Vargas L C, Schenberg L C
Department of Physiological Sciences, Biomedical Center, Federal University of Espírito Santo, Vitória-ES, Brazil.
Psychopharmacology (Berl). 2001 May;155(3):260-8. doi: 10.1007/s002130100698.
The defensive responses induced by electrical stimulation of dorsal periaqueductal grey (DPAG) of the rat have been proposed as a model of panic attacks in humans.
The present experiments were carried out to evaluate the long-term effects of clinically effective panicolytics on these responses.
Rats that had electrodes implanted into the DPAG were treated for 21 days with clomipramine (CLM; 5, 10 and 20 mg/kg), fluoxetine (FLX; 1 and 5 mg/kg) or saline. Long-term effects were assessed prior to the treatment to avoid acute drug effects. Threshold logistic functions of defensive responses were compared by likelihood ratio coincidence tests.
CLM attenuated DPAG-evoked defensive behaviours at a time-course similar to that observed in panic therapy. Administration of 10 mg/kg CLM for 21 days produced significant increases in the thresholds of immobility (24%), running (49%) and jumping (45%). Splitting of running into single responses disclosed selective threshold increases of galloping (75%) and trotting (138%) with 5 and 10 mg/kg, respectively. Thresholds of micturition were markedly increased (87%) by 5 mg/kg CLM. In turn, FLX (1 mg/kg) virtually abolished the galloping response. No threshold changes were observed following the long-term administration of the higher dose of either CLM or FLX. Saline-treated rats had a significant increase (35%) in galloping thresholds only.
The present data partially validate the DPAG-evoked defence reaction of the rat as a model of panic attacks in humans. Attenuation of galloping by lower doses of FLX and CLM also suggests the prominent modulation of this response by serotonin.
电刺激大鼠背侧导水管周围灰质(DPAG)所诱发的防御反应已被视作人类惊恐发作的一种模型。
开展本实验以评估临床有效抗惊恐药物对这些反应的长期影响。
将电极植入DPAG的大鼠分别用氯米帕明(CLM;5、10和20毫克/千克)、氟西汀(FLX;1和5毫克/千克)或生理盐水治疗21天。在治疗前评估长期影响以避免急性药物效应。通过似然比一致性检验比较防御反应的阈值逻辑函数。
CLM减弱DPAG诱发的防御行为,其时间进程与惊恐治疗中观察到的相似。给予10毫克/千克CLM 21天可使不动阈值(24%)、奔跑阈值(49%)和跳跃阈值(45%)显著升高。将奔跑分解为单个反应后发现,5毫克/千克和10毫克/千克的CLM分别使疾驰阈值(75%)和小跑阈值(138%)选择性升高。5毫克/千克CLM使排尿阈值显著升高(87%)。相反,FLX(1毫克/千克)几乎消除了疾驰反应。长期给予较高剂量的CLM或FLX后未观察到阈值变化。生理盐水处理的大鼠仅疾驰阈值显著升高(35%)。
本数据部分验证了大鼠DPAG诱发的防御反应可作为人类惊恐发作的模型。较低剂量的FLX和CLM减弱疾驰反应也表明5-羟色胺对该反应有显著调节作用。