Xeni Foteini, Marangoni Caterina, Lin Lynn, Robinson Emma S J, Jackson Megan G
School of Physiology, Pharmacology and Neuroscience, Biomedical Sciences Building, University of Bristol, Bristol, England.
Neuropsychopharmacology. 2025 Jun 3. doi: 10.1038/s41386-025-02140-0.
Antidepressant-induced apathy syndrome is reported in a high number of patients. It is characterised by loss of motivation for daily activities and emotional blunting. It has a negative impact on quality of life and treatment outcome, yet the changes in underlying neurobiology driving this syndrome remain unclear. To begin to address this, a comprehensive understanding of how different classes of antidepressant treatment impact on behaviours relevant to apathy is critical. Rodent motivation for reward is commonly assessed using effort-based operant conditioning paradigms such as the Effort for Reward task. However, motivation to perform spontaneous/innate behaviours may provide additional insight into changes in behaviour reflective of daily activities. We tested the acute and chronic effects of antidepressants on the Effort for Reward task, and the spontaneous/innate Effort-Based Forage task. Acute treatment revealed important divergence in drug effect between tasks, where selective serotonin reuptake inhibitor (SSRI)/serotonin and noradrenaline reuptake inhibitor (SNRI) treatment impaired foraging behaviour in the Effort Based Forage task, but enhanced high-effort, high-value reward responding in the Effort for Reward task. Treatment with a noradrenaline reuptake inhibitor (NRI) or multimodal agent impaired foraging behaviour but did not affect high reward responding in the Effort for Reward task. Conversely, chronic treatment with an SSRI but not SNRI enhanced motivated foraging behaviour but led to a general impairment in Effort for Reward task output. Together, these data demonstrate that SSRI treatment induces opposing effects on conditioned versus innate motivation which may have significant translational relevance when interpreting drug effect. Further, these behavioural effects differ depending on whether antidepressants are acutely or chronically administered.
大量患者报告出现抗抑郁药诱发的冷漠综合征。其特征为日常活动动力丧失和情感迟钝。它对生活质量和治疗结果有负面影响,但导致该综合征的潜在神经生物学变化仍不清楚。为了开始解决这个问题,全面了解不同类别的抗抑郁治疗如何影响与冷漠相关的行为至关重要。啮齿动物对奖励的动机通常使用基于努力的操作性条件反射范式来评估,例如奖励努力任务。然而,执行自发/先天行为的动机可能会为反映日常活动的行为变化提供额外的见解。我们测试了抗抑郁药对奖励努力任务以及自发/先天的基于努力的觅食任务的急性和慢性影响。急性治疗揭示了不同任务之间药物效应的重要差异,其中选择性5-羟色胺再摄取抑制剂(SSRI)/5-羟色胺和去甲肾上腺素再摄取抑制剂(SNRI)治疗在基于努力的觅食任务中损害了觅食行为,但在奖励努力任务中增强了高努力、高价值奖励反应。去甲肾上腺素再摄取抑制剂(NRI)或多模式药物治疗损害了觅食行为,但不影响奖励努力任务中的高奖励反应。相反,SSRI而非SNRI的慢性治疗增强了有动机的觅食行为,但导致奖励努力任务输出普遍受损。总之,这些数据表明,SSRI治疗对条件性动机与先天动机产生相反的影响,这在解释药物效应时可能具有重要的转化意义。此外,这些行为效应因抗抑郁药是急性还是慢性给药而有所不同。