We have shown that melancholic depressives have a reduction in the exogenous phosphorylation activity of protein kinase A (PKA) relative to normal volunteers using cultured skin fibroblasts. In this study we contrasted melancholics and normals with regard to three factors: (1) The binding of [H] cyclic AMP to PKA; (2) The phosphorylation of endogenous CREB; and (3) The alteration of the expression of a CREB/CRE-dependent transfected luciferase reporter gene. Methods: Fibroblasts were cultured from drug-free subjects with DSM-IV major depression (melancholic type) and normal volunteers. [H] cyclic AMP binding (7 nM) was determined in the 48,000 3 g supernatant fraction. Cultures were incubated with 1 mM isoproterenol for 10 minutes after which CREB/CREB-P were assayed by subjecting nuclear lysates to gel electrophoresis followed by immunoblotting using polyclonal anti-CREB/CREB-P. Fibroblasts were also stably transfected with the luciferase reporter plasmid pAD neo2-C 12-BGL to evaluate any alteration in cAMP-PKA-CREB-dependent gene expression. Results: [H] cyclic AMP binding was significantly reduced in melancholics (p , 0.02): 902 6 73 vs. 631 6 51 fmol/mg protein. Isoproterenol-stimulated CREB-P and luciferase gene expression are also reduced in fibroblasts from melancholics. Both of these effects were blocked by the beta-2 antagonist ICI 118551. Conclusions: The previous finding of an abnormality of PKA activity in melancholia are now extended to suggest a reduction in CREB-P formation and an alteration in the expression of a specific CREB-CREdependent genes. We also will present newer data regarding differential expression of endogenous genes by differential display.
Read full abstract