Combined Fluoxetine and Metformin Treatment Potentiates Antidepressant Efficacy Increasing IGF2 Expression in the Dorsal Hippocampus

An increasing number of studies show that selective serotonin reuptake inhibitors (SSRIs) exert their therapeutic action, at least in part, by amplifying the influence of the living environment on mood. As a consequence, when administered in a favorable environment, SSRIs lead to a reduction of symp...

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Veröffentlicht in:Neural plasticity. - 1998. - 2019(2019) vom: 25., Seite 4651031
1. Verfasser: Poggini, Silvia (VerfasserIn)
Weitere Verfasser: Golia, Maria Teresa, Alboni, Silvia, Milior, Giampaolo, Sciarria, Livio Pepè, Viglione, Aurelia, Matte Bon, Gloria, Brunello, Nicoletta, Puglisi-Allegra, Stefano, Limatola, Cristina, Maggi, Laura, Branchi, Igor
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2019
Zugriff auf das übergeordnete Werk:Neural plasticity
Schlagworte:Journal Article Research Support, Non-U.S. Gov't Antidepressive Agents Hypoglycemic Agents Serotonin Uptake Inhibitors Fluoxetine 01K63SUP8D Insulin-Like Growth Factor II 67763-97-7 Metformin 9100L32L2N
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520 |a An increasing number of studies show that selective serotonin reuptake inhibitors (SSRIs) exert their therapeutic action, at least in part, by amplifying the influence of the living environment on mood. As a consequence, when administered in a favorable environment, SSRIs lead to a reduction of symptoms, but in stressful conditions, they show limited efficacy. Therefore, novel therapeutic approaches able to neutralize the influence of the stressful environment on treatment are needed. The aim of our study was to test whether, in a mouse model of depression, the combined administration of SSRI fluoxetine and metformin, a drug able to improve the metabolic profile, counteracts the limited efficacy of fluoxetine alone when administered in stressful conditions. Indeed, metabolic alterations are associated to both the onset of major depression and the antidepressant efficacy. To this goal, adult C57BL/6 male mice were exposed to stress for 6 weeks; the first two weeks was aimed at generating a mouse model of depression. During the remaining 4 weeks, mice received one of the following treatments: vehicle, fluoxetine, metformin, or a combination of fluoxetine and metformin. We measured liking- and wanting-type anhedonia as behavioral phenotypes of depression and assessed the expression levels of selected genes involved in major depressive disorder and antidepressant response in the dorsal and ventral hippocampus, which are differently involved in the depressive symptomatology. The combined treatment was more effective than fluoxetine alone in ameliorating the depressive phenotype after one week of treatment. This was associated to an increase in IGF2 mRNA expression and enhanced long-term potentiation, specifically in the dorsal hippocampus, at the end of treatment. Overall, the present results show that, when administered in stressful conditions, the combined fluoxetine and metformin treatment may represent a more effective approach than fluoxetine alone in a short term. Finally, our findings highlight the relevance of polypharmacological strategy as effective interventions to increase the efficacy of the antidepressant drugs currently available 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
650 7 |a Antidepressive Agents  |2 NLM 
650 7 |a Hypoglycemic Agents  |2 NLM 
650 7 |a Serotonin Uptake Inhibitors  |2 NLM 
650 7 |a Fluoxetine  |2 NLM 
650 7 |a 01K63SUP8D  |2 NLM 
650 7 |a Insulin-Like Growth Factor II  |2 NLM 
650 7 |a 67763-97-7  |2 NLM 
650 7 |a Metformin  |2 NLM 
650 7 |a 9100L32L2N  |2 NLM 
700 1 |a Golia, Maria Teresa  |e verfasserin  |4 aut 
700 1 |a Alboni, Silvia  |e verfasserin  |4 aut 
700 1 |a Milior, Giampaolo  |e verfasserin  |4 aut 
700 1 |a Sciarria, Livio Pepè  |e verfasserin  |4 aut 
700 1 |a Viglione, Aurelia  |e verfasserin  |4 aut 
700 1 |a Matte Bon, Gloria  |e verfasserin  |4 aut 
700 1 |a Brunello, Nicoletta  |e verfasserin  |4 aut 
700 1 |a Puglisi-Allegra, Stefano  |e verfasserin  |4 aut 
700 1 |a Limatola, Cristina  |e verfasserin  |4 aut 
700 1 |a Maggi, Laura  |e verfasserin  |4 aut 
700 1 |a Branchi, Igor  |e verfasserin  |4 aut 
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