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Corticosteroids Mediate Heart Failure-Induced Depression through Reduced σ1-Receptor Expression
Yasuharu Shinoda1, Hideaki Tagashira1, Md Shenuarin Bhuiyan2
1Department of Pharmacology, Graduate School of Pharmaceutical Sciences, Tohoku University, 6-3 Aramaki-Aoba, Aoba-ku, Sendai, Japan.
Cardiovascular disease in mice leads to depression-like behaviors linked to reduced brain sigma-1 receptor (σ1R) expression. Stimulating σ1R with SA4503 improved both heart function and mood.
Area of Science:
- Neuroscience
- Cardiology
- Pharmacology
Background:
- Cardiovascular diseases are recognized risk factors for human depression.
- Sigma-1 receptor (σ1R) stimulation has shown promise in treating cardiac dysfunction and depression-like behaviors.
Purpose of the Study:
- To investigate the hypothesis that impaired σ1R activity in the brain contributes to depression-like behaviors in animals with cardiovascular disease.
- To explore the therapeutic potential of σ1R stimulation for comorbid cardiac and depressive symptoms.
Main Methods:
- Induction of cardiac hypertrophy and heart failure via transverse aortic constriction (TAC) in mice.
- Assessment of depression-like behaviors, brain σ1R expression (particularly in astrocytes), and plasma corticosterone levels.
- Pharmacological intervention using the σ1R agonist SA4503 and the glucocorticoid receptor antagonist mifepristone.
Main Results:
- TAC-induced heart failure was associated with depression-like behaviors and decreased astrocytic σ1R expression in the hippocampus.
- SA4503 administration ameliorated depression-like behaviors and restored astrocytic σ1R levels.
- Elevated corticosterone levels correlated with depression-like behaviors and reduced hippocampal σ1R expression, effects partially reversed by mifepristone.
Conclusions:
- Impaired brain σ1R activity, potentially triggered by elevated corticosterone, contributes to depression-like behaviors in heart failure.
- σ1R stimulation represents a promising therapeutic strategy for addressing both cardiac dysfunction and associated depression.
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