Werme M, Ringholm A, Olson L, Brené S
Department of Neuroscience, Karolinska Institute, S-171 77, Stockholm, Sweden.
Brain Res. 2000 Apr 28;863(1-2):112-9. doi: 10.1016/s0006-8993(00)02109-0.
Disturbances of retinoid activated transcription mechanisms have recently been implicated as risk factors for schizophrenia. In this study we have compared the regulation of mRNAs for the nuclear orphan receptor NGFI-B, which forms a functional heterodimer with the retinoid x receptor and the related orphan nuclear receptor Nor1 with c-fos mRNA after acute and chronic treatments with haloperidol and clozapine. The antipsychotic drugs haloperidol and clozapine have different clinical profiles. Haloperidol is a typical neuroleptic giving extrapyramidal side effects (EPS), whereas the atypical compound clozapine does not. Acute haloperidol treatment increased NGFI-B, Nor1 and c-fos mRNAs in nucleus accumbens shell and core as well as medial and lateral caudate putamen. In contrast, clozapine lead to an increase of NGFI-B, Nor1 and c-fos only in the accumbens shell. No haloperidol or clozapine effect on these mRNAs was detected in cingulate, sensory or motor cortex. Chronic haloperidol lead to an increase of NGFI-B mRNA in the accumbens core. Acutely, it is possible that the increased levels of NGFI-B, Nor1 and c-fos mRNA levels in striatum and accumbens might indicate a neural activation which possibly can be used when screening for drugs that do not produce EPS. Also, the increased levels of NGFI-B, which is an important component in retinoid signaling, both after acute and chronic treatments of haloperidol suggests altered sensitivity to retinoids which could be an important component for the beneficial antipsychotic effect.
类视黄醇激活转录机制的紊乱最近被认为是精神分裂症的危险因素。在本研究中,我们比较了核孤儿受体NGFI-B(它与视黄酸X受体形成功能性异二聚体)以及相关的孤儿核受体Nor1的mRNA与c-fos mRNA在用氟哌啶醇和氯氮平进行急性和慢性治疗后的调控情况。抗精神病药物氟哌啶醇和氯氮平具有不同的临床特征。氟哌啶醇是一种典型的抗精神病药物,会产生锥体外系副作用(EPS),而非典型化合物氯氮平则不会。急性氟哌啶醇治疗可使伏隔核壳部和核心以及内侧和外侧尾状核壳中的NGFI-B、Nor1和c-fos mRNA增加。相比之下,氯氮平仅导致伏隔核壳中的NGFI-B、Nor1和c-fos增加。在扣带回、感觉或运动皮层中未检测到氟哌啶醇或氯氮平对这些mRNA的影响。慢性氟哌啶醇导致伏隔核核心中的NGFI-B mRNA增加。急性情况下,纹状体和伏隔核中NGFI-B、Nor1和c-fos mRNA水平的升高可能表明神经激活,这在筛选不产生EPS的药物时可能会被利用。此外,氟哌啶醇急性和慢性治疗后,作为类视黄醇信号重要组成部分的NGFI-B水平升高,提示对类视黄醇的敏感性改变,这可能是有益抗精神病作用的重要组成部分。