In the past few years possible mechanisms that link diabetes and depression have been found. One of these mechanisms is the increase in lipid peroxidation and decrease in antioxidant activity in the hippocampal and prefrontal cortices, which are brain areas involved in mood. The goal of the present study was to evaluate the effect of an antidepressant and of an antioxidant on behavior and oxidative activity in brains of diabetic rats. Rats rendered diabetic after a treatment with streptozotocin (STZ) (60mg/kg) were treated with fluoxetine (15mg/kg), melatonin (10mg/kg), or vehicle for 4 weeks. All animals were tested for signs of depression and anxiety using the elevated plus maze (EPM), open field test (OFT) and the forced swim test (FST). Four groups were compared: (1) normoglycemic, (2) hyperglycemic vehicle treated, and hyperglycemic (3) fluoxetine or (4) melatonin treated rats. On the last day of the study, blood samples were obtained to determine the levels of hemoglobin A1c (HbA1c). Also, brain samples were collected to measure the oxidative stress in the hippocampal and prefrontal cortices using the thiobarbituric acid reactive substances (TBARS) assay. The activity of the antioxidant enzymes catalase (CAT), glutathione peroxidase (GPx), and glutathione S-transferase (GST) were also measured on the brain samples. The results show that both fluoxetine and melatonin decrease the signs of depression and anxiety in all tests. Concomitantly, the levels of HbA1c were reduced in drug treated rats, and to a greater degree in the fluoxetine group. In the cerebral cortex of diabetic rats, TBARS was increased, while the activity of CAT, GPx and GST were decreased. Fluoxetine and melatonin treatments decreased TBARS in both cortices. In the prefrontal cortex, fluoxetine and melatonin restored the activity of CAT, while only melatonin improved the activity of GPx and GST. In the hippocampus, the activity of GPx alone was restored by melatonin, while fluoxetine had no effect. These results suggest that antidepressants and antioxidants can counter the mood and oxidative disorders associated with diabetes. While these effects could result from a decreased production of reactive oxygen species (ROS) remains to be established.

译文

在过去的几年中,已经发现了将糖尿病和抑郁症联系起来的可能机制。这些机制之一是海马和前额叶皮层中脂质过氧化的增加和抗氧化活性的降低,海马和前额叶皮层是涉及情绪的大脑区域。本研究的目的是评估抗抑郁药和抗氧化剂对糖尿病大鼠大脑行为和氧化活性的影响。用链脲佐菌素 (STZ) (60 mg/kg) 治疗后患糖尿病的大鼠用氟西汀 (15 mg/kg),褪黑激素 (10 mg/kg) 或赋形剂治疗4周。使用高架迷宫 (EPM),野外测试 (OFT) 和强迫游泳测试 (FST) 测试所有动物的抑郁和焦虑迹象。比较了四组 :( 1) 正常血糖,(2) 治疗高血糖的媒介物和高血糖 (3) 氟西汀或 (4) 褪黑素治疗的大鼠。在研究的最后一天,获得血液样本以确定血红蛋白A1c (HbA1c) 的水平。此外,使用硫代巴比妥酸反应性物质 (TBARS) 测定法收集大脑样本以测量海马和前额叶皮层中的氧化应激。还在大脑样品上测量了抗氧化酶过氧化氢酶 (CAT),谷胱甘肽过氧化物酶 (GPx) 和谷胱甘肽S-转移酶 (GST) 的活性。结果表明,在所有测试中,氟西汀和褪黑激素均降低了抑郁和焦虑的迹象。同时,药物治疗大鼠的HbA1c水平降低,氟西汀组的HbA1c水平降低。在糖尿病大鼠的大脑皮层中,TBARS增加,而CAT,GPx和GST的活性降低。氟西汀和褪黑素治疗降低了两个皮质的TBARS。在前额叶皮层中,氟西汀和褪黑素恢复了CAT的活性,而只有褪黑素改善了GPx和GST的活性。在海马中,褪黑素可以恢复单独的GPx活性,而氟西汀则没有作用。这些结果表明,抗抑郁药和抗氧化剂可以对抗与糖尿病相关的情绪和氧化障碍。尽管这些影响可能是由于活性氧 (ROS) 的产生减少而引起的,但仍有待确定。

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