Szabo S T, Blier P
Neurobiological Psychiatry Unit, McGill University, Montréal, Canada.
Eur J Neurosci. 2001 Jun;13(11):2077-87. doi: 10.1046/j.0953-816x.2001.01583.x.
Reboxetine is a non-tricyclic antidepressant with selective noradrenergic (NA) reuptake-blocking effects. The effects of acute and sustained administration of reboxetine, on the firing activity of locus coeruleus NA neurons and dorsal raphe 5-HT neurons, were assessed using in vivo extracellular unitary recording in rats anaesthetized with chloral hydrate. Reboxetine (0.1-1.25 mg/kg, i.v.) dose-dependently decreased the firing activity of NA neurons (ED50 = 480 +/- 14 microg/kg). A 2-day treatment with reboxetine at 1.25, 2.5, 5, or 10 mg/kg per day (using osmotic minipumps implanted subcutaneously) produced significant decreases of 52%, 68%, 81%, and 83%, respectively, of NA firing activity. When the reboxetine treatment (2.5 mg/kg per day) duration was prolonged to 7 days, a 66% decrease in NA firing activity was observed which further decreased to 80% after 21 days of treatment. In contrast, 5-HT neuron firing rate remained unaltered following short- and long-term reboxetine treatments. The suppressant effect of the alpha2-adrenoceptor agonist clonidine on the firing activity of NA neurons was unchanged in long-term reboxetine-treated rats, but its effect on the firing activity of 5-HT neurons was blunted. The enhancement of NA firing activity by the 5-HT1A agonist 8-OH-DPAT was abolished in long-term reboxetine-treated rats, whereas, the inhibitory effect of the 5-HT2 agonist DOI was attenuated by about three-fold. In conclusion, sustained NA reuptake blockade by reboxetine lead to profound alterations in the function of NA neurons and of 5-HT receptors modulating their firing activity.
瑞波西汀是一种具有选择性去甲肾上腺素能(NA)再摄取阻断作用的非三环类抗抑郁药。采用水合氯醛麻醉大鼠的体内细胞外单位记录法,评估了急性和持续给予瑞波西汀对蓝斑NA神经元和中缝背核5-羟色胺(5-HT)神经元放电活动的影响。瑞波西汀(0.1 - 1.25毫克/千克,静脉注射)剂量依赖性地降低了NA神经元的放电活动(半数有效量 = 480 ± 14微克/千克)。每天用1.25、2.5、5或10毫克/千克的瑞波西汀进行为期2天的治疗(使用皮下植入的渗透微型泵),分别使NA放电活动显著降低了52%、68%、81%和83%。当瑞波西汀治疗(每天2.5毫克/千克)持续时间延长至7天时,观察到NA放电活动降低了66%,治疗21天后进一步降至80%。相比之下,短期和长期瑞波西汀治疗后5-HT神经元的放电率保持不变。在长期接受瑞波西汀治疗的大鼠中,α2-肾上腺素能受体激动剂可乐定对NA神经元放电活动的抑制作用未改变,但其对5-HT神经元放电活动的作用减弱。5-HT1A激动剂8-羟基二丙胺基四氢萘(8-OH-DPAT)对NA放电活动的增强作用在长期接受瑞波西汀治疗的大鼠中被消除,而5-HT2激动剂DOI的抑制作用减弱了约三倍。总之,瑞波西汀持续的NA再摄取阻断导致NA神经元功能以及调节其放电活动的5-HT受体功能发生深刻改变。