Richardson J S, Hertz L
Prog Neuropsychopharmacol Biol Psychiatry. 1983;7(4-6):675-80. doi: 10.1016/0278-5846(83)90044-1.
It has been widely reported that the chronic administration of antidepressant drugs induces a down regulation of beta receptors in the brains of experimental animals with a time course that parallels the therapeutic improvement seen in depressed patients given these drugs. It has been tacitly assumed that these beta receptors are located on neurons. All classes of antidepressant drugs tested, various monoamine uptake inhibitors, a monoamine oxidase inhibitor, or novel drugs lacking either of these actions, reduced the retention of dihydroalprenolol by intact astrocytes in primary cultures. The drug concentrations altering this retention by astrocytes (Ki) are in the same range as those reported by other investigators using homogenates of glioma cells or whole brain. The isoproterenol-induced stimulation of cyclic AMP formation by astrocytes in primary cultures is reduced acutely by the antidepressants amitriptyline, tranylcypromine and doxepin. Following washout of the antidepressant drug, isoproterenol stimulation of adenylyl cyclase is reduced in astrocytes exposed in culture to amitriptyline or tranylcypromine for 12-14 days or longer but is not altered in astrocytes exposed to the antidepressants for only 5 days. This indicates that the chronic exposure of astrocytes in culture to antidepressant drugs, down regulates astrocyte beta receptors with a time course that parallels the beta down regulation seen in vivo in animal brain homogenates and the therapeutic improvement seen in depressed patients.(ABSTRACT TRUNCATED AT 250 WORDS)
已有广泛报道称,长期给予抗抑郁药物会导致实验动物大脑中的β受体下调,其时间进程与给予这些药物的抑郁症患者的治疗改善情况相似。一直以来人们默认这些β受体位于神经元上。所有测试的抗抑郁药物类别,各种单胺摄取抑制剂、一种单胺氧化酶抑制剂或缺乏这两种作用之一的新型药物,都会降低原代培养的完整星形胶质细胞对二氢烯丙洛尔的摄取。改变星形胶质细胞这种摄取的药物浓度(Ki)与其他研究人员使用胶质瘤细胞匀浆或全脑所报道的浓度范围相同。抗抑郁药物阿米替林、反苯环丙胺和多塞平可急性降低原代培养的星形胶质细胞中异丙肾上腺素诱导的环磷酸腺苷形成。在洗去抗抑郁药物后,在培养中暴露于阿米替林或反苯环丙胺12 - 14天或更长时间的星形胶质细胞中,异丙肾上腺素对腺苷酸环化酶的刺激作用降低,但在仅暴露于抗抑郁药物5天的星形胶质细胞中未改变。这表明培养中的星形胶质细胞长期暴露于抗抑郁药物会下调星形胶质细胞β受体,其时间进程与动物脑匀浆中体内观察到的β受体下调以及抑郁症患者的治疗改善情况相似。(摘要截短至250字)