Tesis Doctoral Aránzazu Ferrer

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Tesis Doctoral Aránzazu Ferrer DEPARTAMENT PSICOBIOLOGIA ESTUDIO DE LA MEDIACIÓN DEL SISTEMA HISTAMINÉRGICO EN EL EFECTO PRODUCIDO POR LA AMITRIPTILINA SOBRE LA EVITACIÓN INHIBITORIA EN RATONES ARÁNZAZU FERRER AÑÓ UNIVERSITAT DE VALENCIA Servei de Publicacions 2009 Aquesta Tesi Doctoral va ser presentada a València el dia 19 de desembre de 2008 davant un tribunal format per: - Dª. Alicia Salvador Fernández-Montejo - D. Jorge L. Arias Pérez - Dª. Azucena Valencia Jiménez - D. José María Calés de Juan - D. Santiago Monleón Verdú Va ser dirigida per: D. Andrés Parra Guerrero Dª. Concepción Vinader Caerols ©Copyright: Servei de Publicacions Aránzazu Ferrer Añó Depòsit legal: I.S.B.N.:978-84-370-7427-6 D.L.:V-1286-2009 Edita: Universitat de València Servei de Publicacions C/ Artes Gráficas, 13 bajo 46010 València Spain Telèfon: 963864115 UNIVERSITAT DE VALÈNCIA Facultad de Psicología Departamento de Psicobiología ESTUDIO DE LA MEDIACIÓN DEL SISTEMA HISTAMINÉRGICO EN EL EFECTO PRODUCIDO POR LA AMITRIPTILINA SOBRE LA EVITACIÓN INHIBITORIA EN RATONES TESIS DOCTORAL Presentada por: Aránzazu Ferrer Añó Dirigida por: Dr. Andrés Parra Guerrero Dra. Concepción Vinader Caerols Valencia, 2008 I UNIVERSITAT DE VALÈNCIA Facultad de Psicología Departamento de Psicobiología ESTUDIO DE LA MEDIACIÓN DEL SISTEMA HISTAMINÉRGICO EN EL EFECTO PRODUCIDO POR LA AMITRIPTILINA SOBRE LA EVITACIÓN INHIBITORIA EN RATONES TESIS DOCTORAL Presentada por: Aránzazu Ferrer Añó Directores: Dr. Andrés Parra Guerrero Dra. Concepción Vinader Caerols Valencia, 2008 II III a todas aquellas mujeres que no renuncian a disfrutar de una vida profesional y de una vida familiar a todos aquellos que aportan su granito de arena para que su lucha sea victoria IV V Agradecimientos: Mi más sincero agradecimiento a todas las personas que han contribuido a la elaboración de esta tesis. En especial, a mis tutores por permitir y dirigir mi camino como investigadora. A Andrés por compartir conmigo sus conocimientos, por su apoyo en ciertos momentos delicados, por su sinceridad, elegancia y por ese espíritu investigador tan magnético como contagioso. A Concha por el valioso tiempo empleado en corregir y dirigir esta tesis, por su espíritu de lucha y fortaleza. a Vicente, mi marido, por la participación activa en la elaboración de la tesis, por enseñarme conocimientos de informática, por su inestimable paciencia y apoyo . a mis hijas, Eva y Andrea, por hacer que intente sacar lo mejor que hay en mí; que luchen por sus sueños aunque los objetivos cambien por el camino. Ir a por lo que se desea por encima de los contratiempos, como un tiro de flecha, directo a su objetivo. a mis padres, por inculcarme el amor al estudio y al trabajo bien hecho, y por hacer que estos años de austeridad hayan sido mejor de lo que podrían haber sido. a quienes me hicieron sentir miembro de un grupo en el principio de mi vida como investigadora: Andrés, Concha, MCarmen Arenas, Santiago, Ana Martos, Estrella, Eva Mª Ortega y Dori. a Estrella, por iniciar la línea de investigación que he continuado y cuya tesis ha sido referencia continua en la presente, por su sinceridad, naturalidad, honestidad, sencillez, amistad, por contribuir a mi formación como investigadora y por estar siempre ahí a pesar de la distancia. al Fotoclub Alboraier. A Ana Rodri, por su amistad y por estar en mi ordenador con sus esperados mensajes. A Vicente, Esperanza, Esther Paredes, MCarmen Benitez, y Ester por su colaboración empujando el tren. A Loli, porque desde el anonimato he sentido su apoyo a mi trabajo. al Dr. Salvador Lluch y a Alexis Aceituno por sus consejos de farmacología. VI a Ferrán, Sonia, y Carmen Carrasco por ser algún día la única y sincera sonrisa que yo viera. A Ferrán por velar por la buena marcha de los experimentos, por sus silbidos ahuyentadores de problemas. A Carmen Carrasco, Rosa Redolat, Inés y Paloma Vicens por sus consejos en la realización de los experimentos para mi Tesina. a Marisa, José Carlos, Eva Martín, Luisa, Paco y Blanca por su profesionalidad. a Javi, Bruno, Manuel, Conchín, Inés, Paloma Vicens, Maribel, Paloma Botella, Gabriel, Juan, Cristina y al resto de mis compañeros por ayudarme cuando lo he necesitado y por hacer más agradables las horas pasadas en la Facultad. A Victoria, Chiara y Eva Mª Ortega por ayudarme en la realización de los experimentos. a quien pueda ayudarme a encontrar un lugar en la investigación o en la clínica del trastorno bipolar y su tratamiento, ganando mi sustento haciendo lo que tanto me atrae y desconozco. Litio. De alguna manera esconde el misterio de la unión cuerpo-alma, esconde la brújula del alma humana, capaz de mostrarnos el camino entre el paraíso y el infierno emocional. La cara oculta de la luna. al Dr. Santiago Grisolía por concederme una beca para asistir a los cursos de su Cátedra. A él y a quienes trabajan con él, como Pili, por ser enamorados de la ciencia e intentar que los nuevos descubrimientos estén al alcance de todos. a la Generalitat Valenciana por la concesión del proyecto GV97-SH-22-89 y al Ministerio de Ciencia y Tecnología por la concesión del proyecto de investigación BSO2003-07163, que han permitido la realización de esta tesis. A José Luis Gomis, Director General de Farmacia y Productos Sanitarios de la Conselleria de Sanitat por proporcionarme los datos de consumo de amitriptilina y antidepresivos en la Comunidad Valenciana. GRACIAS VII ÍNDICE CAPÍTULO 1- INTRODUCCIÓN........................................................................ 9 CAPÍTULO 2- FÁRMACOS ANTIDEPRESIVOS............................................. 13 2.1- Introducción................................................................................................... 13 2.1.1- Clasificación, curso y etiología de la depresión...................................... 13 2.1.2- Bases biológicas de la depresión............................................................. 22 2.2- Clasificación y efectos secundarios............................................................... 35 2.2.1- Clasificación de los antidepresivos......................................................... 35 2.2.2- Efectos secundarios................................................................................. 41 2.3- Amitriptilina................................................................................................... 45 2.3.1- Introducción............................................................................................ 45 2.3.2- Farmacocinética...................................................................................... 47 2.3.3- Mecanismo de acción de la amitriptilina................................................ 50 CAPÍTULO 3- MEMORIA.................................................................................... 55 3.1- Introducción................................................................................................... 55 3.2- Memoria......................................................................................................... 57 3.2.1- Tipos de memoria................................................................................... 62 3.2.2- Anatomía de la memoria......................................................................... 65 3.2.3- Sistemas de neurotransmisión que intervienen en la memoria............... 79 3.2.4- Biología molecular de la memoria.......................................................... 98 3.3- Condicionamiento de evitación inhibitoria.................................................... 102 3.3.1- Introducción............................................................................................ 102 1 3.3.2- Neurobiología de la evitación inhibitoria................................................ 105 CAPÍTULO 4- ANTIDEPRESIVOS Y MEMORIA........................................... 123 4.1- Introducción................................................................................................... 123 4.2- Depresión y memoria..................................................................................... 124 4.3- Antidepresivos y memoria............................................................................. 129 4.3.1- Efectos cognitivos de los antidepresivos en humanos............................ 129 4.3.2- Efectos de los antidepresivos en animales.............................................. 136 CAPÍTULO 5- OBJETIVOS E HIPÓTESIS....................................................... 143 CAPÍTULO 6- EXPERIMENTOS........................................................................ 145 6.1- EXPERIMENTO 1: “Efecto de la administración postadquisición de amitriptilina sobre el aprendizaje de evitación inhibitoria con dos intensidades de shock (0,2 y 0,4 mA) y extinción forzada.”.............................................................. 147 6.1.1- Introducción............................................................................................ 147 6.1.2- Material y método................................................................................... 148 6.1.3- Resultados............................................................................................... 153 6.1.4- Discusión................................................................................................. 155 6.2- EXPERIMENTO 2: “Efecto de la administración pre y postadquisición de amitriptilina sobre el aprendizaje de evitación inhibitoria y la ejecución en el laberinto en cruz elevado”......................................................................................... 157 6.2.1- Introducción...........................................................................................
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