Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Johns Hopkins Drug Discovery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Neuropsychopharmacology. 2019 Mar;44(4):683-694. doi: 10.1038/s41386-018-0177-7. Epub 2018 Aug 13.
There are a number of clinically effective treatments for stress-associated psychiatric diseases, including major depressive disorder (MDD). Nonetheless, many patients exhibit resistance to first-line interventions calling for novel interventions based on pathological mechanisms. Accumulating evidence implicates altered glutamate signaling in MDD pathophysiology, suggesting that modulation of glutamate signaling cascades may offer novel therapeutic potential. Here we report that JHU-083, our recently developed prodrug of the glutaminase inhibitor 6-diazo-5-oxo-L-norleucine (DON) ameliorates social avoidance and anhedonia-like behaviors in mice subjected to chronic social defeat stress (CSDS). JHU-083 normalized CSDS-induced increases in glutaminase activity specifically in microglia-enriched CD11b cells isolated from the prefrontal cortex and hippocampus. JHU-083 treatment also reverses the CSDS-induced inflammatory activation of CD11b cells. These results support the importance of altered glutamate signaling in the behavioral abnormalities observed in the CSDS model, and identify glutaminase in microglia-enriched CD11b cells as a pharmacotherapeutic target implicated in the pathophysiology of stress-associated psychiatric conditions such as MDD.
有许多针对与压力相关的精神疾病的临床有效治疗方法,包括重度抑郁症(MDD)。尽管如此,许多患者对一线干预措施表现出耐药性,需要根据病理机制寻求新的干预措施。越来越多的证据表明,谷氨酸信号的改变与 MDD 的病理生理学有关,这表明调节谷氨酸信号级联可能提供新的治疗潜力。在这里,我们报告说,我们最近开发的谷氨酸酶抑制剂 6-重氮-5-氧-L-正亮氨酸(DON)的前药 JHU-083可改善慢性社交挫败应激(CSDS)小鼠的社交回避和快感缺失样行为。JHU-083 使 CSDS 诱导的谷氨酸酶活性增加正常化,这种增加特异性发生在从前额叶皮层和海马体分离的富含小胶质细胞的 CD11b 细胞中。JHU-083 治疗还可逆转 CSDS 诱导的 CD11b 细胞的炎症激活。这些结果支持在 CSDS 模型中观察到的行为异常与谷氨酸信号改变有关,并确定富含小胶质细胞的 CD11b 细胞中的谷氨酸酶是一种与应激相关的精神疾病(如 MDD)的病理生理学有关的药物治疗靶标。