1 Molecular Horizons and School of Medicine, University of Wollongong, Wollongong, NSW, Australia.
2 Illawarra Health and Medical Research Institute, Wollongong, NSW, Australia.
J Psychopharmacol. 2019 Feb;33(2):230-243. doi: 10.1177/0269881118822141. Epub 2019 Jan 30.
With approximately 10% of pregnant women prescribed antidepressant drugs for the treatment of depressive disorders, there is growing concern regarding the potential long-term effects of this exposure on offspring. Research is needed in clinically relevant models to determine the effects on offspring behaviour and associated neurobiological systems.
The aim of this study was to determine the effects of maternal fluoxetine treatment on anxiety-like and depressive-like behaviours in adolescent offspring as well as associated glutamatergic markers, using a clinically relevant rodent model of depression.
Wistar-Kyoto (model of innate depression) and Sprague-Dawley rats were treated with fluoxetine (10 mg/kg) from gestational day 0 to postnatal day 14. Male offspring underwent behavioural testing (open field, elevated plus maze, forced swim test) at adolescence followed by quantitative immuno-detection of glutamatergic markers in the prefrontal cortex and ventral hippocampus.
Perinatal fluoxetine exposure exacerbated the anxiety-like and depressive-like phenotype in Wistar-Kyoto offspring and induced an anxiety-like and depressive-like phenotype in Sprague-Dawley offspring. Wistar-Kyoto offspring showed reductions in NMDA receptor NR1, NR2A and NR2B subunits, as well as post-synaptic density 95 (PSD-95) and metabotropic glutamate receptor subtype 1 (mGluR1) in the prefrontal cortex; perinatal fluoxetine exposure further reduced NR1, NR2A, PSD-95 and mGluR1 expression in Wistar-Kyoto as well as Sprague-Dawley offspring. In the ventral hippocampus perinatal fluoxetine exposure reduced PSD-95 and increased metabotropic glutamate receptor subtype 5 (mGluR5) and Homer1b/c in both Sprague-Dawley and Wistar-Kyoto strains.
These findings suggest that maternal fluoxetine treatment exacerbates effects of underlying maternal depression on offspring behaviour, which may be mediated through alterations in the glutamatergic system. Further research investigating how to minimise these effects, whilst ensuring optimal treatment for mothers, is essential to move the field forward.
大约有 10%的孕妇因抑郁障碍而接受抗抑郁药物治疗,因此人们越来越关注这种暴露对后代的潜在长期影响。需要在临床相关模型中进行研究,以确定其对后代行为和相关神经生物学系统的影响。
本研究旨在使用临床相关的抑郁动物模型,确定母体氟西汀治疗对青春期后代焦虑样和抑郁样行为以及相关谷氨酸能标志物的影响。
Wistar-Kyoto(内源性抑郁模型)和 Sprague-Dawley 大鼠从妊娠第 0 天至产后第 14 天接受氟西汀(10mg/kg)治疗。雄性后代在青春期进行行为测试(旷场试验、高架十字迷宫试验、强迫游泳试验),然后在额皮质和腹侧海马定量检测谷氨酸能标志物。
围产期氟西汀暴露加重了 Wistar-Kyoto 后代的焦虑样和抑郁样表型,并诱导了 Sprague-Dawley 后代的焦虑样和抑郁样表型。Wistar-Kyoto 后代的 NMDA 受体 NR1、NR2A 和 NR2B 亚单位、以及突触后密度 95(PSD-95)和代谢型谷氨酸受体 1 型(mGluR1)减少;围产期氟西汀暴露进一步降低了 Wistar-Kyoto 及 Sprague-Dawley 后代的 NR1、NR2A、PSD-95 和 mGluR1 表达。在腹侧海马中,围产期氟西汀暴露降低了 PSD-95,增加了 mGluR5 和 Homer1b/c 在 Sprague-Dawley 和 Wistar-Kyoto 品系中的表达。
这些发现表明,母体氟西汀治疗加重了潜在的母体抑郁对后代行为的影响,这可能是通过改变谷氨酸能系统介导的。进一步研究如何最大限度地减少这些影响,同时确保母亲得到最佳治疗,对于推动该领域的发展至关重要。