Dong Ziqiang, Dong Zhihui, Xu Lili, Zhang Jinfeng, Li Lin, Wang Rongjuan, Huang Xiaoyan, Zou Zhengqiang
Department of Anesthesiology, Ganzhou Hospital-Nanfang Hospital, Southern Medical University, Ganzhou, China.
Department of Planning and Quality Control, Ganzhou Hospital-Nanfang Hospital, Southern Medical University, Ganzhou, China.
Front Pharmacol. 2025 Mar 12;16:1555079. doi: 10.3389/fphar.2025.1555079. eCollection 2025.
Cognitive impairments following post-stroke significantly hinder neurological recovery and exacerbate patient morbidity, underscoring urgent need for effective therapeutic strategies. Vortioxetine (VTX), a prominent Selective Serotonin Reuptake Inhibitor (SSRI), boasts notable antidepressant, cognition-enhancing, and anti-inflammatory properties. This investigation delves into VTX's influence on motor skills, spatial learning-memory capabilities, and depressive behaviors in Middle Cerebral Artery Occlusion (MCAO) rats, alongside its underlying mechanisms. Our findings reveal that while VTX fails to entirely reverse ischemic-reperfusion damage, it substantially ameliorates spontaneous locomotor functions, augments post-stroke learning-memory capacities, and exhibits potent antidepressant and anxiety-like efficacy. Preliminary data propose that these beneficial effects may stem from inflammation modulation via the Toll-Like Receptor 2 (TLR-2)/Nuclear Factor-Kappa B (NF-B) signaling pathway. Collectively, our work underscores VTX's promising role in enhancing motor, cognitive functions, and mitigating depressive symptoms following cerebrovascular accidents, potentially through inflammation regulation. These insights pave the way for novel interventions addressing post-stroke complications, warranting further exploration.
中风后的认知障碍严重阻碍神经功能恢复并加剧患者发病率,凸显了对有效治疗策略的迫切需求。伏硫西汀(VTX)是一种著名的选择性5-羟色胺再摄取抑制剂(SSRI),具有显著的抗抑郁、增强认知和抗炎特性。本研究探讨了VTX对大脑中动脉闭塞(MCAO)大鼠运动技能、空间学习记忆能力和抑郁行为的影响及其潜在机制。我们的研究结果表明,虽然VTX未能完全逆转缺血再灌注损伤,但它能显著改善自发运动功能,增强中风后的学习记忆能力,并表现出强大的抗抑郁和抗焦虑样功效。初步数据表明,这些有益作用可能源于通过Toll样受体2(TLR-2)/核因子-κB(NF-κB)信号通路调节炎症。总的来说,我们的研究强调了VTX在增强脑血管意外后运动、认知功能和减轻抑郁症状方面的潜在作用,可能是通过调节炎症实现的。这些见解为解决中风后并发症的新干预措施铺平了道路,值得进一步探索。