›› 2008, Vol. 3 ›› Issue (09): 648-653.

• 论著 • 上一篇    下一篇

氟西汀对卒中后抑郁大鼠海马脑源性神经营养因子表达的影响

孙奕,张志,郭怡菁,隋毓秀,王少华   

  1. 210009 江苏省南京市东南大学附属中大医院神经内科
  • 收稿日期:2008-07-21 修回日期:1900-01-01 出版日期:2008-09-20 发布日期:2008-09-20
  • 通讯作者: 张志珺

The Effects of Fluoxertin on the Brain-derived Neurotrophic Factor Levels in theHippocampus of the Animal Model of Post-stroke Depression

  1. Department of Neurology, Affiliated Zhong Da Hospital of SoutheastUniversity, Nanjing 210009, China
  • Received:2008-07-21 Revised:1900-01-01 Online:2008-09-20 Published:2008-09-20

摘要: 目的 分析卒中后抑郁(post-stroke depression,PSD)模型大鼠海马脑源性神经营养因子(Brainderived neurotrophic factor,BDNF)蛋白及mRNA表达水平,及抗抑郁剂氟西汀干预后BDNF表达水平的变化,初步探讨BDNF在PSD发生中的作用。方法 大脑中动脉阻塞(Middle cerebral artery occlusion,MCAO)法建立局灶脑缺血模型,加用慢性不可预见温和应激(Chronic unpredictable mild stress,CUMS)结合孤养,建立PSD大鼠模型,并予以氟西汀干预。应用蛋白免疫印迹(Western-blot)、Real time-PCR分别检测应激18、28 d时海马BDNF蛋白及mRNA表达水平。结果 与对照组相比,应激14d后PSD组较对照组大鼠体重与糖水消耗比例降低,水平、垂直试验得分下降(P <0.05或P <0.01)。氟西汀干预组糖水消耗比例,水平、垂直试验得分均较PSD组显著增加(P <0.05或P <0.01)。第18、28天,PSD组BDNF蛋白水平较对照组均显著下降(P <0.05或P <0.01)。PSD组BDNF mRNA的表达在应激18d时较正常组有下降趋势,但无统计学意义;至28 d时,表达含量明显下降,差异有统计学意义(P <0.01)。第18、28天,氟西汀干预组BDNF蛋白及mRNA水平均较PSD组显著增加(P <0.01)。结论 应用MCAO模型联合CUMS加孤养模型制备的PSD大鼠模型在神经功能缺损的同时,表现快感缺乏和探索行为减少的抑郁核心症状,并且体重的增长幅度显著减慢。PSD大鼠海马BDNF蛋白及mRNA表达水平显著降低,氟西汀干预后BDNF表达水平上升,初步提示BDNF在卒中后抑郁发生中的作用。

关键词: 抑郁; 卒中后; 神经生长因子; 氟西汀; 大鼠

Abstract: Objective To observe brain-derived neurotrophic factor levels in the hippocampus of the animal model of post-stroke depression.Methods The focal cerebral ischemia model was set up by blocking the middle cerebral artery(MCA), and then the model rats were separately raised and put into chronic unpredictable mild stress to induce the PSD model, part of them were intervened by fluoxertine. The rats were examined dynamically by Open-field test (OFT), sucrose consumption test. Western-blot and Real time-PCRwere used to detect BDNF protein and mRNA levels respectively.Results On the 14th day after CUMS, the PSD group showed significantly less locomotor activity and sugar-water consumption (P <0.05 or P <0.01) compared with the control group. On the 18th ,28th day, BDNF protein levels of the PSD group declined significantly (P <0.05 or P <0.01) compared with the control group. BDNF mRNA levels on the18th day were reduced, but there was no statisticdifference. While on the 28th day, BDNF mRNA levels significantly declined (P <0.01). On the 14th and 18th day, open-field activities and the amount of sugar-water consumption of the fluoxertin intervention group increased markedly (P <0.05 or P <0.01) compared with the PSD group, while onthe 18th and 28th day, BDNF protein and mRNA levels of the fluoxetine group were significantly increased (P <0.01) compared with the PSD group respectively.Conclusion Anhedonia and underactivity, the core symptoms of depression, exist persistently in the PSD group rats. Fluoxetine may can improve the behavior abnormality of the PSD rats. Brain derived neurotrophic factor levels in the animal model of post-stroke depression was significantlyreduced and fluoxetine can reverse its expression levels, BDNF may has neuroprotect effect in poststroke depression.

Key words: Post stroke depression; Nerve growth factors; Fluoxetine; Rats