Therapeutic antidepressant potential of a conjugated siRNA silencing the serotonin transporter after intranasal administration

Mol Psychiatry. 2016 Mar;21(3):328-38. doi: 10.1038/mp.2015.80. Epub 2015 Jun 23.

Abstract

Major depression brings about a heavy socio-economic burden worldwide due to its high prevalence and the low efficacy of antidepressant drugs, mostly inhibiting the serotonin transporter (SERT). As a result, ~80% of patients show recurrent or chronic depression, resulting in a poor quality of life and increased suicide risk. RNA interference (RNAi) strategies have been preliminarily used to evoke antidepressant-like responses in experimental animals. However, the main limitation for the medical use of RNAi is the extreme difficulty to deliver oligonucleotides to selected neurons/systems in the mammalian brain. Here we show that the intranasal administration of a sertraline-conjugated small interfering RNA (C-SERT-siRNA) silenced SERT expression/function and evoked fast antidepressant-like responses in mice. After crossing the permeable olfactory epithelium, the sertraline-conjugated-siRNA was internalized and transported to serotonin cell bodies by deep Rab-7-associated endomembrane vesicles. Seven-day C-SERT-siRNA evoked similar or more marked responses than 28-day fluoxetine treatment. Hence, C-SERT-siRNA (i) downregulated 5-HT1A-autoreceptors and facilitated forebrain serotonin neurotransmission, (ii) accelerated the proliferation of neuronal precursors and (iii) increased hippocampal complexity and plasticity. Further, short-term C-SERT-siRNA reversed depressive-like behaviors in corticosterone-treated mice. The present results show the feasibility of evoking antidepressant-like responses by selectively targeting neuronal populations with appropriate siRNA strategies, opening a way for further translational studies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Intranasal
  • Animals
  • Antidepressive Agents / administration & dosage*
  • Arabidopsis Proteins / metabolism
  • Brain / cytology
  • Brain / drug effects
  • Brain / metabolism
  • Corticosterone / blood
  • DNA, Antisense / pharmacology
  • Depression / drug therapy*
  • Depression / pathology
  • Disease Models, Animal
  • Endocytosis / drug effects
  • Exploratory Behavior / drug effects
  • Fluoxetine / administration & dosage
  • Gene Expression Regulation / drug effects
  • Intramolecular Transferases / metabolism
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Neurons / drug effects
  • Neurons / metabolism
  • Phosphopyruvate Hydratase / metabolism
  • RNA, Small Interfering / administration & dosage*
  • Serotonin / metabolism
  • Serotonin Plasma Membrane Transport Proteins / genetics*
  • Serotonin Plasma Membrane Transport Proteins / metabolism
  • Sertraline / administration & dosage*
  • Time Factors

Substances

  • Antidepressive Agents
  • Arabidopsis Proteins
  • DNA, Antisense
  • RNA, Small Interfering
  • Serotonin Plasma Membrane Transport Proteins
  • Fluoxetine
  • Serotonin
  • Phosphopyruvate Hydratase
  • Intramolecular Transferases
  • marneral synthase, Arabidopsis
  • Sertraline
  • Corticosterone