Ellenbroek Bart A, Liégeois Jean-François
University of Nijmegen, Department of Psychoneuropharmacology, The Netherlands.
CNS Drug Rev. 2003 Spring;9(1):41-56. doi: 10.1111/j.1527-3458.2003.tb00243.x.
The extensive pharmacological evaluation of JL 13 as an atypical antipsychotic drug has revealed a close similarity to clozapine, however with some major advantages. JL 13 was characterized as a weak D(2) antagonist, both in vitro and in vivo, with a strong affinity for the D(4) and the 5-HT(2A) receptors. It has no affinity for the 5-HT(2C) receptor. In vivo microdialysis experiments in rat showed that JL 13, like clozapine, preferentially increased extracellular dopamine concentrations in the prefrontal cortex compared to nucleus accumbens or striatum. Behavioral studies showed that JL 13, like clozapine, has the profile of an atypical antipsychotic. Thus, JL 13 did not antagonize apomorphine-induced stereotypy nor did it produce catalepsy, but it antagonized apomorphine-induced climbing in rodents. It was inactive against d-amphetamine-induced stereotypy but antagonized d-amphetamine-induced hyperactivity in the mouse. Likewise, in the paw test, it was more effective in prolonging hindlimb retraction time than prolonging forelimb retraction time. Like other antipsychotic drugs, JL 13 reversed the apomorphine- and amphetamine-induced disruption of prepulse inhibition. In a complex temporal regulation schedule in the dog, JL 13 showed a high resemblance with clozapine without inducing sialorrhea, palpebral ptosis or any significant motor side effects. In rats and squirrel monkeys JL 13 induced a high degree of generalization (70%) to clozapine. Regarding behavioral toxicology, JL 13 did not produce dystonia or Parkinsonian symptoms in haloperidol-sensitized monkeys. After acute administration, again like clozapine, JL 13 induced only a transient increase in circulating prolactin. Last but not the least, regarding a possible hematological toxicity, unlike clozapine, JL 13 did not present sensitivity to peroxidase-induced oxidation. Moreover, its electrooxidation potential was close to that of loxapine and far from that of clozapine. Taking all these preclinical data into account, it appears that JL 13 is a promising atypical antipsychotic drug.
对JL 13作为一种非典型抗精神病药物进行的广泛药理学评估显示,它与氯氮平有密切相似性,但具有一些主要优势。JL 13在体外和体内均被表征为一种弱D(2)拮抗剂,对D(4)和5-HT(2A)受体具有很强的亲和力。它对5-HT(2C)受体没有亲和力。大鼠体内微透析实验表明,与氯氮平一样,JL 13相比于伏隔核或纹状体,优先增加前额叶皮质细胞外多巴胺浓度。行为学研究表明,与氯氮平一样,JL 13具有非典型抗精神病药物的特征。因此,JL 13不会拮抗阿扑吗啡诱导的刻板行为,也不会产生僵住症,但它能拮抗阿扑吗啡诱导的啮齿动物攀爬行为。它对d-苯丙胺诱导的刻板行为无活性,但能拮抗d-苯丙胺诱导的小鼠多动。同样,在爪子测试中,它延长后肢退缩时间比延长前肢退缩时间更有效。与其他抗精神病药物一样,JL 13能逆转阿扑吗啡和苯丙胺诱导的前脉冲抑制破坏。在犬的复杂时间调节实验中,JL 13与氯氮平高度相似,不会引起流涎、眼睑下垂或任何明显的运动副作用。在大鼠和松鼠猴中,JL 13对氯氮平产生了高度的交叉反应(70%)。关于行为毒理学,JL 13在氟哌啶醇致敏的猴子中不会产生肌张力障碍或帕金森氏症状。急性给药后,同样与氯氮平一样,JL 13只会引起循环催乳素的短暂升高。最后但同样重要的是,关于可能的血液学毒性,与氯氮平不同,JL 13对过氧化物酶诱导的氧化不敏感。此外,其电氧化电位与洛沙平接近,与氯氮平相差甚远。综合所有这些临床前数据来看,JL 13似乎是一种有前景的非典型抗精神病药物。