Kitayama I, Nakamura S, Yaga T, Murase S, Nomura J, Kayahara T, Nakano K
Department of Psychiatry, Mie University School of Medicine, Tsu, Japan.
Brain Res Bull. 1994;35(5-6):573-80. doi: 10.1016/0361-9230(94)90171-6.
Antidepressants such as desipramine induce axonal regeneration of brain noradrenergic neurons. This novel action of antidepressants suggests the involvement of degeneration or retraction of brain noradrenergic axons in the pathophysiology of clinical depression. The present study was designed to further confirm this view in an animal model of stress-induced depression. The depression model was produced by exposing rats to prolonged forced walking stress. To see if axonal degeneration of noradrenergic neurons occurred in the depression model, the density of noradrenergic axons in the cerebral cortex was assessed by three different methods, antidromic stimulation technique, retrograde tracing with horseradish peroxidase and immunohistochemical staining with dopamine-beta-hydroxylase antiserum. These methods all assured of degenerative changes of noradrenergic axon terminals in the depression model. Furthermore, it was found that repeated treatments of the depression-model rats with imipramine could cause regeneration of cortical noradrenergic axons. These findings support the view that degeneration or retraction of noradrenergic axons is involved in the pathophysiology of depression.
诸如地昔帕明之类的抗抑郁药可诱导脑去甲肾上腺素能神经元的轴突再生。抗抑郁药的这一新作用表明,脑去甲肾上腺素能轴突的退化或回缩参与了临床抑郁症的病理生理过程。本研究旨在通过应激诱导的抑郁症动物模型进一步证实这一观点。抑郁症模型是通过让大鼠长时间遭受强迫行走应激而建立的。为了观察抑郁症模型中去甲肾上腺素能神经元是否发生轴突变性,采用三种不同方法评估大脑皮质中去甲肾上腺素能轴突的密度,即逆向刺激技术、用辣根过氧化物酶进行逆行追踪以及用多巴胺-β-羟化酶抗血清进行免疫组织化学染色。这些方法均证实了抑郁症模型中去甲肾上腺素能轴突终末的退行性变化。此外,还发现用丙咪嗪反复治疗抑郁症模型大鼠可导致皮质去甲肾上腺素能轴突再生。这些发现支持了去甲肾上腺素能轴突的退化或回缩参与抑郁症病理生理过程这一观点。