULTS

Before LTP induction, responses differed across treatment groups (F = 5.407, p = 0.00665), with fEPSPs enhanced in slices from DOI-treated animals (p = 0.0182), but not ketamine-treated animals (p = 0.9786), compared to saline. There were no treatment effects on LT (F = 0.6, p = 0.516), but there were on STP (F =, p = 0.0167), with enhanced STP in DOI-treated (p = 0.0352) but not ketamine-treated (p = 0.9999) animals compared to saline. A presynaptic component to the mechanism for the DOI effects was suggested by (1) significantly enhanced FV amplitudes (F = 3.17, p = 0.049) in DOI-treated (p = 0.0457) but not ketamine-treated animals compared to saline (p = 0.8677); and (2) enhanced paired pulse ratios (F = 3.581, p = 0.0339) in slices from DOI-treated (p= 0.0257) but not ketamine-treated animals (p = 0.4845) compared to saline.

CONCLUSIONS

DOI, but not ketamine, induced significant neuroplastic and metaplastic effects at hippocampal CA1 synapses 24 hours after treatment, likely in part via a presynaptic mechanism.

摘要

引言

血清素能致幻剂和氯胺酮在多种精神疾病中能产生快速且持久的症状缓解。有证据表明,尽管这两种药物具有不同的分子靶点,但它们都可能通过其促神经可塑性作用发挥治疗益处。据报道,在接受氯胺酮或血清素能致幻剂治疗后,患者对行为改变更开放,这被用于在心理治疗辅助下重塑自我叙事。据推测,这一行为改变增强的时期是由治疗后神经可塑性增强的窗口期所支持的,但这种“元可塑性”效应的证据有限。在本研究中,我们测试了小鼠海马体中的神经可塑性和元可塑性。

方法

在给予生理盐水、氯胺酮或血清素能致幻剂2,5-二甲氧基-4-碘苯丙胺(DOI)(腹腔注射)治疗24小时后,从C57BL/6J小鼠获取脑切片。在诱导短期和长期增强(STP、LTP)之前和之后,记录CA1区对Schaffer侧支纤维刺激的细胞外纤维群峰电位(FV)和场兴奋性突触后电位(fEPSP)。

结果

在LTP诱导之前,各治疗组的反应存在差异(F = 5.407,p = 0.00665),与生理盐水组相比,DOI治疗动物的脑切片中fEPSP增强(p = 0.0182),但氯胺酮治疗动物的脑切片中fEPSP未增强(p = 0.9786)。各治疗组对LTP无影响(F = 0.6,p = 0.516),但对STP有影响(F = ,p = 0.0167),与生理盐水组相比,DOI治疗动物(p = 0.0352)的STP增强,但氯胺酮治疗动物(p = 0.9999)的STP未增强。DOI效应机制的突触前成分由以下两点提示:(1)与生理盐水组(p = 0.8677)相比,DOI治疗动物(p = 0.0457)的FV振幅显著增强(F = 3.17,p = 0.049),而氯胺酮治疗动物的FV振幅未增强;(2)与生理盐水组相比,DOI治疗动物(p = 0.0257)的脑切片中配对脉冲比率增强(F = 3.581,p = 0.0339),而氯胺酮治疗动物(p = 0.4845)的脑切片中配对脉冲比率未增强。

结论

DOI而非氯胺酮在治疗24小时后在海马CA1突触处诱导了显著的神经可塑性和元可塑性效应,可能部分通过突触前机制。

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