The HDAC inhibitor SAHA improves depressive-like behavior of CRTC1-deficient mice: Possible relevance for treatment-resistant depression.

The HDAC inhibitor SAHA improves depressive-like behavior of CRTC1-deficient mice: Possible relevance for treatment-resistant depression.
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DOI:
10.1016/j.neuropharm.2016.03.012
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发表时间:
2016-08
期刊:
影响因子:
4.7
通讯作者:
Cardinaux JR
Cardinaux JR
中科院分区:
医学2区
文献类型:
--
作者:
Meylan EM;Halfon O;Magistretti PJ;Cardinaux JR

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重度抑郁症是一种高度复杂的致残性精神疾病,影响着全世界数百万人。尽管有几种类型的抗抑郁药,但相当大比例的患者对这些药物没有反应。因此,迫切需要更好地了解抑郁症的神经生物学和抗抑郁反应的机制。我们之前报道过,缺乏creb调控的转录共激活因子1 (CRTC1)的小鼠表现出抑郁样表型,对选择性5 -羟色胺再摄取抑制剂氟西汀的抗抑郁反应减弱。在这项研究中,我们同样表明,在行为绝望范式中,Crtc1 - / -小鼠对慢性地西帕明的抗抑郁作用具有抗性。我们发现地西帕明并没有显著增加Crtc1 - / -小鼠海马和前额叶皮层中Bdnf和Nr4a1-3的表达,这支持了对这种三环抗抑郁药的钝化反应。神经可塑性基因表达的表观遗传调控与抑郁症和抗抑郁反应有关,组蛋白去乙酰化酶(HDAC)抑制剂已被证明具有抗抑郁样特性。在这里,我们表明,与传统的抗抑郁药不同,慢性全身给药HDAC抑制剂SAHA部分地挽救了Crtc1 - / -小鼠的抑郁样行为。在这些小鼠的前额叶皮层中,这种行为效应伴随着Bdnf表达的增加,而不是Nr4a1-3的表达,这表明这种表观遗传干预通过作用于CRTC1下游来恢复一组基因的表达。这些发现表明,CRTC1的改变可能与难治性抑郁症有关,并支持了一种有趣的可能性,即靶向hdac可能是抗抑郁药开发中有用的治疗策略。
Major depression is a highly complex disabling psychiatric disorder affecting millions of people worldwide. Despite the availability of several classes of antidepressants, a substantial percentage of patients are unresponsive to these medications. A better understanding of the neurobiology of depression and the mechanisms underlying antidepressant response is thus critically needed. We previously reported that mice lacking CREB-regulated transcription coactivator 1 (CRTC1) exhibit a depressive-like phenotype and a blunted antidepressant response to the selective serotonin reuptake inhibitor fluoxetine. In this study, we similarly show that Crtc1‒/‒ mice are resistant to the antidepressant effect of chronic desipramine in a behavioral despair paradigm. Supporting the blunted response to this tricyclic antidepressant, we found that desipramine does not significantly increase the expression of Bdnf and Nr4a1-3 in the hippocampus and prefrontal cortex of Crtc1‒/‒ mice. Epigenetic regulation of neuroplasticity gene expression has been associated with depression and antidepressant response, and histone deacetylase (HDAC) inhibitors have been shown to have antidepressant-like properties. Here, we show that unlike conventional antidepressants, chronic systemic administration of the HDAC inhibitor SAHA partially rescues the depressive-like behavior of Crtc1‒/‒ mice. This behavioral effect is accompanied by an increased expression of Bdnf, but not Nr4a1-3, in the prefrontal cortex of these mice, suggesting that this epigenetic intervention restores the expression of a subset of genes by acting downstream of CRTC1. These findings suggest that CRTC1 alterations may be associated with treatment-resistant depression, and support the interesting possibility that targeting HDACs may be a useful therapeutic strategy in antidepressant development.
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