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Article history:
Received 17 May 2012
Received in revised form
18 January 2013
Accepted 29 January 2013
Available online 8 February 2013
Although quetiapine is routinely used in the treatment of schizophrenia and bipolar disorders, the
precise mechanism of its antidepressant activity is poorly understood. Since quetiapine binds with
sigma receptor, the possibility exists that antidepressant action of quetiapine may be mediated through
interaction with sigma receptors. In the present study, quetiapine [4080 mg/mouse, intracerebroventricular (i.c.v.) and 40 mg/kg, intraperitoneal (i.p.)], sigma1 receptor agonist, ( )-pentazocine (120 mg/
mouse, i.c.v.) and sigma2 receptor agonist, PB-28 [1-Cyclohexyl-4-[3-(1,2,3,4-tetrahydro-5-methoxy-1naphthalenyl)propyl]piperazine] (20 mg/mouse, i.c.v.) signicantly decreased immobility time in forced
swim test. In combination studies, the antiimmobility effect of quetiapine (20 mg/mouse, i.c.v.) was
signicantly potentiated by pretreatment with ()-pentazocine (30 and 60 mg/mouse, i.c.v.) or PB-28
(5 and 10 mg/mouse, i.c.v.). Conversely, prior administration of sigma1 receptor antagonist, BD-1063 [1[2-(3,4-Dichlorophenyl)ethyl]-4-methylpiperazine] and sigma2 receptor antagonists, SM-21 [( 7 )Tropanyl 2-(4-chlorophenoxy)butanoate] antagonized the antiimmobility effect induced by quetiapine
and its synergistic combination with sigma receptor agonists. These results demonstrated the
involvement of sigma receptors in the antidepressant like effect of quetiapine and suggest that sigma
receptors can be explored as a potential therapeutic target for the treatment of depressive disorders.
& 2013 Elsevier B.V. All rights reserved.
Keywords:
Quetiapine
( )-Pentazocine
Sigma receptor
Depression
FST
1. Introduction
Quetiapine is an atypical antipsychotic routinely used for the
treatment of schizophrenia and bipolar disorders. The antipsychotic
effect of quetiapine has been linked with its antagonistic activity at
5-HT2 and dopamine D2 receptors (Gefvert et al., 1998). Antidepressant prole of quetiapine differentiates it from other typical and
atypical antipsychotic drugs (Calabrese et al., 2005; Thase et al.,
2006). The mechanism of this antidepressant activity is currently
unknown, however suggested to be partially associated with agonistic activity at 5HT1A receptors and increased prefrontal cortex
dopaminergic neurotransmission in brain (McIntyre et al., 2007). It
is now well accepted that dopaminergic neurotransmission plays an
important role in the pathogenesis of depression as the agents that
modulate dopamine function (precursors, agonists and reuptake
inhibitors) in the brain are reported to possess antidepressant
property (Kapur and Mann, 1992).
Quetiapine also binds with high afnity to sigma (s) receptors
(Guitart et al., 2004). Sigma receptors exists in two subtypes, sigma1
(s1) and sigma2 (s2) and proposed as a putative therapeutic target
for several psychiatric diseases including depression, anxiety, schizophrenia, drug addiction and neurodegenerative disorders (Cobos
et al., 2008; Guitart et al., 2004; Martin-Fardon et al., 2007; Maurice
and Romieu, 2004; Monnet and Maurice, 2006). Sigma receptors are
abundantly localized in brain areas implicated in the pathophysiology
of depression (Aan het Rot et al., 2009; Drevets et al., 2008) including
the hippocampus, frontal cortex, hypothalamus, and olfactory bulb
(Itzhak et al., 1985, 1991). The activation of s receptors by selective
or non-selective s receptors agonists including, dio-tolylguanidine
(DTG), igmesine, ()-pentazocine, SA 4503 and UMB23 produce
antidepressant like effect in animal models of depression (Matsuno
et al., 1996; Ukai et al., 1998; Skuza and Rogoz, 2002; 2003; Wang
et al., 2007b) possibly through modulation of glutamatergic, serotonergic, adrenergic and dopaminergic neurotransmission in brain
(Kobayashi et al., 1997; Matsuno et al., 1996; Wang et al., 2007a).
Conversely, pre-treatment with the s receptor antagonists BD 1047
[N-[2-(3,4-Dichlorophenyl)ethyl]-N-methyl-2-(dimethylamino)ethylamine] or NE 100 [4-Methoxy-3-(2-phenylethoxy)-N,N-dipropylbenzeneethanamine] abolished the antidepressant-like effect induced by
s receptors agonists (Matsuno et al., 1996; Wang et al., 2007b).
Further, s1 receptors knockout mice showed high immobility
response in the forced swim test (Sabino et al., 2009). It is important
to note that, several clinically used antidepressants and endogenous
neurosteroids with antidepressant activity such as pregnenolone
possessed afnity for s receptors (Dhir and Kulkarni, 2008;
181
2.1. Subjects
182
3. Results
3.1. Quetiapine decreases immobility time in FST
Administration of quetiapine (40 mg/kg, i.p.) signicantly
decreased the immobility time as compared with saline treated
group [F(3, 20)6.48, p o0.01] (Fig. 1A). Post hoc Dunnett mean
comparison demonstrated that quetiapine (40 mg/kg, i.p)
(po0.01) signicantly decreased the immobility time while its
lower doses (10 and 20 mg/kg, i.p.) failed to inuence the
immobility time in FST.
Similarly, i.c.v. administration of quetiapine (4080 mg/mouse)
also reduced the immobility time as compared with aCSF treated
mice [F(3, 18) 6.49, p o0.01] [Fig. 1(B)]. Post hoc Dunnett mean
comparison showed the signicant reduction in the immobility
time in the animals injected with quetiapine [40 (p o0.05) and
80 mg/mouse (p o0.01)] as compared to control animals. However, its lower dose (20 mg/mouse, i.c.v.) was ineffective in FST.
3.2. Dose specic effect of s receptors ligands in FST
Fig. 2 illustrates the effect of ( )-pentazocine, PB-28, BD-1063
and SM-21 on immobility time in FST. ( )-pentazocine (120 mg/
mouse, i.c.v.) [F(3, 17)4.26, po0.05] and PB-28 (20 mg/mouse,
i.c.v.) [F(3, 18) 5.42, p o0.01] signicantly decreased the immobility time in FST. Post hoc Dunnett mean comparison showed the
signicant difference in the immobility time in the animals
injected with ( )-pentazocine (120 but not with 30 and 60 mg/
Fig. 1. Dose related antidepressant like effect of quetiapine in FST in mice. Mice
were treated with saline (10 ml/kg, i.p.) or quetiapine (1040 mg/kg, i.p.) or aCSF
(2 ml/mouse, i.c.v.) or quetiapine (2080 mg/mouse, i.c.v.) and subjected to FST
30 min after the treatments. Each bar represents mean immobility time
(s) 7S.E.M. (n 47). *-po 0.05, **-po 0.01 vs respective control animals (One
way ANOVA followed by post hoc Dunnet-test).
183
Fig. 2. Dose dependent effects of s1 receptor agonist, ( )-pentazocine, s2 receptor agonist, PB-28, s1 receptor antagonist, BD-1063 and s2 receptor antagonist, SM-21 on
immobility time in FST. Mice were treated with aCSF (2 ml/mouse, i.c.v.) or ( )-pentazocine (30120 mg/mouse, i.c.v.), PB-28 (520 mg/mouse, i.c.v.), BD-1063 (520 mg/
mouse, i.c.v.) or SM-21 (2.510 mg/mouse, i.c.v.) 30 min prior to FST. Each bar represents mean immobility time (s) 7 S.E.M. (n 47). np o0.05 vs aCSF treated animals
(One way ANOVA followed by post hoc Dunnet-test).
184
4. Discussion
Although quetiapine is regularly used for the treatment of
schizophrenia and depressive illness, precise mechanism for its
antidepressant activity is poorly understood. The key observation
of this study is that antidepressant like effect of quetiapine is
derived from an interaction of quetiapine with s receptors in
brain. Two subtypes of s receptors, s1 and s2, have been
identied, and are differentiated according to their molecular
weights, tissue distributions, and pharmacological proles
(Hellewell and Bowen, 1990; Quirion et al., 1992; Hellewell
et al., 1994; McCann et al., 1994). In the brain, s receptors are
enriched in limbic and endocrine areas that have been implicated
in the pathophysiology of depression (Drevets et al., 2008; Aan
het Rot et al., 2009), including the hippocampus, frontal cortex,
hypothalamus, and olfactory bulb (Itzhak et al., 1985). Numerous
studies indicated that s receptor agonists including: dio- tolylguanidine (DTG), igmesine, ()-pentazocine, SA 4503, and
UMB23 (1-(3-phenylpropyl) piperidine oxalate) (Matsuno et al.,
1996; Wang et al., 2007b) produce antidepressant like effects in
of dopamine release in the rat brain. Intraperitoneal or subcutaneous injection of the s receptor agonists, ( )-pentazocine, DTG
or SKF 10,047 increases extracellular dopamine in the striatum
and medial prefrontal cortex of freely moving animals (Patrick
et al., 1993; Gudelsky, 1995). This effect is suggested to be s
receptor mediated because its antagonist, NE 100 abolished the
dopamine release resulting from acute oral administration of s
receptor agonist, SA 4503 (Kobayashi et al., 1997). Quetiapine
binds with s receptors and facilitates dopaminergic neurotransmission in brain; it is therefore possible that quetiapine might
activate s receptors to increase dopamine release in prefrontal
cortex and striatum to exhibits antidepressant like effect. This is
also supported by the fact that many antidepressants like uoxetine (a selective serotonin re-uptake inhibitor) or desipramine
(a potent inhibitor of the noradrenaline re-uptake carrier) also
increase the extracellular dopamine concentration in the prefrontal cortex associated with their therapeutic efcacy (Tanda
et al., 1994, 1996). However there should be a counterpoint as
quetiapine also possess antagonistic activity toward dopamine D2
receptors (Gefvert et al., 1998). Therefore, this issue needs to be
claried using more specic analytical techniques and pharmacological manipulations. The interaction between quetiapine and
s receptors can also activate glutamatergic, adrenergic and
serotonergic systems (Matsuno et al., 1996; Wang et al., 2007a;
Kobayashi et al., 1997) and their involvement in antidepressant
like effect of quetiapine cannot be completely ruled out.
In summary, present study for the rst time provides direct
functional evidences for the involvement of s receptors subtypes
in antidepressant like effect of quetiapine. The antiimmobility
effect of quetiapine in FST was potentiated by s receptor agonists,
( )-pentozocine and PB-28 respectively. On the other hand, this
antidepressant like effect of quetiapine was completely attenuated in presence of s receptor antagonists, SM-21 and BD-1063.
In addition, s receptor antagonists also blocked the antidepressant effect of quetiapine and ()-pentozocine or PB 28 combination. These results clearly demonstrated the involvement of s
receptors subtypes in the antidepressant like effect of quetiapine
and suggest that s receptors can be projected as a potential
therapeutic target for the treatment of depressive illness.
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