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"Depresstion and Old Age" by: Michael Mozdy (Research/Penn State, Vol. 18,
no. 1 (January, 1997))
Sitting at a lab desk, more like a console than a table, Jane
Smith intently grasps the space-age controls. A hint of
perspiration crowns her forehead as the faint whine of a drill is
replaced by the sound of slick-moving mechanical parts. She
focuses on the deft hand movements needed to manipulate a
threadlike glass pipette. Slowly it enters the shaved skull of
her "anesthetized recording preparation" (in this case,
a rat). Carefully she explores its brain cavity. She's hunting
for certain cells, and she can hear them coming.
Smith, a graduate student in pharmacology at Penn State's
Hershey Medical Center, is immersed in a lab technique called
electrophysiology -- the study of electrical conductivity in
animal tissue. She is trying to find the best chemical treatment
for depression in the elderly."The incident rate of
depression is over 18 percent in the elderly, compared to about 8
percent in young adults," she explains, "and it is also
an early sign of Alzheimer's disease."
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Depression affects 18 percent of the elderly, but only 8 percent
of the young. Why? Is there a medical reason -- and perhaps a cure?
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The playground for depression is, of course, the brain, but
more specifically, the serotonergic system. The central
nervous system abounds in molecules that shuttle back and forth
between brain cells, or neurons, in spaces called synapses. One
of these molecules, serotonin, can be likened to a good diplomat.
Serotonin's headquarters is in the raphe nuclei, located in the
most primitive part of the brain, the brainstem. Serotonin
molecules travel like an entourage of ambassadors, opening up
channels of communication between neurons. Despite being
outnumbered one million-to-one by other neurons in the brain, the
few hundred thousand serotonin neurons have great connections:
each one exerts an influence over as many as 500,000 target
neurons, according to a 1994 study by Barry Jacobs of Princeton
University. Serotonin is a major player in such involuntary
actions as digestion, respiration, and sensory processing, as
well as in voluntary actions like the movement of limbs and fine
motor functions. Most importantly for Smith, the lack of
serotonin around brain synapses has been linked to depression.
Chemical treatments for depression pivot around keeping
serotonin around the synapses for a longer time. Serotonin is
normally removed by proteins called serotonin transporters, which
take the molecule back into the cell where it is broken down.
Antidepressants bind the serotonin transporters, making serotonin
uptake impossible.
How, Smith asks, do these serotonin transporters change with
age? To find out, she studied the interaction of antidepressants
with serotonin transporters in four groups of rats: young (3-8
months), middle aged (11-12 months), old (17-22 months), and
oldest old (27 months).Her pipette -- actually a very
sophisticated instrument -- contains five barrels, one in the
middle that records the cells' firing across the synapse, and
four others that release serotonin and several different
antidepressants, including one akin to prozac, and a new drug
named duloxetine. The recording is done with a tiny electrode
(only 10 microns or one-ten-thousandth of a millimeter across).
Smith controls a filter, or window discriminator, that refines
the electrode's recording signal by blocking out background
noise. She hears cells coming because the discriminator is hooked
up to a speaker as well as to a visual instrument called an
oscilloscope. Watching and listening, Smith picks out a promising
cell from its neighbors and starts collecting clues.
Interestingly, she has found that antidepressants don't work
as well in older brains, especially in the oldest old category.
Since many antidepressants work selectively on the serotonin
transporter, antidepressant ineffectiveness means that the
transporter is not functioning the same as it does in younger
subjects. "Some people have done similar tests in the young
and the oldest old, or young and middle age, but no one has
looked at it over all four ages and using this in vivo
preparation," she notes.
Smith must now unravel these electrophysiological clues.
"I've started molecular work that will look at the actual
serotonin transporter protein and correlate it with the animal's
age," she says. "I want to see what declines: the
number of proteins? or their efficiency in binding?"
Jane E. Smith is a graduate student in the department of
pharmacology in the College of Medicine. Her adviser is Joan M.
Lakoski, Ph.D., associate professor of pharmacology and
anesthesia in the College of Medicine, Milton S. Hershey Medical
Center, 500 University Dr.,Box 850, Hershey, PA 17033;
717-531-8287. Her work is supported by the Interdisciplinary
Training Program in Gerontology and the deparment of pharmacology
at Penn State, and by the National Institute on Aging.
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