Gallager D W, Aghajanian G K
Eur J Pharmacol. 1976 Oct;39(2):341-55. doi: 10.1016/0014-2999(76)90144-8.
The activity of serotonergic (5HT) neurons in the dorsal raphe nucleus was inhibited by the i.v. administration of certain antipsychotic drugs (methiothepin, clozapine and thioridazine). However, other antipsychotic agents (chlorpromazine, haloperidol and pimozide) did not inhibit raphe cell firing. The inhibitory potency of these drugs on raphe activity correlates with reported central noradrenergic blocking efficacy. An alpha-adrenergic blocking agent, piperoxane, but not the beta-blocking agents, propranolol and MJ 1999, inhibited raphe activity when administered systemically. All of these drugs appear to act indirectly since they (and NE) have relatively weak or variable effects when applied microiontophoretically to raphe neurons. The depressant effects of certain antipsychotic drugs and piperoxane on 5HT neurons appears to be mediated by a cnetral adrenergic system since (1) the depression could be reversed by the catecholamine releasing agents 1- and d-amphetamine; (2) the depression could be abolished by destruction of adrenergic pathways in the CNS by chemical, mechanical, or electrothermic lesions. While a precise localization has not yet been obtained, the data suggest that these drug effects may be mediated by an adrenergic pathway ascending from the lower brainstem.
静脉注射某些抗精神病药物(甲硫达嗪、氯氮平和硫利达嗪)可抑制中缝背核中5-羟色胺能(5HT)神经元的活动。然而,其他抗精神病药物(氯丙嗪、氟哌啶醇和匹莫齐特)并未抑制中缝核细胞的放电。这些药物对中缝核活动的抑制效力与所报道的中枢去甲肾上腺素能阻断效力相关。一种α-肾上腺素能阻断剂哌罗克生,而非β-阻断剂普萘洛尔和MJ 1999,全身给药时可抑制中缝核活动。所有这些药物似乎都是间接起作用,因为当通过微离子透入法应用于中缝核神经元时,它们(以及去甲肾上腺素)具有相对较弱或多变的作用。某些抗精神病药物和哌罗克生对5HT神经元的抑制作用似乎是由中枢肾上腺素能系统介导的,因为(1)儿茶酚胺释放剂左旋和右旋苯丙胺可逆转这种抑制作用;(2)通过化学、机械或电热损伤破坏中枢神经系统中的肾上腺素能通路可消除这种抑制作用。虽然尚未获得精确的定位,但数据表明这些药物作用可能是由一条从脑干下部上行的肾上腺素能通路介导的。