Chronic stress and antidepressant treatment have opposite effects on P-glycoprotein at the blood—brain barrier: an experimental PET study in rats

Abstract

The multi-drug efflux transporter P-glycoprotein is expressed in high concentrations at the blood—brain barrier and has a major function in the transport of drugs. In a recent PET-study evidence was found for an increased function of P-glycoprotein at the blood—brain barrier in medicated patients suffering from major depressive disorder. We used small-animal PET and [¹¹C]-verapamil to study P-glycoprotein function at the blood—brain barrier of rats, either being administered as venlafaxine, an antidepressant, or subjected to chronic stress, a factor contributing to the development of depression. In a first experiment, male Wistar rats underwent a three-week foot shock procedure as a model of human depression. In a second experiment, rats were chronically treated with the antidepressant venlafaxine (25 mg/kg/d via an implanted osmotic minipump). In both experiments, a [¹¹C]-verapamil PET scan was performed. In the chronically stressed rats, the distribution volume (V_T) of [¹¹C]-verapamil was significantly increased, whereas treatment with venlafaxine had the opposite effect and caused a significant reduction in V_T. The changes in V_T could not be attributed to the influx rate constant (K₁). Our data suggest that P-glycoprotein function at the blood—brain barrier is inhibited by chronic stress and increased by chronic administration of venlafaxine.