An HDAC-dependent epigenetic mechanism that enhances the efficacy of the antidepressant drug fluoxetine

Sci Rep. 2015 Feb 2:5:8171. doi: 10.1038/srep08171.

Abstract

Depression is a prevalent and debilitating psychiatric illnesses. However, currently prescribed antidepressant drugs are only efficacious in a limited group of patients. Studies on Balb/c mice suggested that histone deacetylase (HDAC) inhibition may enhance the efficacy of the widely-prescribed antidepressant drug fluoxetine. This study shows that reducing HDAC activity in fluoxetine-treated Balb/c mice leads to robust antidepressant and anxiolytic effects. While reducing the activity of class I HDACs 1 and 3 led to antidepressant effects, additional class II HDAC inhibition was necessary to exert anxiolytic effects. In fluoxetine-treated mice, HDAC inhibitors increased enrichment of acetylated histone H4 protein and RNA polymerase II at promotor 3 of the brain-derived neurotrophic factor (Bdnf) gene and increased Bdnf transcription from this promotor. Reducing Bdnf-stimulated tropomyosin kinase B receptor activation in fluoxetine-treated mice with low HDAC activity abolished the behavioral effects of fluoxetine, suggesting that the HDAC-triggered epigenetic stimulation of Bdnf expression is critical for therapeutic efficacy.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Anti-Anxiety Agents / pharmacology
  • Antidepressive Agents / pharmacology*
  • Behavior, Animal / drug effects
  • Brain-Derived Neurotrophic Factor / genetics
  • Brain-Derived Neurotrophic Factor / metabolism
  • Chromatin Immunoprecipitation
  • Epigenesis, Genetic / drug effects*
  • Female
  • Fluoxetine / pharmacology*
  • Histone Deacetylase Inhibitors / pharmacology
  • Histone Deacetylases / chemistry
  • Histone Deacetylases / genetics
  • Histone Deacetylases / metabolism*
  • Histones / genetics
  • Histones / metabolism
  • Male
  • Membrane Glycoproteins / metabolism
  • Mice
  • Mice, Inbred BALB C
  • Promoter Regions, Genetic
  • Protein-Tyrosine Kinases / metabolism
  • RNA Polymerase II / metabolism
  • Receptor, trkB
  • Transcription, Genetic / drug effects

Substances

  • Anti-Anxiety Agents
  • Antidepressive Agents
  • Brain-Derived Neurotrophic Factor
  • Histone Deacetylase Inhibitors
  • Histones
  • Membrane Glycoproteins
  • Fluoxetine
  • Protein-Tyrosine Kinases
  • Receptor, trkB
  • tropomyosin-related kinase-B, human
  • RNA Polymerase II
  • Histone Deacetylases