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cAMP/PKA/CREB/GLT1 signaling involved in the antidepressant-like effects of phosphodiesterase 4D inhibitor (GEBR-7b) in rats

Authors Liu X, Guo H, Sayed MDSM, Lu Y, Yang T, Zhou D, Chen Z, Wang H, Wang C, Xu J

Received 23 June 2015

Accepted for publication 13 October 2015

Published 21 January 2016 Volume 2016:12 Pages 219—227


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 5

Editor who approved publication: Professor Wai Kwong Tang

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Xu Liu,1,2,* Haibiao Guo,1,* Mohammad Daud SOM Sayed,3,4,* Yang Lu,3,4,* Ting Yang,5,* Dongsheng Zhou,6 Zhongming Chen,6 Haitao Wang,1 Chuang Wang,3,4 Jiangping Xu1

1Guangdong Provincial Key Laboratory of New Drug Screening, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, Guangdong, 2Department of Pharmacy, General Hospital of Chinese People’s Armed Police Forces, Beijing, 3Ningbo Key Laboratory of Behavioral Neuroscience, 4Zhejiang Provincial Key Laboratory of Pathophysiology, School of Medicine, Ningbo University, Ningbo, Zhejiang, 5Department of Pediatrics, The Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, 6Department of Geriatric Psychiatry, Ningbo Kangning Hospital, Ningbo, Zhejiang, People’s Republic of China

*These authors contributed equally to this work

Objectives: GEBR-7b, a potential phosphodiesterase 4D inhibitor, has been shown to have memory-enhancing effects in rodents. However, it is still unknown whether GEBR-7b also has the antidepressant-like effects in rats. Herein, we examined the potential of GEBR-7b to ­attenuate depression-like behaviors in the rat model of depression induced by chronic unpredictable stress (CUS). Next, we also investigated the alterations of cyclic adenosine monophosphate (cAMP), protein kinase A (PKA) catalytic subunit (PKAca), cAMP response element-binding (CREB), and glutamate transporter 1 (GLT1) levels produced by GEBR-7b in the rats model of depression.
Methods: Effects of GEBR-7b on CUS (35 days)-induced depression-like behaviors were examined by measuring immobility time in the forced swimming test (FST). Hippocampal cAMP levels were examined by enzyme-linked immunosorbent assay, whereas PKAca, phosphorylation of CREB (pCREB), CREB, and GLT1 in the hippocampus of rats were subjected to Western blot analysis.
Results: CUS exposure caused a depression-like behavior evidenced by the increased immobility time in FST. Depression-like behavior induced by CUS was accompanied by a significant increased GLT, decreased cAMP, PKAca, pCREB activities in hippocampus. However, repeated GEBR-7b administration significantly reversed CUS-induced depression-like behavior and changes of cAMP/PKA/CREB/GLT1 signaling. No alteration was observed in locomotor activity in open field test.
Conclusion: These findings indicate that GEBR-7b reversed the depression-like behaviors induced by CUS in rats, which is at least in part mediated by modulating cAMP, PKAca, pCREB, and GLT1 levels in the hippocampus of rats, supporting its neuroprotective potential against behavioral and biochemical dysfunctions induced by CUS.

Keywords: phosphodiesterase 4D, GEBR-7b, cyclic adenosine monophosphate, protein kinase Aca, cAMP response element-binding protein, phosphorylation of CREB, glutamate transporter 1



Depression is the most common serious brain disorder with a lifetime prevalence of up to 17%. Currently available antidepressants have significant limitations, most notably low response rate and delay in onset of action. Indeed, speaking of depression, a key question has always been why therapeutic responses with antidepressants could only be achieved after at least 3–8 weeks of treatment, whereas antidepressants alter synaptic monoamine levels within hours,1 suggesting that the monoaminergic hypothesis cannot fully explain the pathophysiological mechanism of depression and the action of antidepressants. In the brain, beyond the level of monoaminergic receptor signaling, cyclic adenosine 3′,5′-monophosphate (cAMP) signaling has been shown to be implicated in mechanism of reduced synaptic plasticity, and neuronal survival may contribute to the pathophysiology of depression.24 Recently, accumulating evidence indicates that dysfunction in glutamatergic neurotransmission also contributes to the pathophysiology of depression.5 Consequently, the modulation of glutamatergic neurotransmission represents a new strategy for antidepressant development.6 To date, five excitatory amino acid transporters (EAATs), termed GLAST, GLT-1, EAAC1, EAAT4, and EAAT5, have been identified. The predominant glutamate transporter in the adult brain among the five EAATs, EAAT2, was also identified in the rodent as glutamate transporter 1 (GLT1), which was expressed predominantly in astrocytes and is responsible for 90% of total glutamate uptake to prevent neuronal excitotoxicity and hyperexcitability.7,8 In addition, given that a previous study revealed that glutamate uptake is regulated at multiple levels9 and that the expression of the transporter protein is regulated by cAMP and cAMP response element-binding protein (CREB),10 it further demonstrates that cAMP-mediated signaling may also play regulatory in the GLT1.

cAMP was originally shown to induce gene transcription through activation of cAMP-dependent protein kinase (PKA), and subsequent phosphorylation of the transcription factor CREB at serine-133.11 Growing evidence suggests that phosphodiesterase-4 (PDE4), one of eleven PDE enzyme families, is particularly important for controlling intracellular cAMP concentrations and is considered to be a prime target for therapeutic intervention for depression,1214 and this is supported by an increasing number of animal and clinical studies.12,1418

Although PDE4 inhibitors have a promising antidepressant effects, no PDE4 inhibitors have yet been approved as antidepressants because of their side effects such as emesis.19 Recently, an interesting phosphodiesterase 4D inhibitor (GEBR-7b), which is a full inhibitor of PDE4D, was found.20 Compared to protypical PDE4 inhibitor rolipram, GEBR-7b was 10 times more effective in improving memory performance in healthy rodents, and reduced emesis response 100 times.20 These results indicated that the GEBR-7b showed promise for the development of new antidepressant. In this study, we investigated whether chronic treatment with GEBR-7b could reverse the depression-like behaviors induced by chronic unpredictable stress (CUS) via restoring cAMP, PKA, and phosphorylation of CREB (pCREB). Additionally, we also examined whether GLT1 is also involved in the antidepressant-like effects of GEBR-7b in rats.


Experiments were conducted on adult, male Sprague Dawley rats (weighing 200–220 g upon arrival), which were born and reared in the animal facility of the Ningbo University Medical School, People’s Republic of China. All animals were housed in a room maintained at 23°C±2°C and 60%±5% relative humidity under a 12-hour light/12-hour dark cycle (lights on at 07 am) with ad libitum access to food and water when the stressors were not applied. Animals were habituated to housing conditions for 7 days prior to the beginning of experimental procedures. All stressors were applied to animals outside of their housing area in a separate procedure room. All experiments involving animals were performed according to the National Institutes of Health (NIH) Guides for the Care and Use of Laboratory Animals (NIH Publications Number 80-23, revised 1996) and were approved by the Institutional Animal Care and Use Committee of Ningbo University Medical School, People’s Republic of China (Number NBU20140089).


GEBR-7b, which was purchased from Millipore (Temecula, CA, USA), was dissolved in dimethyl sulfoxide and kept at 4°C; this stock solution was used for further dilutions in 0.5% methylcellulose. All injection solutions consisted of 0.5% methylcellulose with fixed dimethyl sulfoxide percentages (0.01% for rats). The solution was given intraperitoneally (0.05 mg/kg, i.p.) and the injection volume was 1 mL/100 g.

CUS paradigm and drug treatment

Briefly, CUS consisted of exposure to a variety of unpredictable stressors (randomly), as shown in Table 1. It consisted of a variety of stressors applied randomly and at varying times of the day for 35 days. Rats were divided into three groups, ie, nonstressed rats treated with vehicle (n=8), CUS rats treated with vehicle (n=8), and CUS rats treated with GEBR-7b (n=8). Animals in the CUS treated with vehicle group and CUS treated with GEBR-7b group were first exposed to CUS for 21 days, and then were treated with vehicle or GEBR-7b (0.05 mg/kg, i.p.) respectively for 14 days, 30 minutes before the application of stress daily. During the 14 days of vehicle or GEBR-7b treatment, CUS rats were continuously exposed to stressors as shown in Table 1. All animals were subjected to open field test (OFT) and forced swimming test (FST) to confirm the depression-like behaviors induced by CUS. Immediately after the behavioral tests, the rats were killed by decapitation, and the hippocampi were collected for the detection of cAMP levels by enzyme-linked immunosorbent assay (ELISA), and PKAca, pCREB, CREB, and GLT1 protein expression were analyzed by Western blot analysis.

Table 1 Schedule of stressor used in the 35-day CUS procedure
Abbreviation: CUS, chronic unpredictable stress.

Behavioral testing


The OFT is a simple test used to determine general activity levels, gross locomotor activity, and exploration habits in rodent models. Assessment takes place in a square, white Plexiglas box. The rat was placed in the arena and allowed to freely move about for 5 minutes while being recorded by an overhead camera (Noldus Information Technology, Leesburg, VA, USA). After each test, the apparatus was sprayed with dilute alcohol and wiped thoroughly to eliminate the residual odor. Testing was performed in a temperature-, noise-, and light-controlled room. Total distance traveled and movement velocity were measured.


Briefly, animals were placed in a cylindrical tank (60 cm height, 30 cm diameter) filled with tap water (25°C) to a depth of 45 cm for 5 minutes. The behaviors in the FST were recorded by video cameras, one positioned on top of the swimming tank and another positioned on the side. The total time during which the rat made only small movements necessary to keep the head above water was considered the duration of immobility. To eliminate the influence of potential alarm substances, freshwater was introduced prior to each test. Trained observers blind to the drug treatments scored the video recordings.

cAMP assay

The hippocampus was dissected out bilaterally, frozen in liquid nitrogen, homogenized in ice-cold radioimmunoprecipitation assay (RIPA) lysis buffer and diluted with 0.1 N HCl to a final protein concentration of 1 mg/mL, and then centrifuged at 13,000× g for 30 minutes at 4°C. The cAMP levels from the samples were determined by ELISAassay (Assay Designs, Ann Arbor, MI, USA). The optical density was read at 405 nm using an ELX800 Universal Microplate Reader (Bio-TEK Instruments, Winooski, VT, USA). The cAMP concentration was expressed as pmol/mL.

Western blot analysis

Western blot analysis was performed as previously described in our study (Wang et al11). Briefly, hippocampal tissues were homogenized in the RIPA lysis buffer (50 mM Tris-HCl pH 7.4, 150 mM NaCl, 1% NP-40, 0.5% sodium deoxycholate, 0.1% sodium dodecyl sulfate; Upstate Biotechnology, Temecula, CA, USA) containing protease and phosphatase inhibitors (Pierce Biotechnology, Rockford, IL, USA) and then centrifuged at 15,000× g for 30 minutes. Samples (80 μg protein each) were separated using sodium dodecyl sulfate–polyacrylamide gel electrophoresis and subsequently transferred to polyvinylidene difluoride membranes (0.22 μm; Millipore). The samples were then incubated overnight with rabbit anti-pCREB (Ser133) (1:1,000; Millipore), anti-CREB (1:1,000; Millipore), GLT1 (1:1,000; Millipore), anti-PKAca antibody (1:1,000; Abcam, Burlingame, CA, USA), and anti-β-actin antibodies (1:1,000; Cell Signaling, Danvers, MA, USA) at 4°C. Afterward, the membranes were incubated with Alexa Fluor 700-conjugated goat anti-rabbit antibody (1:10,000; Invitrogen, OR, USA) for 60 minutes. Detection and quantification of specific bands were performed using a fluorescence scanner (Odyssey Infrared Imaging System, LI-COR Biotechnology, Lincoln, NE, USA). For band stripping, the membranes were incubated with a stripping buffer (Chemicon, Temecula, CA, USA) for 15 minutes.

Statistical analyses

Data are expressed as the means ± standard error of means and statistically analyzed by one-way analysis of variance (ANOVA) followed by the Newmane–Keuls multiple comparison test using the commercially available GraphPad Prism 5.0 software (GraphPad Software, San Diego, CA, USA). A P-value <0.05 was considered to indicate statistical significance.


Effects of GEBR-7b on CUS-induced depression-like behaviors in rats

The time course of stress exposure, drug treatment, and behavioral tests is shown in Figure 1A. For behavioral tests, one-way ANOVA indicated significant differences among three treatments in their effect on open field behaviors: exploratory activity [F(2,21) =11.53, P=0.0004; Figure 1B] and movement velocity [F(2,21) =91.92, P<0.0001; Figure 1C]. In addition, post hoc test revealed that CUS rats treated with vehicle exhibited a significant decrease in exploration (P<0.01) and movement velocity (P<0.01) compared with the nonstressed rats treated with vehicle; however, GEBR-7b treatment had no significant effect on open field measures when CUS rats treated with GEBR-7b were compared with CUS rats treated with vehicle. In the FST, one-way ANOVA showed significant effects of treatment with GEBR-7b on immobility time [F(2,21) =8.891, P=0.0016; Figure 1D]. A post hoc test demonstrated that GEBR-7b treatment significantly decreased immobility time (P<0.01) in CUS rats treated with GEBR-7b (Figure 1D) compared with CUS rats treated with vehicle. Reversal of CUS-induced “behavioral despair” by 14-day treatment with GEBR-7b confirmed the antidepressant-like effects of GEBR-7b.

Figure 1 Effect of chronic GEBR-7b treatment on CUS-induced depression-like behaviors in rats.
Notes: (A) Schematic representation of the experimental procedure for CUS and treatments in rats. CUS rats were exposed to one stressor per day for 21 days, and then received 14 days of GEBR-7b or vehicle injections during which CUS continued. (B) OFT: exploratory activities (total distance traveled) were evaluated in a 5-minute test session. (C) OFT: movement velocity was evaluated in a 5-minute test session. (D) FST: time spent for immobility was scored for a 5-minute-test session. Results are expressed as mean ± SEM (n=8 per group). *P<0.01, compared to nonstressed rats treated with vehicle; **P<0.05.
Abbreviations: CUS, chronic unpredictable stress; OFT, open field test; FST, forced swimming test; SEM, standard error of the mean; ip, intraperitoneal injection.

Effects of GEBR-7b on the levels of cAMP and expression of PKAca, pCREB, CREB, and GLT1 in the hippocampus of rats

As shown in Figure 2, CUS significantly decreased the levels of cAMP [F(2,21) =19.16, P<0.0001; Figure 2] and the expression of PKAca [F(2,21) =8.453, P=0.0020; Figure 3B], pCREB [F(2,21) =34.74, P<0.0001; Figure 3C], and GLT1 [F(2,21) =13.05, P=0.0002; Figure 3E] in the hippocampus compared with nonstressed rats treated with vehicle group. In addition, GEBR-7b (0.05 mg/kg, ip) significantly reversed the CUS-induced changes in cAMP (P<0.01), PKAca (P<0.01), pCREB (P<0.01), and GLT1 (P<0.01) in the hippocampus of rats. However, none of the treatments affected the expression of CREB [F(2,21) =0.4413, P=0.6490; Figure 3D] in the hippocampus of rats.

Figure 2 Chronic GEBR-7b treatment reverses chronic unpredictable stress (CUS)-induced reduction of cAMP levels in the hippocampus of rats.
Notes: Data shown are means ± SEM of eight animals/group, and these were analyzed using one-way ANOVA followed by Newman–Keuls tests. *P<0.01 vs nonstressed rats treated with vehicle; **P<0.01 versus stressed rats treated with vehicle.
Abbreviations: CUS, chronic unpredictable stress; cAMP, cyclic adenosine monophosphate; SEM, standard error of the mean; ANOVA, analysis of variance.

Figure 3 Effect of chronic GEBR-7b treatment on expression of PKAca, pCREB, CREB, and GLT1 in the hippocampus of rats.
Notes: (A) Representative immunoblots of PKAca, pCREB, CREB, and GLT1 detected by Western blotting with tissues from the hippocampus; the rest of the panels are the quantification of the immunoblotting bands of PKAca (B), pCREB (C), CREB (D), and GLT1 (E). Data shown are mean ± SEM of eight animals/group and were analyzed using one-way ANOVA followed by Newman–Keuls tests. *P<0.01 vs nonstressed rats treated with vehicle; **P<0.01 vs stressed rats treated with vehicle.
Abbreviations: PKAca, protein kinase A catalytic subunit; pCREB, phosphorylation of cAMP response element-binding; CREB, cAMP response element-binding; GLT1, glutamate transporter 1; cAMP, cyclic adenosine monophosphate; CUS, chronic unpredictable stress; SEM, standard error of the mean.


In this study, we demonstrated that 2-week treatment with GEBR-7b significantly reversed CUS-induced depression-like behaviors and also restored the CUS-induced downregulation of cAMP, PKAca, pCREB, and GLT1 in hippocampus of rats. Given that the selection of hippocampus was based on the evidence that it plays an important role in the regulation of mood disorders,21,22 our current data may suggest a potential relationship between antidepressant-like effects of GEBR-7b and the hippocampus.

The CUS procedure is one of the well-validated animal models of depression and mimics the stressful events common in human society.15 Based on our preliminary data, the 35-day CUS duration was chosen in our present study. Additionally, the depression-like behavior was examined by the FST, which is widely employed as a behavioral tool to determine depression-like behaviors in animals after exposure to CUS.23 This task is also quite sensitive to all major classes of antidepressant drugs including tricyclics, serotonin-specific reuptake inhibitors, monoamine oxidase inhibitors, and atypicals.2426 Further, an evaluation of locomotor and exploratory activities by OFT was also conducted to exclude mismatch factors to the FST. In this parameter, it was observed that the reduction in the immobility time in the FST elicited by GEBR-7b was not accompanied by alterations on the locomotor activity. Our findings provided further confirmation that PDE4D inhibitor may play an important role in antidepressant actions.

The inhibition of PDE4 enzyme is a way to augment the second messenger cAMP transduction pathway, and PDE4 has been studied as a potential target for treating depression for more than 20 years.27 Four different subtypes of PDE4 have been cloned and are termed PDE4A, PDE4B, PDE4C, and PDE4D, with multiple splice variants for each gene.28 PDE4 inhibitors have been widely investigated for their antidepressant effects in both animals and humans14,29 and, within this context, PDE4D has been proposed as the PDE subtype responsible for the antidepressant effects of rolipram.30 However, despite its potential clinical relevance, the therapeutic use of rolipram is limited because of the acute emesis occurring after its administration.31 Recently, a growing body of data has shown that the novel selective PDE4D inhibitor GEBR-7b is able to improve the late-phase consolidation processes of spatial and object recognition memory and increase the hippocampal levels of cAMP in vivo.20 Consistent with the previous results obtained, the results of this study showed that the cAMP levels in the hippocampus were significantly increased by GEBR-7b. Furthermore, our current study also provided a novel report that the GEBR-7b significantly reversed the depression-like behaviors induced by CUS in rats.

Earlier studies revealed that glutamatergic neurotransmission is involved in the pathogenesis of stress and depression-like behaviors.32,33 The previous studies demonstrated that the intracerebroventricular infusion of the astrocytic glutamate reuptake inhibitor dihydrokainic acid produces depression-like behaviors in rats,34 indicating that glutamate uptake may play a critical role in the pathophysiology of depression. Given that cAMP mediates the increase in glutamate uptake in both slices and cultured astrocytes, and cellular activity appears to be necessary for cAMP to be effective in both slices and cultured astrocytes,35 it is important to further clarify whether the GLT1 is also involved in the antidepressant effects of GEBR-7b. To the best of our knowledge, this is the first report showing that GLT1 involved in cAMP/PKA/CREB signaling and antidepressant-like effects of GEBR-7b.

Interestingly, in the present work, the downregulation of GLT1 induced by CUS could be reversed by chronic GEBR-7b administration, suggesting that GLT1 may be involved in the antidepressant actions of GEBR-7b. Consistent with the previous work reported by Zink et al,36 our results shown that the GLT1 levels were reduced in the hippocampus of rats by CUS. However, in contrast with a previous study which demonstrated that chronic stress increased GLT1 immunoreactivity,37 GLT1 mRNA levels and GLT1 protein expression increased in the hippocampus of rats following 21 days of CUS.38,39 Although the mechanisms responsible for these CUS-induced upregulation of GLT1 are unclear, our current work employed the CUS (35-day) regimen of varied stressors for a longer duration than the 21-day regimen, which was used in previous works,3739 and this may explain the inconsistency. Therefore, the increase of GLT1 levels may occur as a compensatory response to stress-induced elevations in glutamate. In support of this hypothesis, the application of glutamate to primary glial cultures dose-dependently increases GLT1 mRNA.40 However, a series of previous studies conducted by Banasr et al4143 and Czeh et al44 have demonstrated that CUS for 35 days in rats significantly suppressed cell proliferation in the cerebral cortex,43 induced the reduction in glial cell density in the prefrontal cortex of adult rats,42 and decreased the glial fibrillary acidic protein (GFAP, a key cytoskeletal protein of astrocytes) mRNA expression in the prefrontal cortex41 and the number of GFAP-positive cells in the hippocampus.44 With an increased stress intensity and a prolonged stress duration time, elevated GLT1 is not sufficient to resist the rising glutamate in the synaptic cleft. Therefore, excessive synaptic cleft glutamate inhibits or even damages the function of astrocytes,4143 which leads to the decreased expression of GLT1 and further strengthens glutamate excitotoxicity. However, the precise mechanisms of different CUS duration that changes the GLT1 levels need to be further clarified. In addition, Hughes et al45 suggested that GFAP might play a pivotal role in PKA-induced GLT1 trafficking at the astrocytic membrane in the hippocampus, indicating that cAMP/PKA/pCREB signaling may be involved in the upregulation of GLT1 produced by GEBR-7b.

Taken together, the results of this study suggest that GEBR-7b can reverse the downregulation of cAMP/PKA/pCREB/GLT1 signaling under the chronic stress condition and improve depression-like behaviors of rats (The possible mechanism of GEBR-7b reversed CUS-induced depression-like behaviors in rats is shown in Figure 4). Based on the aforementioned findings, our finding further concluded that GEBR-7b may be an innovative candidate for an antidepressant. However, further studies are warranted to examine the possible mechanism(s) of GLT1’s involvement in the antidepressant effects of GEBR-7b and are also need to clarify whether GLT1 is a key downstream mediator of cAMP/PKA/CREB signaling in the antidepressant-like activity of GEBR-7b.

Figure 4 Diagram of signaling pathway indicating the possible mechanism by which GEBR-7b reversed CUS-induced depression-like behaviors in rats.
Notes: GEBR-7b inhibited the PDE4D activity, and further increased the levels cAMP, PKA, and pCREB, resulting in the upregulation of GLT1 in hippocampus of rats. → indicates activate/induce. →l indicates inhibit/antagonism.
Abbreviations: CUS, chronic unpredictable stress; PDE4D, phosphodiesterase 4D; cAMP, cyclic adenosine monophosphate; PKA, protein kinase A; pCREB, phosphorylation of cAMP response element-binding; GLT1, glutamate transporter 1; PKAca, protein kinase A catalytic subunit; CBP, CREB binding protein.


This work was supported by National Natural Science Foundation of China (Number 81201050; Number 81271209, and Number 81371224); Natural Science Foundation of Zhejiang province (Number LQ12H09001); Natural Science Foundation of Ningbo (Number 2012A610249); The Open Research Fund of State Key Laboratory of Bioelectronics, Southeast University (To Junfang Zhang) and Zhejiang “Climbing” Program (PD2013104). Student Research and Innovation Program (SRIP) of Ningbo University. This project was also sponsored by KC Wong Magna funded at Ningbo University.


The authors report no conflicts of interest in this work.



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