Astroglial Control of the Antidepressant-Like Effects of Prefrontal Cortex Deep Brain Stimulation.
EBioMedicine
; 2(8): 898-908, 2015 Aug.
Article
em En
| MEDLINE
| ID: mdl-26425697
ABSTRACT
Although deep brain stimulation (DBS) shows promising efficacy as a therapy for intractable depression, the neurobiological bases underlying its therapeutic action remain largely unknown. The present study was aimed at characterizing the effects of infralimbic prefrontal cortex (IL-PFC) DBS on several pre-clinical markers of the antidepressant-like response and at investigating putative non-neuronal mechanism underlying DBS action. We found that DBS induced an antidepressant-like response that was prevented by IL-PFC neuronal lesion and by adenosine A1 receptor antagonists including caffeine. Moreover, high frequency DBS induced a rapid increase of hippocampal mitosis and reversed the effects of stress on hippocampal synaptic metaplasticity. In addition, DBS increased spontaneous IL-PFC low-frequency oscillations and both raphe 5-HT firing activity and synaptogenesis. Unambiguously, a local glial lesion counteracted all these neurobiological effects of DBS. Further in vivo electrophysiological results revealed that this astrocytic modulation of DBS involved adenosine A1 receptors and K(+) buffering system. Finally, a glial lesion within the site of stimulation failed to counteract the beneficial effects of low frequency (30 Hz) DBS. It is proposed that an unaltered neuronal-glial system constitutes a major prerequisite to optimize antidepressant DBS efficacy. It is also suggested that decreasing frequency could heighten antidepressant response of partial responders.
Palavras-chave
Astrocytes; DBS, deep brain stimulation; Deep brain stimulation; Depression; HFS, high frequency stimulation; IL-PFC, infralimbic prefrontal cortex; LFS, low frequency stimulation; PCPA, 4-chloro-dl-phenylalanine methyl ester; Prefrontal cortex; Serotonin; fEPSP, field excitatory post-synaptic potential; l-AAA, l-alpha-aminoadipic acid
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Astrócitos
/
Córtex Pré-Frontal
/
Estimulação Encefálica Profunda
/
Depressão
Limite:
Animals
Idioma:
En
Revista:
EBioMedicine
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Canadá