Harvey Brian H, Nel Ané
School of Pharmacy, University of Potchefstroom, North West Province 2520, Potchefstroom, South Africa.
Brain Res Bull. 2003 Aug 30;61(4):407-16. doi: 10.1016/s0361-9230(03)00143-6.
The risk of tardive dyskinesia (TD) increases with advancing age. Haloperidol increases striatal oxidative stress and inhibits nitric oxide (NO) synthase (NOS) in vitro. Biological aging is associated with increased oxidative stress and reduced brain NOS activity. This paper has explored aging and striatal NOS activity ex vivo as co-morbid factors in an animal model of TD. Young adult, mature adult and aged rats were treated with water or haloperidol (1.5 mg/kg per day) for 12 weeks. Vacous chewing movements (VCM) were monitored, as was striatal NOS activity. Aging significantly increased spontaneous VCM in mature and aged animals and progressively attenuated NOS activity in both mature adult and aged rats compared to young animals, and numerically lower in aged versus mature adult animals. Haloperidol significantly increased VCM in all age groups, while significantly reducing NOS activity in young and mature adults but not aged. Reduced NOS activity after haloperidol treatment was significantly lower in mature compared to young rats, but only numerically lower in aged rats receiving the drug, with a slight increase noted in the latter. In the current model, aging did not markedly alter haloperidol-induced VCM. Abrogated striatal nitrergic activity, therefore, underlies aging and haloperidol-induced VCM. Compensatory nitrergic mechanisms may preclude progressive NOS suppression and dyskinesia under conditions of advanced age and NOS inhibition.
迟发性运动障碍(TD)的风险随年龄增长而增加。在体外,氟哌啶醇会增加纹状体氧化应激并抑制一氧化氮(NO)合酶(NOS)。生物衰老与氧化应激增加和脑NOS活性降低有关。本文在TD动物模型中研究了衰老和纹状体NOS活性作为共病因素的情况。将年轻成年、成熟成年和老年大鼠用水或氟哌啶醇(每天1.5毫克/千克)处理12周。监测了空嚼运动(VCM)以及纹状体NOS活性。与年轻动物相比,衰老显著增加了成熟和老年动物的自发性VCM,并使成熟成年和老年大鼠的NOS活性逐渐减弱,且老年动物的数值低于成熟成年动物。氟哌啶醇显著增加了所有年龄组的VCM,同时显著降低了年轻和成熟成年动物的NOS活性,但未降低老年动物的。与年轻大鼠相比,氟哌啶醇治疗后成熟大鼠的NOS活性降低更为显著,但接受该药物的老年大鼠仅在数值上较低,且后者有轻微增加。在当前模型中,衰老并未明显改变氟哌啶醇诱导的VCM。因此,纹状体氮能活性的丧失是衰老和氟哌啶醇诱导的VCM的基础。在高龄和NOS抑制的情况下,代偿性氮能机制可能会阻止NOS的进行性抑制和运动障碍。