Campbell Family Mental Health Research Institute of CAMH, University of Toronto, Toronto, Ontario, Canada.
Department of Psychiatry, Department of Cell Biology and Physiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Biol Psychiatry. 2019 Mar 15;85(6):517-526. doi: 10.1016/j.biopsych.2018.09.026. Epub 2018 Oct 9.
A parallel downregulation of brain-derived neurotrophic factor (BDNF) and somatostatin (SST), a marker of inhibitory gamma-aminobutyric acid interneurons that target pyramidal cell dendrites, has been reported in several brain areas of subjects with major depressive disorder (MDD). Rodent genetic studies suggest that they are linked and that both contribute to the illness. However, the mechanism by which they contribute to the pathophysiology of the illness has remained elusive.
With quantitative polymerase chain reaction, we determined the expression level of BDNF transcript variants and synaptic markers in the prefrontal cortex of patients with MDD and matched control subjects (n = 19/group) and of C57BL/6J mice exposed to chronic stress or control conditions (n = 12/group). We next suppressed Bdnf transcripts with long 3' untranslated region (L-3'-UTR) using short hairpin RNA and investigated changes in cell morphology, gene expression, and behavior.
L-3'-UTRs containing BDNF messenger RNAs, which migrate to distal dendrites of pyramidal neurons, are selectively reduced, and their expression was highly correlated with SST expression in the prefrontal cortex of subjects with MDD. A similar downregulation occurs in mice submitted to chronic stress. We next show that Bdnf L-3'-UTR knockdown is sufficient to induce 1) dendritic shrinkage in cortical neurons, 2) cell-specific MDD-like gene changes (including Sst downregulation), and 3) depressive- and anxiety-like behaviors. The translational validity of the Bdnf L-3'-UTR short hairpin RNA-treated mice was confirmed by significant cross-species correlation of changes in MDD-associated gene expression.
These findings provide evidence for a novel MDD-related pathological mechanism linking local neurotrophic support, pyramidal cell structure, dendritic inhibition, and mood regulation.
在重度抑郁症(MDD)患者的多个大脑区域中,已报道脑源性神经营养因子(BDNF)和生长抑素(SST)平行下调,SST 是一种靶向锥体神经元树突的抑制性γ-氨基丁酸中间神经元的标志物。啮齿动物遗传学研究表明,它们之间存在关联,且两者均与疾病有关。然而,它们对疾病病理生理学的贡献机制仍不清楚。
通过定量聚合酶链反应,我们测定了 MDD 患者和匹配对照(每组 n=19)以及暴露于慢性应激或对照条件下的 C57BL/6J 小鼠前额叶皮层中的 BDNF 转录变体和突触标志物的表达水平(每组 n=12)。接下来,我们使用短发夹 RNA 抑制长 3'非翻译区(L-3'-UTR)中的 Bdnf 转录本,并研究细胞形态、基因表达和行为的变化。
含有 BDNF 信使 RNA 的 L-3'-UTR 选择性减少,这些 RNA 迁移到锥体神经元的远端树突,其表达与 MDD 患者前额叶皮层中的 SST 表达高度相关。在接受慢性应激的小鼠中也发生了类似的下调。接下来,我们表明 Bdnf L-3'-UTR 敲低足以诱导 1)皮质神经元树突收缩,2)细胞特异性 MDD 样基因变化(包括 Sst 下调),以及 3)抑郁和焦虑样行为。Bdnf L-3'-UTR 短发夹 RNA 处理的小鼠的转化有效性通过 MDD 相关基因表达变化的显著跨物种相关性得到证实。
这些发现为一种新的与 MDD 相关的病理机制提供了证据,该机制将局部神经营养支持、锥体细胞结构、树突抑制和情绪调节联系起来。