Tsuji Keiichiro
Department of Neuropsychiatry, Kyorin University School of Medicine, 6-20-2, Shinkawa, Mitaka, 181-8611 Japan.
Nihon Shinkei Seishin Yakurigaku Zasshi. 2002 Jun;22(3):85-95.
Although it is suggested that (+/-)-pindolol, a beta-adrenergic/5-HT1A receptor antagonist, may enhance the efficacy of selective serotonin reuptake inhibitors (SSRI), the results of double-blind studies are contradictory and recent animal studies suggest that (+/-)-pindolol may act as a partial agonist to the 5-HT1A receptor. In this study we have investigated the effect of (+/-)-pindolol on both pre- and postsynaptic 5-HT1A receptors using in vivo microdialysis and hippocampal slice preparations. (+/-)-pindolol and flesinoxan, a 5-HT1A receptor full agonist, significantly decreased the extracellular levels of 5-HT in the raphe and prefrontal cortex. The 5-HT and other 5-HT1A receptor agonists, flesinoxan and 8-hydroxy-2- (di-n-propylamino)tetralon (8-OH-DPAT), significantly decreased the population excitatory postsynaptic potential (EPSP) in the CA3-CA1 excitatory synapse in a dose-dependent manner. The effect of 5-HT and other 5-HT1A receptor agonists accompanied the increase in paired-pulse facilitation (ppf) induced by short-interval two stimuli and were reversed by the coadministration of the 5-HT1A receptor agonist, NAN-190, but not by (+/-)-pindolol. (+/-)-pindolol also suppressed the EPSP, but this effect was not reversed by NAN-190. These results suggest that (+/-)-pindolol acts as a partial agonist to the somatodendritic 5-HT1A receptor in the raphe, whereas it may have no action on the postsynaptic 5-HT1A receptor in the hippocampus.
尽管有研究表明,β-肾上腺素能/5-羟色胺1A(5-HT1A)受体拮抗剂(±)-吲哚洛尔可能会增强选择性5-羟色胺再摄取抑制剂(SSRI)的疗效,但双盲研究的结果相互矛盾,且近期的动物研究表明,(±)-吲哚洛尔可能作为5-HT1A受体的部分激动剂。在本研究中,我们使用体内微透析和海马脑片制备技术,研究了(±)-吲哚洛尔对突触前和突触后5-HT1A受体的影响。(±)-吲哚洛尔和5-HT1A受体完全激动剂氟司必林,均显著降低了中缝核和前额叶皮质细胞外5-羟色胺的水平。5-羟色胺及其他5-HT1A受体激动剂氟司必林和8-羟基-2-(二正丙基氨基)四氢萘(8-OH-DPAT),以剂量依赖的方式显著降低了CA3-CA1兴奋性突触中的群体兴奋性突触后电位(EPSP)。5-羟色胺及其他5-HT1A受体激动剂的作用伴随着短间隔双刺激诱导的双脉冲易化(ppf)增加,且被5-HT1A受体拮抗剂NAN-190共同给药所逆转,但(±)-吲哚洛尔则不能。(±)-吲哚洛尔也抑制了EPSP,但这种作用不能被NAN-190逆转。这些结果表明,(±)-吲哚洛尔作为中缝核躯体树突状5-HT1A受体的部分激动剂,而对海马中的突触后5-HT1A受体可能无作用。