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苯丙胺和哌甲酯急性及重复阈剂量的运动效应:多巴胺和去甲肾上腺素的相对作用

Locomotor effects of acute and repeated threshold doses of amphetamine and methylphenidate: relative roles of dopamine and norepinephrine.

作者信息

Kuczenski R, Segal D S

机构信息

Department of Psychiatry, School of Medicine, University of California at San Diego, La Jolla, California 92093, USA.

出版信息

J Pharmacol Exp Ther. 2001 Mar;296(3):876-83.

Abstract

The prescribed use of methylphenidate (Ritalin) in the treatment of attention deficit hyperactivity disorder has risen dramatically in recent years. The relative roles of dopamine, norepinephrine, and serotonin in the therapeutic action of these drugs was assessed by comparing the responses of extracellular nucleus accumbens dopamine and serotonin and hippocampus norepinephrine to the acute administration of low methylphenidate and amphetamine doses. The comparative neurochemical profiles in response to methylphenidate and amphetamine suggest that the norepinephrine effects may play an important role in the therapeutic effects of low doses of psychostimulants. In addition, to assess possible long-term consequences of prolonged exposure to this drug, we examined whether changes in the locomotor response occurred with repeated administration of these stimulant doses. Threshold doses of methylphenidate (0.5-1.0 mg/kg) or amphetamine (0.1-0.25 mg/kg) were administered twice daily, and then animals were tested in response to 2.5 mg/kg methylphenidate or 0.5 mg/kg amphetamine. Our results provide evidence that low-dose stimulant administration can result in the development of behavioral sensitization, which is evident in the subsequent behavioral response to the drug. The relevance of these data to the therapeutic uses of these drugs is discussed within the context of the many variables that can affect the behavioral and neurochemical responses to stimulants.

摘要

近年来,哌醋甲酯(利他林)在治疗注意力缺陷多动障碍方面的规定用量急剧上升。通过比较细胞外伏隔核多巴胺和血清素以及海马去甲肾上腺素对低剂量哌醋甲酯和苯丙胺急性给药的反应,评估了多巴胺、去甲肾上腺素和血清素在这些药物治疗作用中的相对作用。对哌醋甲酯和苯丙胺反应的比较神经化学特征表明,去甲肾上腺素效应可能在低剂量精神兴奋药的治疗效果中起重要作用。此外,为了评估长期接触这种药物可能产生的长期后果,我们研究了重复给予这些兴奋药剂量是否会导致运动反应的变化。每天两次给予阈剂量的哌醋甲酯(0.5 - 1.0毫克/千克)或苯丙胺(0.1 - 0.25毫克/千克),然后对动物进行2.5毫克/千克哌醋甲酯或0.5毫克/千克苯丙胺的反应测试。我们的结果提供了证据,表明低剂量兴奋药给药可导致行为敏化的发展,这在随后对药物的行为反应中很明显。在许多可能影响对兴奋药行为和神经化学反应的变量背景下,讨论了这些数据与这些药物治疗用途的相关性。

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