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Antidepressant-Like Action of Single Facial Injection of Botulinum Neurotoxin A is Associated with Augmented 5-HT Levels and BDNF/ERK/CREB Pathways in Mouse Brain

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A Correction to this article was published on 08 June 2019

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Abstract

The present study was designed to examine the therapeutic effects of Botulinum neurotoxin A (BoNT/A) on depression-like behaviors in mice and to explore the potential mechanisms. These results revealed that a single facial injection of BoNT/A induced a rapid and prolonged improvement of depression-like behaviors in naïve and space-restriction-stressed (SRS) mice, reflected by a decreased duration of immobility in behavioral despair tests. BoNT/A significantly increased the 5-hydroxytryptamine (5-HT) levels in several brain regions, including the hippocampus and hypothalamus, in SRS mice. BoNT/A increased the expression of the N-methyl-D-aspartate receptor subunits NR1 and NR2B in the hippocampus, which were significantly decreased in SRS mice. Furthermore, BoNT/A significantly increased the expression of brain-derived neurotrophic factor (BDNF) in the hippocampus, hypothalamus, prefrontal cortex, and amygdala, which were decreased in SRS mice. Finally, BoNT/A transiently increased the levels of phosphorylated extracellular signal-regulated kinase (p-ERK) and cAMP-response element binding protein (p-CREB), which were suppressed in the hippocampus of SRS mice. Collectively, these results demonstrated that BoNT/A treatment has anti-depressant-like activity in mice, and this is associated with increased 5-HT levels and the activation of BDNF/ERK/CREB pathways in the hippocampus, supporting further investigation of BoNT/A therapy in depression.

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  • 08 June 2019

    In the original publication, Figure 4G was incorrectly published. The correct version of Figure 4G is presented in this correction. This correction does not affect the conclusions of the paper.

References

  1. Scifo E, Pabba M, Kapadia F, Ma T, Lewis DA, Tseng GC, et al. Sustained Molecular Pathology Across Episodes and Remission in Major Depressive Disorder. Biol Psychiatry 2017, 83:81–89.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Belmaker RH, Agam G. Major depressive disorder. N Engl J Med 2008, 358: 55–68.

    Article  CAS  Google Scholar 

  3. Kupfer DJ, Frank E, Phillips ML. Major depressive disorder: new clinical, neurobiological, and treatment perspectives. Lancet 2012, 379: 1045–1055.

    Article  PubMed  Google Scholar 

  4. Mann JJ. The medical management of depression. N Engl J Med 2005, 353: 1819–1834.

    Article  CAS  PubMed  Google Scholar 

  5. Zanos P, Moaddel R, Morris PJ, Georgiou P, Fischell J, Elmer GI, et al. NMDAR inhibition-independent antidepressant actions of ketamine metabolites. Nature 2016, 533: 481–486.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Yang Y, Cui Y, Sang K, Dong Y, Ni Z, Ma S, et al. Ketamine blocks bursting in the lateral habenula to rapidly relieve depression. Nature 2018, 554: 317–322.

    Article  CAS  PubMed  Google Scholar 

  7. Autry AE, Adachi M, Nosyreva E, Na ES, Los MF, Cheng PF, et al. NMDA receptor blockade at rest triggers rapid behavioural antidepressant responses. Nature 2011, 475: 91–95.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Zanos P, Thompson SM, Duman RS, Zarate CA, Jr., Gould TD. Convergent mechanisms underlying rapid antidepressant action. CNS Drugs 2018, 32: 197–227.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Akhtar H, Bukhari F, Nazir M, Anwar MN, Shahzad A. Therapeutic efficacy of neurostimulation for depression: techniques, current modalities, and future challenges. Neurosci Bull 2016, 32: 115–126.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Lacy BE, Weiser K, Kennedy A. Botulinum toxin and gastrointestinal tract disorders: panacea, placebo, or pathway to the future? Gastroenterol Hepatol (N Y) 2008, 4: 283–295.

    Google Scholar 

  11. Cote TR, Mohan AK, Polder JA, Walton MK, Braun MM. Botulinum toxin type A injections: adverse events reported to the US Food and Drug Administration in therapeutic and cosmetic cases. J Am Acad Dermatol 2005, 53: 407–415.

    Article  PubMed  Google Scholar 

  12. Carter AT, Peck MW. Genomes, neurotoxins and biology of Clostridium botulinum Group I and Group II. Res Microbiol 2015, 166: 303–317.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Ayyar BV, Atassi MZ. Effects of membrane properties on the binding activities of the HN and HC heavy-chain domains of botulinum neurotoxin A. Biochim Biophys Acta 2016, 1864: 1678–1685.

    Article  CAS  PubMed  Google Scholar 

  14. Rossetto O, Pirazzini M, Montecucco C. Botulinum neurotoxins: genetic, structural and mechanistic insights. Nat Rev Microbiol 2014, 12: 535–549.

    Article  CAS  PubMed  Google Scholar 

  15. Papagiannopoulou D, Vardouli L, Dimitriadis F, Apostolidis A. Retrograde transport of radiolabelled botulinum neurotoxin type A to the CNS after intradetrusor injection in rats. BJU Int 2016, 117: 697–704.

    Article  CAS  PubMed  Google Scholar 

  16. Chen YW, Chuang SK. Botulinum Toxin A might be an alternative or adjunct therapy for the treatment of trigeminal and postherpetic neuralgia. J Evid Based Dent Pract 2017, 17: 259–261.

    Article  PubMed  Google Scholar 

  17. Mills R, Bahroo L, Pagan F. An update on the use of botulinum toxin therapy in Parkinson’s disease. Curr Neurol Neurosci Rep 2015, 15: 511.

    Article  CAS  PubMed  Google Scholar 

  18. Ramachandran R, Yaksh TL. Therapeutic use of botulinum toxin in migraine: mechanisms of action. Br J Pharmacol 2014, 171: 4177–4192.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Attal N, de Andrade DC, Adam F, Ranoux D, Teixeira MJ, Galhardoni R, et al. Safety and efficacy of repeated injections of botulinum toxin A in peripheral neuropathic pain (BOTNEP): a randomised, double-blind, placebo-controlled trial. Lancet Neurol 2016, 15: 555–565.

    Article  CAS  PubMed  Google Scholar 

  20. Magid M, Reichenberg JS, Poth PE, Robertson HT, LaViolette AK, Kruger TH, et al. Treatment of major depressive disorder using botulinum toxin A: a 24-week randomized, double-blind, placebo-controlled study. J Clin Psychiatry 2014, 75: 837–844.

    Article  CAS  PubMed  Google Scholar 

  21. Magid M, Finzi E, Kruger TH, Robertson HT, Keeling BH, Jung S, et al. Treating depression with botulinum toxin: a pooled analysis of randomized controlled trials. Pharmacopsychiatry 2015, 48: 205–210.

    Article  CAS  PubMed  Google Scholar 

  22. Finzi E, Rosenthal NE. Treatment of depression with onabotulinumtoxinA: a randomized, double-blind, placebo controlled trial. J Psychiatr Res 2014, 52: 1–6.

    Article  PubMed  Google Scholar 

  23. Xu Z, Guo X, Yang Y, Tucker D, Lu Y, Xin N, et al. Low-level laser irradiation improves depression-like behaviors in mice. Mol Neurobiol 2017, 54: 4551–4559.

    Article  CAS  PubMed  Google Scholar 

  24. Zhang G, Chen L, Yang L, Hua X, Zhou B, Miao Z, et al. Combined use of spatial restraint stress and middle cerebral artery occlusion is a novel model of post-stroke depression in mice. Sci Rep 2015, 5: 16751.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Porsolt RD, Bertin A, Jalfre M. Behavioral despair in mice: a primary screening test for antidepressants. Arch Int Pharmacodyn Ther 1977, 229: 327–336.

    CAS  Google Scholar 

  26. Steru L, Chermat R, Thierry B, Simon P. The tail suspension test: a new method for screening antidepressants in mice. Psychopharmacology (Berl) 1985, 85: 367-370.

    Article  CAS  Google Scholar 

  27. Liu MY, Yin CY, Zhu LJ, Zhu XH, Xu C, Luo CX, et al. Sucrose preference test for measurement of stress-induced anhedonia in mice. Nat Protoc 2018, 13:1686–1698.

    Article  CAS  PubMed  Google Scholar 

  28. Wang B, Su CJ, Liu TT, Zhou Y, Feng Y, Huang Y, et al. The neuroprotection of low-dose morphine in cellular and animal models of Parkinson’s disease through ameliorating endoplasmic reticulum (ER) stress and activating autophagy. Front Mol Neurosci 2018, 11: 120.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Tian B, Wang XL, Huang Y, Chen LH, Cheng RX, Zhou FM, et al. Peripheral and spinal 5-HT receptors participate in cholestatic itch and antinociception induced by bile duct ligation in rats. Sci Rep 2016, 6: 36286.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Ghasemi M, Phillips C, Trillo L, De Miguel Z, Das D, Salehi A. The role of NMDA receptors in the pathophysiology and treatment of mood disorders. Neurosci Biobehav Rev 2014, 47: 336–358.

    Article  CAS  PubMed  Google Scholar 

  31. Dang YH, Ma XC, Zhang JC, Ren Q, Wu J, Gao CG, et al. Targeting of NMDA receptors in the treatment of major depression. Curr Pharm Des 2014, 20: 5151–5159.

    Article  CAS  PubMed  Google Scholar 

  32. Blier P. Neurotransmitter targeting in the treatment of depression. J Clin Psychiatry 2013, 74 Suppl 2: 19–24.

    Article  CAS  PubMed  Google Scholar 

  33. Kishi T, Yoshimura R, Ikuta T, Iwata N. Brain-derived neurotrophic factor and major depressive disorder: evidence from meta-analyses. Front Psychiatry 2017, 8: 308.

    Article  PubMed  Google Scholar 

  34. Molendijk ML, Spinhoven P, Polak M, Bus BA, Penninx BW, Elzinga BM. Serum BDNF concentrations as peripheral manifestations of depression: evidence from a systematic review and meta-analyses on 179 associations (n=9484). Mol Psychiatry 2014, 19: 791–800.

    Article  CAS  PubMed  Google Scholar 

  35. Yi LT, Li J, Liu BB, Luo L, Liu Q, Geng D. BDNF-ERK-CREB signalling mediates the role of miR-132 in the regulation of the effects of oleanolic acid in male mice. J Psychiatry Neurosci 2014, 39: 348–359.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Reichenberg JS, Hauptman AJ, Robertson HT, Finzi E, Kruger TH, Wollmer MA, et al. Botulinum toxin for depression: Does patient appearance matter? J Am Acad Dermatol 2016, 74: 171–173 e171.

    Article  Google Scholar 

  37. Kim MJ, Neta M, Davis FC, Ruberry EJ, Dinescu D, Heatherton TF, et al. Botulinum toxin-induced facial muscle paralysis affects amygdala responses to the perception of emotional expressions: preliminary findings from an A-B-A design. Biol Mood Anxiety Disord 2014, 4: 11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Krishnan V, Nestler EJ. The molecular neurobiology of depression. Nature 2008, 455: 894–902.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Jia J, Le W. Molecular network of neuronal autophagy in the pathophysiology and treatment of depression. Neurosci Bull 2015, 31: 427–434.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Godlewska BR, Browning M, Norbury R, Cowen PJ, Harmer CJ. Early changes in emotional processing as a marker of clinical response to SSRI treatment in depression. Transl Psychiatry 2016, 6: e957.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Duman RS. Pathophysiology of depression and innovative treatments: remodeling glutamatergic synaptic connections. Dialogues Clin Neurosci 2014, 16: 11–27.

    PubMed  PubMed Central  Google Scholar 

  42. Murrough JW, Abdallah CG, Mathew SJ. Targeting glutamate signalling in depression: progress and prospects. Nat Rev Drug Discov 2017, 16: 472–486.

    Article  CAS  PubMed  Google Scholar 

  43. Feyissa AM, Chandran A, Stockmeier CA, Karolewicz B. Reduced levels of NR2A and NR2B subunits of NMDA receptor and PSD-95 in the prefrontal cortex in major depression. Prog Neuropsychopharmacol Biol Psychiatry 2009, 33: 70–75.

    Article  CAS  PubMed  Google Scholar 

  44. Tang J, Xue W, Xia B, Ren L, Tao W, Chen C, et al. Involvement of normalized NMDA receptor and mTOR-related signaling in rapid antidepressant effects of Yueju and ketamine on chronically stressed mice. Sci Rep 2015, 5: 13573.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Lee YA, Goto Y. Chronic stress modulation of prefrontal cortical NMDA receptor expression disrupts limbic structure-prefrontal cortex interaction. Eur J Neurosci 2011, 34: 426–436.

    Article  PubMed  Google Scholar 

  46. Linker RA, Lee DH, Demir S, Wiese S, Kruse N, Siglienti I, et al. Functional role of brain-derived neurotrophic factor in neuroprotective autoimmunity: therapeutic implications in a model of multiple sclerosis. Brain 2010, 133: 2248–2263.

    Article  PubMed  Google Scholar 

  47. Maqsood R, Stone TW. The Gut-Brain Axis, BDNF, NMDA and CNS Disorders. Neurochem Res 2016, 41: 2819–2835.

    Article  CAS  PubMed  Google Scholar 

  48. Leal G, Bramham CR, Duarte CB. BDNF and hippocampal synaptic plasticity. Vitam Horm 2017, 104: 153–195.

    Article  CAS  PubMed  Google Scholar 

  49. Bekinschtein P, Cammarota M, Medina JH. BDNF and memory processing. Neuropharmacology 2014, 76 Pt C: 677–683.

  50. Guo F, Zhang Q, Zhang B, Fu Z, Wu B, Huang C, et al. Burst-firing patterns in the prefrontal cortex underlying the neuronal mechanisms of depression probed by antidepressants. Eur J Neurosci 2014, 40: 3538–3547.

    Article  PubMed  Google Scholar 

  51. Pilar-Cuellar F, Vidal R, Diaz A, Castro E, dos Anjos S, Pascual-Brazo J, et al. Neural plasticity and proliferation in the generation of antidepressant effects: hippocampal implication. Neural Plast 2013, 2013: 537265.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Ghosal S, Bang E, Yue W, Hare BD, Lepack AE, Girgenti MJ, et al. Activity-dependent brain-derived neurotrophic factor release is required for the rapid antidepressant actions of scopolamine. Biol Psychiatry 2017, 83:29–37.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Li K, Shen S, Ji YT, Li XY, Zhang LS, Wang XD. Melatonin augments the effects of fluoxetine on depression-like behavior and hippocampal BDNF-TrkB signaling. Neurosci Bull 2018, 34: 303–311.

    Article  CAS  PubMed  Google Scholar 

  54. Ohta KI, Suzuki S, Warita K, Kaji T, Kusaka T, Miki T. Prolonged maternal separation attenuates BDNF-ERK signaling correlated with spine formation in the hippocampus during early brain development. J Neurochem 2017, 141: 179–194.

    Article  CAS  PubMed  Google Scholar 

  55. Lee S, Yang M, Kim J, Son Y, Kim J, Kang S, et al. Involvement of BDNF/ERK signaling in spontaneous recovery from trimethyltin-induced hippocampal neurotoxicity in mice. Brain Res Bull 2016, 121: 48–58.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Einoch R, Weinreb O, Mandiuk N, Youdim MBH, Bilker W, Silver H. The involvement of BDNF-CREB signaling pathways in the pharmacological mechanism of combined SSRI- antipsychotic treatment in schizophrenia. Eur Neuropsychopharmacol 2017, 27: 470–483.

    Article  CAS  PubMed  Google Scholar 

  57. Gascon S, Ortega F, Gotz M. Transient CREB-mediated transcription is key in direct neuronal reprogramming. Neurogenesis (Austin) 2017, 4: e1285383.

    Article  CAS  Google Scholar 

  58. Molendijk ML, de Kloet ER. Immobility in the forced swim test is adaptive and does not reflect depression. Psychoneuroendocrinology 2015, 62: 389–391.

    Article  PubMed  Google Scholar 

  59. de Kloet ER, Molendijk ML. Coping with the forced swim stressor: towards understanding an adaptive mechanism. Neural Plast 2016, 2016: 6503162.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

This work was supported by grants from the National Natural Science Foundation of China (81870874, 31371179, 81300968, and 81671270) and the Natural Science Foundation of Jiangsu Province, China (BK20170004, 2015-JY-029, and BK20140372), Jiangsu Key Laboratory of Neuropsychiatric Diseases (BM2013003), the Second Affiliated Hospital of Soochow University Preponderant Clinic Discipline Group Project Funding (XKQ2015002), the Postgraduate Research and Practice Innovation Program of Jiangsu Province, China (KYCX17-2000), Suzhou Science and Technology For People’s Livelihood (SYS201706), the Postgraduate Research and Practice Innovation Program of Jiangsu Province, China (KYCX17_2034).

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Correspondence to Weifeng Luo or Tong Liu.

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Li, Y., Liu, J., Liu, X. et al. Antidepressant-Like Action of Single Facial Injection of Botulinum Neurotoxin A is Associated with Augmented 5-HT Levels and BDNF/ERK/CREB Pathways in Mouse Brain. Neurosci. Bull. 35, 661–672 (2019). https://doi.org/10.1007/s12264-019-00367-8

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