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文拉法辛对大鼠额叶皮质细胞外5-羟色胺(5-HT)和去甲肾上腺素浓度的影响:通过5-HT1A受体拮抗作用增强

Effects of venlafaxine on extracellular concentrations of 5-HT and noradrenaline in the rat frontal cortex: augmentation via 5-HT1A receptor antagonism.

作者信息

Dawson L A, Nguyen H Q, Geiger A

机构信息

CNS Disorders, Wyeth-Ayerst Research, Princeton, NJ 08543-8000, USA.

出版信息

Neuropharmacology. 1999 Aug;38(8):1153-63. doi: 10.1016/s0028-3908(99)00052-0.

Abstract

Venlafaxine is a novel serotonin/noradrenaline reuptake inhibitor (SNRI) which has been shown clinically to be an effective antidepressant (AD) with a faster onset of action than serotonin specific reuptake inhibitors (SSRI). Preclinically, venlafaxine has been shown to potently inhibit dorsal raphe neuronal (DRN) firing through a 5-HT1A mediated mechanism, in a similar manner to SSRIs. Here we demonstrate the acute neurochemical effects of venlafaxine on extracellular concentrations of 5-HT and noradrenaline (NA) from the rat frontal cortex using in vivo microdialysis. Administration of venlafaxine (3-50 mg/kg s.c.) resulted in a significant dose-dependent increase in extracellular NA, but produced no significant increase in 5-HT concentrations. Combination treatment with the selective 5-HT1A antagonist WAY100635 produced a dose-dependent augmentation of venlafaxine-induced (3-30 mg/kg s.c) extracellular 5-HT concentrations, but had no further effect on NA above that produced by venlafaxine alone. WAY100635, at doses as low as 0.03 mg/kg s.c., maintained this potentiation effect. The beta-adrenergic/5-HT1A receptor antagonist (+/-)pindolol and the selective 5-HT1B/D antagonist GR127935 produced no significant augmentation of venlafaxine-induced changes in either 5-HT or NA. Using the alpha1 and alpha2-adrenoceptor antagonists, prazosin and idazoxane, we also demonstrate the role of the alpha-adrenoceptors in the augmentation of venlafaxine-induced changes. The possible mechanisms underlying venlafaxines improved clinical AD action and the potential for further enhancement of this SNRIs clinical effects are discussed.

摘要

文拉法辛是一种新型的5-羟色胺/去甲肾上腺素再摄取抑制剂(SNRI),临床研究显示它是一种有效的抗抑郁药(AD),起效比5-羟色胺特异性再摄取抑制剂(SSRI)更快。临床前研究表明,文拉法辛通过5-HT1A介导的机制,能有效抑制中缝背核神经元(DRN)放电,其作用方式与SSRI相似。在此,我们运用体内微透析技术,证明了文拉法辛对大鼠额叶皮质细胞外5-羟色胺(5-HT)和去甲肾上腺素(NA)浓度的急性神经化学效应。皮下注射文拉法辛(3 - 50毫克/千克)导致细胞外NA显著剂量依赖性增加,但5-HT浓度未显著升高。与选择性5-HT1A拮抗剂WAY100635联合治疗,使文拉法辛(皮下注射3 - 30毫克/千克)诱导的细胞外5-HT浓度呈剂量依赖性增加,但对NA的作用未超过单独使用文拉法辛时的效果。皮下注射低至0.03毫克/千克的WAY100635就能维持这种增强效应。β-肾上腺素能/5-HT1A受体拮抗剂(±)吲哚洛尔和选择性5-HT1B/D拮抗剂GR127935,对文拉法辛诱导的5-HT或NA变化均未产生显著增强作用。使用α1和α2肾上腺素能受体拮抗剂哌唑嗪和伊达唑新,我们还证明了α-肾上腺素能受体在增强文拉法辛诱导的变化中的作用。本文讨论了文拉法辛改善临床抗抑郁作用的可能机制以及进一步增强这种SNRI临床效果的潜力。

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