Borsini Franco, Podhorna Jana, Marazziti Donatella
Boehringer Ingelheim Pharma KG, Building J63-05-03, Birkendorfer Strasse 65, 88397 Biberach an der Riss, Germany.
Psychopharmacology (Berl). 2002 Sep;163(2):121-41. doi: 10.1007/s00213-002-1155-6. Epub 2002 Aug 8.
Chronically administered antidepressant drugs, particularly selective serotonin (5-HT) reuptake inhibitors (SSRIs), are clinically effective in the treatment of all anxiety disorders, while the clinical effectiveness of "traditional" anxiolytics, such as benzodiazepines (BDZs), is limited to generalised anxiety disorder or acute panic attacks. This implies that animal models of anxiety should be sensitive to SSRIs and other antidepressants in order to have predictive validity. We reviewed the literature on the effects of antidepressants in the so-called animal models of anxiety and found that only the isolation-induced calls in guinea-pig pups may reveal anxiolytic-like action of all antidepressant classes after acute administration. Some other models, such as marble-burying or conditioned-freezing behaviours, and isolation- or shock-induced ultrasonic vocalisation models, may detect anxiolytic-like activity of acutely administered antidepressants, although the sensitivity of these models is usually limited to SSRIs and other drugs affecting 5-HT uptake. The predictive validity of models of "anxiety", such as the plus-maze and light-dark transition tests or stress-induced hyperthermia, appears to be limited to BDZ-related drugs. Far less work has been done on chronic administration of antidepressants in animal anxiety models. Unless and until such studies have been undertaken, the true predictive value of the anxiety models will remain unknown.
长期服用抗抑郁药物,尤其是选择性5-羟色胺(5-HT)再摄取抑制剂(SSRIs),在治疗所有焦虑症方面具有临床疗效,而“传统”抗焦虑药物,如苯二氮卓类(BDZs),其临床疗效仅限于广泛性焦虑症或急性惊恐发作。这意味着焦虑症动物模型应对SSRIs和其他抗抑郁药物敏感,才能具有预测效度。我们回顾了关于抗抑郁药物在所谓焦虑症动物模型中作用的文献,发现只有豚鼠幼崽的隔离诱导叫声可能会在急性给药后显示出所有抗抑郁药物类别的抗焦虑样作用。其他一些模型,如埋珠或条件性僵住行为,以及隔离或电击诱导的超声发声模型,可能会检测到急性给药抗抑郁药物的抗焦虑样活性,尽管这些模型的敏感性通常仅限于SSRIs和其他影响5-HT摄取的药物。“焦虑”模型,如十字迷宫和明暗转换试验或应激诱导的体温过高,其预测效度似乎仅限于与BDZ相关的药物。在动物焦虑模型中对抗抑郁药物进行长期给药的研究做得要少得多。除非进行了此类研究,否则焦虑模型的真正预测价值仍将未知。