Neuroaktive Steroide

  • A. Ströhle

Zusammenfassung

Neuroaktive Steroide können im Gehirn ohne Zuhilfenahme peripherer Ressourcen synthetisiert werden. In den vergangenen Jahren fanden sich darüber hinaus Hinweise für Interaktionen von Steroiden mit Neurotransmitterrezeptoren und eine Modulation der neuronalen Erregbarkeit über membranäre Prozesse. Die GABAA-Rezeptor-modulierende Aktivität 3α-reduzierter neuroaktiver Steroide konnte im Tier- und teilweise auch im Humanexperiment mit einer Vielzahl von Verhaltenseffekten in Verbindung gebracht werden. Daneben gibt es aus verschiedenen Arbeitsgruppen Hinweise für eine Rolle neuroaktiver Steroide in der Depression und ihrer Behandlung. Neben der direkten Verabreichung (synthetischer Analoga) neuroaktiver Steroide könnte auch eine Beeinflussung ihrer Metabolisierung einen neuen Ansatz zur Behandlung affektiver Störungen darstellen.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Akwa Y, Young J, Kabbadj K et al. (1991) Neurosteroids: biosynthesis, metabolism and function of pregnenolone and dehydroepiandrosterone in the brain. J Steroid Biochem Mol Biol 40: 71–81CrossRefPubMedGoogle Scholar
  2. Akwa Y, Morfin RF, Robel P, Baulieu EE (1992) Neurosteroid metabolism. 7 alpha-Hydroxylation of dehydroepiandrosterone and pregnenolone by rat brain microsomes. Biochem J 288: 959–964PubMedGoogle Scholar
  3. Arafat ES, Hargrove JT, Maxson WS, Desiderio DM, Wentz AC, Andersen RN (1989) Sedative and hypnotic effects of oral administration of micronized progesterone may be mediated through its metabolites. Am J Obstet Gynecol 159: 1203–1209Google Scholar
  4. Ator NA, Grant KA, Purdy RH, Paul SM, Griffiths RR (1993) Drug discrimination analysis of endogenous neuroactive steroids in rats. Eur J Pharmacol 241: 237–243CrossRefPubMedGoogle Scholar
  5. Bäckström T, Zetterlund B, Blom S, Romano M (1984) Effecs of intravenous progesterone infusions on the epileptic discharge frequency in women with partial epilepsy. Acta Neurol Scand 69: 240–248PubMedGoogle Scholar
  6. Baulieu EE (1991) Neurosteroids: a new function in the brain. Biol Cell 71: 3–10CrossRefPubMedGoogle Scholar
  7. Belelli D, Lan NC, Gee KW (1990) Anticonvulsant steroids and the GABA/benzo-diazepine receptor-chloride ionophore complex. Neurosci Biobehav Rev 14: 315–322PubMedGoogle Scholar
  8. Biedermann K, Schoch P (1985) Do neuroactive steroids cause fatigue in pregnancy. Eur J Obstet Gynecol Reprod Biol 58: 15–18CrossRefGoogle Scholar
  9. Bitran D, Hilvers RJ, Kellog CK (1991) Anxiolytic effects of 3α-hydroxy-5α[â]-pregnan-20-one. Endogenous metabolites that are active at the GABAA receptor. Brain Res 561: 157–161PubMedGoogle Scholar
  10. Bitran D, Purdy RH, Kellog CK (1993) Anxiolytic effect of progesterone is associated with increases in cortical allopregnanolone and GABAA receptor function. Pharmacol Biochem Behav 45: 423–428PubMedGoogle Scholar
  11. Bitran D, Hilvers RJ, Frye CA, Erskine MS (1996) Chronic anabolic-androgenic steroid treatment affects brain GABAA receptor-gated chloride ion transport. Life Sci 58: 573–583CrossRefPubMedGoogle Scholar
  12. Bloch M, Schmidt PJ, Danaceau MA, Adams FF, Rubinow DR (1999) Dehydroepiandrosterone treatment of midlife dysthymia. Biol Psychiatry 45: 1533–1541CrossRefPubMedGoogle Scholar
  13. Britton KT, Page M, Baldwin H, Koob GF (1991) Anxiolytic activity of steroid anesthetic alphaxalone. J Pharmacol Exp Ther 258: 124–129PubMedGoogle Scholar
  14. Campbell JS, Karavolas HJ (1990) Characterization of the purified pituitary cytosolic NADPH: 5α-dihydroprogestrone 3α-hydroxysteroid oxidoreductase. J Steroid Biochem Molec Biol 37: 535–543CrossRefPubMedGoogle Scholar
  15. Carl P, Högskilde S, Nielsen JW, Sörensen MB, Karlen B, Bäckström T (1990) pregnanolone emulsion a preliminary pharmacokinetic and pharmacodynamic study of a new intravenous agent. Anaesthesia 45: 189–197PubMedGoogle Scholar
  16. Carter RB, Wood PL, Wieland S et al. (1997) Characterization of the anticonvulsant properties of ganaxolone (CCD 1042.3α-hydroxy-3β-methyl-5α-pregnanon-20-one), a selective, high-affinity steroid modulator of the γ-aminobutyric-acid-A receptor. J Pharmacol Exp Ther 280: 1284–1295PubMedGoogle Scholar
  17. Celotti F, Melcangi RC, Martini L (1992) The 5α-reductase in the brain. Molecular aspects and relation to brain function. Front Neuroendocrinol 13: 163–215PubMedGoogle Scholar
  18. Corpechot C, Young J, Calvel M et al. (1993) Neurosteroids: 3-alpha-hydroxy-5-alpha-pregnan-20-one and its precursors in the brain, plasma, and steroidogenic glands of male and female rats. Endocrinology 133: 1003–1009CrossRefPubMedGoogle Scholar
  19. Costa E, Auta J, Guidotti A, Korneyev A, Romeo E (1994) The pharmacology of neurosteroidogenesis. J Steroid Biochem Mol Biol 49: 385–389CrossRefPubMedGoogle Scholar
  20. Crawley JN, Glowa JR, Majewska MD, Paul SM (1986) Anxiolytic activity of an endogenous adrenal steroid. Brain Res 389: 382–385CrossRefGoogle Scholar
  21. Dunn AJ, Berridge CW (1990) Physiological and behavioral responses to corticotropin-releasing factor administration. Is CRF a mediator of anxiety or stress responses? Brain Res Rev 15: 71–100CrossRefPubMedGoogle Scholar
  22. Evan RM (1988) The steroid and thyroid hormone receptor superfamily. Science 240: 889–895PubMedGoogle Scholar
  23. Frye CA, Duncan JE (1994) Progesterone metabolites effective at the GABAA receptor complex modulate pain sensitivity in rats. Brain Res 643: 194–203PubMedGoogle Scholar
  24. Gee KW, Bolger MB, Brinton RE, Coirini H, McEwen BS (1988) Steroid modulation of the chloride ionophore in rat brain: structure-activity requirements, regional dependence and mechanism of action. J Pharmacol Exp Ther 246: 803–812PubMedGoogle Scholar
  25. Griffin LD, Mellon SH (1999) Selective serotonin reuptake inhibitors directly alter activity of neurosteroidogenic enzymes. Proc Natl Acad Sci 96: 13512–13517PubMedGoogle Scholar
  26. Harrison NL, Majewska MD, Harrington JW, Barker JL (1987) Structure-activity relationships for steroid interaction with the γ-aminobutyric acid A receptor complex. J Pharmacol Exp Ther 241: 346–353PubMedGoogle Scholar
  27. Hauser CA, Chesnoy-Marchais D, Robel P, Baulieu EE (1995) Modulation of recombinant alpha-6-beta-2-gamma-2 GABAA receptors by neuroactive steroids. Eur J Pharmacol 289: 249–257CrossRefPubMedGoogle Scholar
  28. Karavolas HJ, Hodges D (1990) Neuroendocrine metabolism of progesterone and related progestin steroids and neuronal activity. Ciba Foundation Symposium 153: 22–55PubMedGoogle Scholar
  29. Kokate TG, Svensson BE, Rogawski MA (1994) Anticonvulsant activity of neurosteroids: correlation with gamma-aminobutyric acid-evoked chloride current potentiation. J Pharmacol Exp Ther 270: 1223–1229PubMedGoogle Scholar
  30. Korneyev A, Pan BS, Polo A, Romeo E, Guidotti A, Costa E (1993) Stimulation of brain pregnenolone synthesis by mitochondrial diazepam binding inhibitor receptor ligands in vivo. J Neurochem 61: 1515–1524.PubMedGoogle Scholar
  31. Krause JE, Karavolas HJ (1980) Pituitary 5α-dihydroprogesterone 3α-hydroxysteroid oxidoreductases. J Biol Chem 255: 11807–11814PubMedGoogle Scholar
  32. Majewska MD (1992) Neurosteroids. Endogenous bimodal modulators of the GABAA receptor. Mechanism of action and physiological significance. Prog Neurobiol 38: 379–395CrossRefPubMedGoogle Scholar
  33. Majewska MD, Harrison NL, Schwartz RD, Barker JL, Paul SM (1986) Steroid hormone metabolites are barbiturate-like modulators of the GABA receptor. Science 232: 1004–1007PubMedGoogle Scholar
  34. Maurice T, Urani A, Phan VL, Romieu P (2001) The interaction between neuroactive steroids and the sigma 1 receptor function: behavioral consequences and therapeutic opportunities. Brain Res Brain Res Rev 37: 116–132CrossRefPubMedGoogle Scholar
  35. McEwen BS (1991) Non-genomic and genomic effects of steroids on neural activity. Trends Pharmacol Sci 12: 141–147PubMedGoogle Scholar
  36. Mellon SH (1994) Neurosteroids. Biochemistry, modes of action, and clinical relevance. J Clin Endocrinol Metab 78: 1003–1008CrossRefPubMedGoogle Scholar
  37. Monaghan EP, Navalta LA, Shum L, Ashbrook DW, Gee DA (1997). Initial human experience with ganaxolone, a neuroactive steroid with antiepileptic activity. Epilepsia 38: 1026–1031CrossRefPubMedGoogle Scholar
  38. Morrow AL, Pace JR, Purdy RH, Paul SM (1990) Characterization of steroid interactions with y-aminobutyric acid receptor-gated chloride ion channels: Evidence for multiple steroid recognition sites. Mol Pharmacol 37: 263–270PubMedGoogle Scholar
  39. Olsen RW, Tobin AJ (1990) Molecular biology of GABAA receptors. FASEB J 4: 1469–1480PubMedGoogle Scholar
  40. Patchev VK, Shoaib M, Holsboer F, Almeida OFX (1994) The neurosteroid tetrahydroprogesterone counteracts corticotropin-releasing hormone-induced anxiety and alters the release and gene expression of corticotropin-releasing hormone in the rat hypothalamus. Neuroscience 62: 265–271CrossRefPubMedGoogle Scholar
  41. Patchev VK, Hassan AHS, Holsboer F, Almeida OFX (1996) The neurosteroid tetrahydroprogesterone attenuates the endocrine response to stress and exerts glucocorticoid-like effects on vasopressin gene transcription in the rat hypothalamus. Neuropsychopharmacol 15: 533–541CrossRefGoogle Scholar
  42. Patchev VK, Montkowski A, Rouskova D, Koranyi L, Holsboer F, Almeida O (1997) Neonatal treatment of rats with the neuroactive steroid tetrahydrodeoxycorticosterone (THDOC) abolishes the behavioral and neuroendocrine consequences of adverse early life events. J Clin Invest 99: 962–966PubMedGoogle Scholar
  43. Paul SM, Purdy RH (1992) Neuroactive steroids. FASEB J 6: 2311–2322PubMedGoogle Scholar
  44. Puia G, Santi MR, Vicini S, Pritchett DB, Purdy RH, Paul SM, Seeburg PH, Costa E (1990) Neurosteroids act on recombinant human GABAA receptors. Neuron 4: 759–765CrossRefPubMedGoogle Scholar
  45. Purdy RH, Morrow AL, Moore PH, Paul SM (1991) Stress-induced elevations of γ-aminobutyric acid type A receptoractive steroids in the rat brain. Proc Natl Acad Sci USA 8: 4553–4557Google Scholar
  46. Romeo E, Cheney DL, Zivkovic I, Costa E, Guidotti A (1994) Mitochondrial diazepam-binding inhibitor receptor complex agonists antagonize dizocilpine amnesia: Putative role for allopregnanolone. J Pharmacol Exp Ther 270: 89–96PubMedGoogle Scholar
  47. Romeo E, Brancati A, De Lorenzo A et al. (1996) Market decrease of plasma neuroactive steroids during alcohol withdrawal. Clin Neuropharmacol 19: 366–369PubMedGoogle Scholar
  48. Romeo E, Ströhle A, di Michele F, Spaletta G, Hermann B, Holsboer F, Pasini A, Rupprecht R (1998) Effects of antidepressant treatment on neuroactive steroids in major depression. Am J Psychiatry 155: 910–913PubMedGoogle Scholar
  49. Rupprecht R, Holsboer F (1999) Neuroactive steroids: mechanisms of action and neuropsychopharmacological perspectives. Trends Neurosci 22: 410–416CrossRefPubMedGoogle Scholar
  50. Schüle C, di Michele F, Baghai T et al. (2003) Influence of sleep deprivation on neuroactive steroids in major depression. Neuropsychopharmacol 28: 577–581CrossRefGoogle Scholar
  51. Seeburg PH, Wisden W, Verdoorn TA et al. (1990) The GABAA receptor family: molecular and functional diversity. Cold Spring Harbour Symposia 50: 29–40Google Scholar
  52. Selye H (1941) The anesthetic effect of steroid hormones. Proc Soc Exp Biol Med 46: 116–121Google Scholar
  53. Shingai R, Sutherland ML, Barnard EA (1991) Effects of subunit types of the cloned GABAA receptor on the response to a neurosteroid. Eur J Pharmacol 206: 77–80CrossRefGoogle Scholar
  54. Smith SS, Gong QH, Li X, Moran MH, Bitran D, Frye CA, Hsu FC (1998) Withdrawal from 3alpha-OH-5alpha-pregnan-20-One using a pseudopregnancy model alters the kinetics of hippocampal GABAA-gated current and increases the GABAA receptor alpha4 subunit in association with increased anxiety. J Neurosci 18: 5275–5284PubMedGoogle Scholar
  55. Ströhle A, Holsboer F (2003) Stress responsive neurohormones in depression and anxiety. Pharmacopsychiatry 36[Suppl 3]: 207–214PubMedGoogle Scholar
  56. Ströhle A, Romeo E, Hermann B, di Michele F, Spaletta G, Pasini A, Holsboer F, Rupprecht R (1999) Concentrations of 3α-reduced neuroactive steroids and their precursors in plasma of patients with major depression and after clinical recovery. Biol Psychiatry 45: 274–277CrossRefPubMedGoogle Scholar
  57. Ströhle A, Romeo E, di Michele F, Pasini A, Yassouridis A, Holsboer F, Rupprecht R (2002) GABAA receptor-modulating neuroactive steroid composition in patients with panic disorder before and during paroxetine treatment. Am J Psychiatry 159: 145–147CrossRefGoogle Scholar
  58. Ströhle A, Romeo E, di Michele F, Pasini A, Hermann B, Gajewsky G, Holsboer F, Rupprecht R (2003) Induced panic attacks shift GABAA receptor modulatory neuroactive steroid composition in patients with panic disorder. Arch Gen Psychiatry 60: 161–168CrossRefPubMedGoogle Scholar
  59. Uzunov DP, Cooper TB, Costa E, Guidotti A (1996) Fluoxetine-elicited changes in brain neurosteroid content measured by negative ion mass fragmentography. Proc Natl Acad Sci USA 93: 12599–12604CrossRefPubMedGoogle Scholar
  60. Uzunova V, Sheline Y, Davis JM, Rasmusson A, Uzunov DP, Costa E, Guidotti A (1998) Increase in the cerebrospinal fluid content of neurosteroids in patients with unipolar major depression who are receiving fluoxetine or fluvoxamine. Proc Natl Acad Sci USA 95: 3239–3244CrossRefPubMedGoogle Scholar
  61. Wang M, Seippel L, Purdy RH, Bäckström T (1996) Relationship between symptom severity and steroid variation in women with premenstrual syndrome. Study on serum pregnenolone, pregnenolone sulfate 5α-pregnane-3,20-dione and 3α-hydroxy-5α-pregnan-20-one. J Clin Endocrinol Metab 81: 1076–1082CrossRefGoogle Scholar
  62. Wolkowitz OM, Reus VI, Keebler A, Nelson N, Friedland M, Brizendine L, Roberts E (1999) Double-blind treatment of major depression with dehydroepiandrosterone. Am J Psychiatry 156: 646–649PubMedGoogle Scholar
  63. Wolkowitz OM, Reus VI, Roberts E et al. (1997) Dehydroepiandrosterone (DHEA) treatment of depression. Biol Psychiatry 41: 311–318CrossRefGoogle Scholar
  64. Young J, Corpechot C, Gaug M, Gobaille S, Baulieu EE, Robel P (1991) Suppressive effects of dehydroepiandrosterone and 3 beta-methyl-aandrost-5-en-17-one on attack towards lactating females induced by castrated male mice. II. Brain neurosteroids. Biochem Biophys Res Commun 174: 892–897CrossRefPubMedGoogle Scholar
  65. Zwansger P, Eser D, Padberg F et al. (2004) Neuroactive steroids are not affected by panic induction with 50 µg cholecystokinin tetrapeptide (CCK-4) in healthy volunteers. J Psychiatric Res 38: 215–217CrossRefGoogle Scholar

Copyright information

© Springer Medizin Verlag Heidelberg 2005

Authors and Affiliations

  • A. Ströhle

There are no affiliations available

Personalised recommendations