国际麻醉学与复苏杂志   2021, Issue (8): 2-2
    
氯胺酮上调脑源性神经生长因子在创伤后应激 功能障碍动物模型中的作用
李佳, 杨娇娇, 居玲莎1()
1.郑州大学附属肿瘤医院(河南省肿瘤医院)
Role of ketamine‑mediated up‑regulation of brain‑derived neurotrophic factor in mice with post‑traumatic stress disorder
 全文:
摘要:

目的 探讨氯胺酮是否可改善创伤后应激障碍(post‑traumatic stress disorder, PTSD)的焦虑抑郁症状及可能的机制。 方法 成年雄性C57BL/6小鼠48只,6~8周龄,按照随机数表法分为4组(每组12只):对照+生理盐水组(CN组)、对照+氯胺酮组(CK组)、PTSD+生理盐水组(PN组)、PTSD+氯胺酮组(PK组)。采用不可逃避足底电击法建立 PTSD 模型。 CK组和PK组在建模后30 min腹腔注射氯胺酮2.5 mg/kg,连续注射14 d。建模后第15天行旷场实验,第16天行高架十字迷宫实验,第17天处死小鼠取脑组织,采用实时荧光定量PCR检测海马组织脑源性神经营养因子(brain‑derived neurotrophic factor, BDNF) mRNA水平,采用高尔基染色法观察海马组织锥体神经元树突棘密度(以下简称树突棘)的变化。 结果 在旷场实验中,4组小鼠探索路程差异无统计学意义(P>0.05)。与CN组比较,PN组在旷场实验中中央格停留时间缩短(P<0.05),在高架十字迷宫实验中开放臂进入次数和停留时间减少(P<0.05),海马组织BDNF mRNA水平和树突棘密度降低(P<0.05);与PN组比较,PK组在旷场实验中中央格停留时间延长(P<0.05),在高架十字迷宫实验中开放臂进入次数和停留时间增多(P<0.05),海马组织BNDF mRNA水平和树突棘密度增加(P<0.05)。 结论 PTSD模型小鼠出现明显的焦虑抑郁样行为,可能与海马组织BDNF mRNA水平和树突棘密度减少有关;氯胺酮可增加海马组织BDNF mRNA水平,提高树突棘密度,从而缓解PTSD小鼠的焦虑抑郁样症状。

关键词: 创伤后应激障碍; 氯胺酮; 脑源性神经生长因子; 焦虑; 抑郁
Abstract:

Objective To investigate whether ketamine ameliorates the anxiety and depression symptoms of post‑traumatic stress disorder (PTSD) and the underlying mechanism. Methods Forty‑eight male C57BL/6 mice, aged 6‒8 weeks, were divided into the following four groups (n=12) using the random number table method: control+NaCl group (group CN), control+ketamine group (group CK), PTSD+NaCl group (group PN), and PTSD+ketamine group (group PK). PTSD animal model was established by inescapable foot shock (IFS) procedure. In groups CK and PK, mice were treated with ketamine 2.5 mg/kg by intraperitoneal injection beginning at 30 min after the IFS procedure, once a day for 14 d. Open field and elevated plus maze tests were performed on these mice at 15 d and 16 d after IFS procedures, respectively. Rats were euthanized at day 17 after IFS procedures to collect the brain. Quantitative real time polymerase chain reaction was used to detect the hippocampal brain derived neurotrophic factor (BDNF) mRNA levels and Golgi staining was used to detect the density of dendritic spine in pyramid neurons. Results In the open field test, no significant difference was observed in the distance travelled among the four groups (P>0.05). Compared with group CN, the mice in group PN showed decreased time spent in the center of the arena (P<0.05), less entries and time spent in the open arms in the elevated plus maze test (P<0.05), decreased hippocampal BDNF mRNA levels and dendritic spine density in pyramid neurons (P<0.05). Compared with group PN, the mice in group PK showed an increased time spent in the center of the arena, more entries and time spent in the open arms (P<0.05), increased hippocampal BDNF mRNA levels and dendritic spine density in pyramid neurons (P<0.05). Conclusions PTSD model mice exhibited obvious anxiety and depression‑like behaviors, which may be related to the decrease of BDNF mRNA levels and dendritic spine density in the hippocampus. Ketamine increased the expression of hippocampal BDNF mRNA levels and dendritic spine density, thereby alleviating anxiety and depression‑like symptoms in PTSD mice.

Key words: Post‑traumatic stress disorder; Ketamine; Brain derived neurotrophic factor; Anxiety; Depression