Li Jiaqi, Chen Meiqin, Lin Yuan, Wu Qian, Shen Jiahong, Wen Yuxin, Li Siyue, Zhang Jie, Sun Jianliang
Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Department of Anesthesiology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, People's Republic of China.
Drug Des Devel Ther. 2025 Aug 30;19:7553-7569. doi: 10.2147/DDDT.S532905. eCollection 2025.
BACKGROUND: Depression is a complex neuropsychiatric disorder involving neuroinflammation, synaptic dysfunction, and neurotransmitter dysregulation. Recent studies have highlighted the therapeutic potential of short-acting anesthetics in the treatment of depression. Ciprofol, a novel intravenous anesthetic with rapid onset and recovery, shows promise, although its antidepressant mechanisms remain underexplored. METHODS: We induced a depressive-like phenotype in mice using a 5-week chronic unpredictable mild stress (CUMS) protocol. Following model establishment, the mice received intraperitoneal injections of ciprofol (25 mg/kg) for 7 days. Behavioral assessments included the sucrose preference test (SPT), tail suspension test (TST), and forced swimming test (FST). To investigate neuroinflammation and microglial activation in the prefrontal cortex (PFC), we employed immunofluorescence staining, three-dimensional reconstruction, and quantitative real-time PCR (qRT-PCR). Synaptic structural changes were assessed using Western blot, three-dimensional reconstruction, and Golgi staining. Furthermore, transcriptome sequencing and Western blot were performed to elucidate the potential mechanisms underlying the antidepressant effects of ciprofol. RESULTS: Ciprofol treatment alleviated CUMS-induced depressive behaviors, as evidenced by reduced immobility time and increased sucrose preference. Ciprofol suppressed PFC microglial activation and downregulated pro-inflammatory cytokines, while preserving synaptic integrity by inhibiting microglia-mediated synaptic phagocytosis. Mechanistic studies suggested that ciprofol's antidepressant effect might be mediated by PPARα activation, which potentially triggers the ERK/CREB pathway, as indicated by transcriptome analysis and Western blot. CONCLUSION: Ciprofol can alleviate the depressive-like behaviors in CUMS mice by inhibiting the inflammatory response and reducing synaptic loss, and the mechanism may be related to the activation of the PPARα-mediated ERK/CREB pathway.
背景:抑郁症是一种复杂的神经精神疾病,涉及神经炎症、突触功能障碍和神经递质失调。最近的研究强调了短效麻醉剂在治疗抑郁症方面的治疗潜力。环泊酚是一种新型静脉麻醉剂,起效快、恢复快,显示出一定前景,尽管其抗抑郁机制仍未得到充分探索。 方法:我们使用为期5周的慢性不可预测轻度应激(CUMS)方案在小鼠中诱导出抑郁样表型。模型建立后,小鼠腹腔注射环泊酚(25mg/kg),持续7天。行为评估包括蔗糖偏好试验(SPT)、悬尾试验(TST)和强迫游泳试验(FST)。为了研究前额叶皮质(PFC)中的神经炎症和小胶质细胞激活,我们采用了免疫荧光染色、三维重建和定量实时PCR(qRT-PCR)。使用蛋白质印迹法、三维重建和高尔基染色评估突触结构变化。此外,进行了转录组测序和蛋白质印迹法以阐明环泊酚抗抑郁作用的潜在机制。 结果:环泊酚治疗减轻了CUMS诱导的抑郁行为,表现为不动时间减少和蔗糖偏好增加。环泊酚抑制了PFC小胶质细胞的激活并下调了促炎细胞因子,同时通过抑制小胶质细胞介导的突触吞噬作用来维持突触完整性。机制研究表明,环泊酚的抗抑郁作用可能由PPARα激活介导,转录组分析和蛋白质印迹法表明这可能触发ERK/CREB通路。 结论:环泊酚可通过抑制炎症反应和减少突触丢失来减轻CUMS小鼠的抑郁样行为,其机制可能与PPARα介导的ERK/CREB通路的激活有关。
Drug Des Devel Ther. 2025-8-30
Naunyn Schmiedebergs Arch Pharmacol. 2025-1-28
Neuropsychopharmacology. 2025-6-3
Nat Commun. 2025-5-17
Neurosci Biobehav Rev. 2025-3
Nat Rev Neurosci. 2025-2