Baumann M H, Ayestas M A, Dersch C M, Rothman R B
Clinical Psychopharmacology Section, Intramural Research Program, National Institute on Drug Abuse, National Institutes of Health, Baltimore, MD 21224, USA.
Neuropsychopharmacology. 2001 May;24(5):492-501. doi: 10.1016/S0893-133X(00)00221-9.
Serotonin (5-HT) releasing agents such as d-fenfluramine are known to cause long-term depletion of forebrain 5-HT in animals, but the mechanism of this effect is unknown. In the present study, we examined the relationship between drug-induced 5-HT release and long-term 5-HT depletion in rat brain. The 5-HT-releasing actions of d-fenfluramine and a non-amphetamine 5-HT drug, 1-(m-chlorophenyl)piperazine (mCPP), were compared using in vivo microdialysis in the nucleus accumbens. The ability of d-fenfluramine and mCPP to interact with 5-HT transporters was tested using in vitro assays for [3H]5-HT uptake and radioligand binding. Local infusion of d-fenfluramine or mCPP (1-100 microM) increased extracellular 5-HT, with elevations in dopamine occurring at high doses. Intravenous injection of either drug (1-10 micromol/kg) produced dose-related increases in 5-HT without affecting dopamine. d-Fenfluramine and mCPP exhibited similar potency in their ability to stimulate 5-HT efflux in vivo and interact with 5-HT transporters in vitro. When rats received high-dose d-fenfluramine or mCPP (10 or 30 micromol/kg, i.p., every 2 h, 4 doses), only d-fenfluramine-treated rats displayed long-term 5-HT depletions. Thus, mCPP is a 5-HT releaser that does not appear to cause 5-HT depletion. Our data support the notion that 5-HT release per se may not be sufficient to produce the long-term 5-HT deficits associated with d-fenfluramine and other amphetamines.
血清素(5-羟色胺,5-HT)释放剂,如右旋芬氟拉明,已知会导致动物前脑5-HT长期耗竭,但其作用机制尚不清楚。在本研究中,我们研究了药物诱导的5-HT释放与大鼠脑内5-HT长期耗竭之间的关系。使用伏隔核体内微透析法比较了右旋芬氟拉明和一种非苯丙胺类5-HT药物1-(间氯苯基)哌嗪(mCPP)的5-HT释放作用。使用[3H]5-HT摄取和放射性配体结合的体外试验测试了右旋芬氟拉明和mCPP与5-HT转运体相互作用的能力。局部注射右旋芬氟拉明或mCPP(1-100 microM)可增加细胞外5-HT,高剂量时多巴胺也会升高。静脉注射这两种药物(1-10 micromol/kg)均可使5-HT剂量相关增加,而不影响多巴胺。右旋芬氟拉明和mCPP在体内刺激5-HT流出以及在体外与5-HT转运体相互作用的能力方面表现出相似的效力。当大鼠接受高剂量右旋芬氟拉明或mCPP(10或30 micromol/kg,腹腔注射,每2小时一次,共4次)时,只有接受右旋芬氟拉明治疗的大鼠出现了长期5-HT耗竭。因此,mCPP是一种5-HT释放剂,但似乎不会导致5-HT耗竭。我们的数据支持这样一种观点,即5-HT释放本身可能不足以产生与右旋芬氟拉明和其他苯丙胺类药物相关的长期5-HT缺乏。