Griebel G, Perrault G, Soubrié P
CNS Research Department, Sanofi-Synthelabo, 31, avenue Paul Vaillant-Couturier, 92220 Bagneux, France.
Psychopharmacology (Berl). 2001 Nov;158(3):241-51. doi: 10.1007/s002130100830.
It has been suggested that tachykinin NK(2) receptor antagonists may have therapeutic utility in anxiety and/or depressive disorders.
The present study investigated the modulatory action of the NK(2) receptor antagonist SR48968 on emotional processes in rodents.
The tests used include classical models of anxiety (punished lever pressing and punished drinking conflict tests, elevated plus-maze in rats), a model based on defensive behaviors of mice confronted with a natural threat (a rat), and two tests based on exposure of rats or mice to a natural predator (a cat) followed by subsequent exposure to a cat odor cue. The prototypical anxiolytic diazepam was used throughout as a positive control, the antidepressant imipramine was tested in the mouse defense test battery and in both models of predatory exposure, and the selective CRF1 receptor antagonist antalarmin was used in the cat-exposure test in rats.
Unlike diazepam, SR48968 failed to increase rates of responding suppressed by punishment in both conflict procedures. By contrast, in the elevated plus-maze test, the NK(2) receptor antagonist (3 mg/kg, IP) elicited positive effects on traditional and ethologically derived measures of anxiety. In the mouse defense test battery, SR48968 (0.03-1 mg/kg, IP) decreased flight reactions, risk assessment behavior, defensive biting and escape attempts. While the magnitude of the effects on flight, risk assessment and escape attempts of the NK(2) receptor antagonist was less than that of diazepam, SR48968 appeared to be as effective as the BZ on defensive biting. In rats previously exposed to a cat, SR48968 (3 mg/kg, IP), antalarmin (1 mg/kg, IP), imipramine (30 mg/kg, IP), but not diazepam, reduced subsequent high levels of avoidance responses when subjects are exposed to a cat odor-saturated cue 1 h later. Similar effects of SR48968 (0.1-0.3 mg/kg, IP) were observed in mice following repeated administration (twice a day/5 days/IP). Importantly, the positive effects of the NK(2) receptor antagonist were evident at doses that did not impair general activity, unlike imipramine which displayed mainly sedative action. Moreover, the (R)-enantiomer of SR48968, SR48965, which was tested in the elevated plus-maze, the mouse defense test battery and the cat exposure tests, was much less active than its racemate, indicating a stereoselective action of SR48968.
These data show that while SR48968 has limited or no efficacy in models or behavioral measures mainly sensitive to BZs, it shows good activity in reducing anxiety-like behaviors following traumatic stress or upon forced and unavoidable contact with a threatening stimulus. This suggests that NK(2) receptor antagonists may have a potential in the treatment of some forms of anxiety disorders.
有人提出速激肽NK(2)受体拮抗剂可能对焦虑症和/或抑郁症具有治疗作用。
本研究调查了NK(2)受体拮抗剂SR48968对啮齿动物情绪过程的调节作用。
所使用的测试包括经典的焦虑模型(惩罚性杠杆按压和惩罚性饮水冲突测试、大鼠高架十字迷宫)、基于小鼠面对自然威胁(一只大鼠)时防御行为的模型,以及基于大鼠或小鼠暴露于自然捕食者(一只猫)后再暴露于猫气味线索的两项测试。在整个实验中,典型的抗焦虑药地西泮用作阳性对照,抗抑郁药丙咪嗪在小鼠防御测试组以及两种捕食者暴露模型中进行测试,选择性CRF1受体拮抗剂安他拉美在大鼠的猫暴露测试中使用。
与地西泮不同,SR48968未能提高两种冲突程序中因惩罚而被抑制的反应率。相比之下,在高架十字迷宫测试中,NK(2)受体拮抗剂(3毫克/千克,腹腔注射)对传统的和基于行为学的焦虑测量指标产生了积极影响。在小鼠防御测试组中,SR48968(0.03 - 1毫克/千克,腹腔注射)减少了逃跑反应、风险评估行为、防御性咬和逃跑企图。虽然NK(2)受体拮抗剂对逃跑、风险评估和逃跑企图的影响程度小于地西泮,但SR48968在防御性咬方面似乎与苯二氮卓类药物一样有效。在先前暴露于猫的大鼠中,SR48968(3毫克/千克,腹腔注射)、安他拉美(1毫克/千克,腹腔注射)、丙咪嗪(30毫克/千克,腹腔注射),但不是地西泮,在受试者1小时后暴露于猫气味饱和线索时,降低了随后的高水平回避反应。在小鼠重复给药(每天两次/5天/腹腔注射)后,观察到SR48968(0.1 - 0.3毫克/千克,腹腔注射)有类似效果。重要的是,与主要表现为镇静作用的丙咪嗪不同,NK(2)受体拮抗剂的积极作用在不损害一般活动的剂量下就很明显。此外,在高架十字迷宫、小鼠防御测试组和猫暴露测试中进行测试的SR48968的(R)-对映体SR48965,其活性远低于其外消旋体,表明SR48968具有立体选择性作用。
这些数据表明,虽然SR48968在主要对地西泮敏感的模型或行为测量中疗效有限或无疗效,但它在减轻创伤应激后或在被迫且不可避免地接触威胁性刺激时的焦虑样行为方面表现出良好的活性。这表明NK(2)受体拮抗剂可能在治疗某些形式的焦虑症方面具有潜力。