Nibuya M, Nestler E J, Duman R S
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06508, USA.
J Neurosci. 1996 Apr 1;16(7):2365-72. doi: 10.1523/JNEUROSCI.16-07-02365.1996.
The present study demonstrates that chronic, but not acute, adminstration of several different classes of antidepressants, including serotonin- and norepinephrine-selective reuptake inhibitors, increases the expression of cAMP response element binding protein (CREB) mRNA in rat hippocampus. In contrast, chronic administration of several nonantidepressant psychotropic drugs did not influence expression of CREB mRNA, demonstrating the pharmacological specificity of this effect. In situ hybridization analysis demonstrates that antidepressant administration increases expression of CREB mRNA in CA1 and CA3 pyramidal and dentate gyrus granule cell layers of the hippocampus. In addition, levels of CRE immunoreactivity and of CRE binding activity were increased by chronic antidepressant administration, which indicates that expression and function of CREB protein are increased along with its mRNA. Chronic administration of the phosphodiesterase (PDE) inhibitors rolipram or papaverine also increased expression of CREB mRNA in hippocampus, demonstrating a role for the cAMP cascade. Moreover, coadministration of rolipram with imipramine resulted in a more rapid induction of CREB than with either treatment alone. Increased expression and function of CREB suggest that specific target genes may be regulated by these treatments. We have found that levels of brain-derived neurotrophic factor (BDNF) and trkB mRNA are also increased by administration of antidepressants or PDE inhibitors. These findings indicate that upregulation of CREB is a common action of chronic antidepressant treatments that may lead to regulation of specific target genes, such as BDNF and trkB, and to the long-term effects of these treatments on brain function.
本研究表明,长期(而非急性)给予几种不同类型的抗抑郁药,包括5-羟色胺和去甲肾上腺素选择性再摄取抑制剂,可增加大鼠海马中cAMP反应元件结合蛋白(CREB)mRNA的表达。相比之下,长期给予几种非抗抑郁类精神药物并不影响CREB mRNA的表达,这证明了该效应的药理学特异性。原位杂交分析表明,给予抗抑郁药可增加海马CA1和CA3锥体层以及齿状回颗粒细胞层中CREB mRNA的表达。此外,长期给予抗抑郁药可使CRE免疫反应性水平和CRE结合活性增加,这表明CREB蛋白的表达和功能随其mRNA一同增加。长期给予磷酸二酯酶(PDE)抑制剂咯利普兰或罂粟碱也可增加海马中CREB mRNA的表达,这证明了cAMP级联反应的作用。此外,咯利普兰与丙咪嗪联合给药比单独使用任一药物更能快速诱导CREB。CREB表达和功能的增加表明,这些治疗可能会调节特定的靶基因。我们发现,给予抗抑郁药或PDE抑制剂也可增加脑源性神经营养因子(BDNF)和trkB mRNA的水平。这些发现表明,CREB的上调是慢性抗抑郁治疗的共同作用,可能导致对特定靶基因(如BDNF和trkB)的调节,以及这些治疗对脑功能的长期影响。