Departamento de Farmacología, Facultad de Medicina. Universidad Nacional Autónoma de México. Av. Universidad No. 3000, Ciudad Universitaria, Coyoacán, 04360, Ciudad de México, México.
Laboratorio de Farmacología Conductual, Dirección de Investigaciones en Neurociencias, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz. Calz. México-Xochimilco 101, Col. San Lorenzo Huipulco, Tlalpan, 14370, Ciudad de México, México.
Eur J Pharmacol. 2024 Apr 15;969:176454. doi: 10.1016/j.ejphar.2024.176454. Epub 2024 Feb 27.
Estrogen hormone replacement therapy (EHRT), improving women's life quality at menopause, reduces anxiety and depression symptoms associated with ovarian hormonal decline. However, its potential adverse effects, like thromboembolism and cancer risk, limit its use. Prolame is a synthetic 17β-amino estrogen with antithrombotic actions that exerts anxiolytic- and antidepressant-like effects on young adult ovariectomized female rats. It is unknown if prolame's effects may be observed in age and endocrine conditions emulating menopause. This study aimed to identify the antidepressant- and anxiolytic-like effects of prolame and E (used as a reference estrogen treatment) in middle-aged female rats coursing with irregular cycles, in two different conditions: ovariectomized or gonadally intact. Results were compared with those from young adult ovariectomized rats. Prolame (60 or 120 μg/kg), 17β-estradiol (E 40 or 80 μg/kg), or vehicle were chronically administered, and their effects were evaluated in the elevated plus-maze, defensive burying behavior test, open field test, and forced swimming test. Uterotrophic actions were estimated by uterine weight related to body weight. Prolame and E produced robust anxiolytic- and antidepressant-like effects in young adult ovariectomized rats, but these effects were absent in gonadally intact middle-aged rats. Interestingly, only prolame induced anxiolytic- and antidepressant-like effects in middle-aged ovariectomized rats. Uterotrophic effects of prolame were weaker than E effects, notably in middle-aged females. Altogether, present data support the notion that prolame has the potential to be considered an EHRT with relevant psychoactive actions and with apparently lower adverse-side effects, especially in middle-aged populations.
雌激素激素替代疗法(EHRT)改善了绝经期女性的生活质量,减轻了与卵巢激素下降相关的焦虑和抑郁症状。然而,其潜在的不良反应,如血栓栓塞和癌症风险,限制了其使用。普莱美是一种具有抗血栓作用的合成 17β-氨基雌激素,对年轻成年去卵巢雌性大鼠具有抗焦虑和抗抑郁作用。尚不清楚普莱美的这些作用是否可以在模拟绝经期的年龄和内分泌条件下观察到。本研究旨在确定普莱美和 E(用作参考雌激素治疗)在伴有不规则周期的中年去卵巢大鼠中的抗抑郁和抗焦虑样作用,在两种不同的条件下:去卵巢或性腺完整。结果与年轻成年去卵巢大鼠进行了比较。给予普莱美(60 或 120μg/kg)、17β-雌二醇(E 40 或 80μg/kg)或载体,通过高架十字迷宫、防御性掩埋行为试验、旷场试验和强迫游泳试验评估其作用。子宫重量与体重的比值估计子宫的促生长作用。普莱美和 E 在年轻成年去卵巢大鼠中产生了明显的抗焦虑和抗抑郁样作用,但这些作用在性腺完整的中年大鼠中不存在。有趣的是,只有普莱美在中年去卵巢大鼠中诱导了抗焦虑和抗抑郁样作用。普莱美的促生长作用比 E 的作用弱,尤其是在中年女性中。综上所述,目前的数据支持这样一种观点,即普莱美具有作为 EHRT 的潜力,具有相关的精神活性作用,且不良反应明显较少,特别是在中年人群中。