Aulakh C S, Hill J L, Lesch K P, Murphy D L
Laboratory of Clinical Science, National Institute of Mental Health, Bethesda, Maryland.
J Pharmacol Exp Ther. 1992 Sep;262(3):1038-43.
Administration of various doses of clonidine increased plasma growth hormone levels. Pretreatment with the alpha 2 adrenergic antagonists, yohimbine and 1-(2-pyrimidyl)piperazine, completely blocked clonidine's effect on growth hormone levels. Pretreatment with the 5-hydroxytryptamine3 (5-HT3) receptor antagonist, MDL-72222, the 5-HT1A/5-HT2 antagonist, spiperone, and the mixed beta adrenergic/5-HT1B antagonists, l-propranolol and CGP361A, did not attenuate clonidine-induced increases in growth hormone levels. In contrast, pretreatment with the non-selective 5-HT1/2 antagonist, metergoline, and the 5-HT1C/5-HT2-selective antagonist, mesulergine, reduced clonidine-induced increases in growth hormone levels 81 to 87% without affecting clonidine-induced decreases in locomotor activity. Two other 5-HT1C/5-HT2 antagonists, ritanserin and mianserin, also attenuated (47%) clonidine-induced increases in growth hormone levels. Pretreatment with the noradrenergic neurotoxin, DSP4, did not block clonidine's effect on growth hormone levels. Clonidine administration decreased locomotor activity in both the Fawn-Hooded and the Wistar rat strains to the same extent. On the other hand, clonidine administration failed to increase growth hormone levels in the Fawn-Hooded rat strain. These findings suggest that clonidine stimulates growth hormone secretion by activation of alpha 2 adrenergic heteroreceptors present on 5-HT nerve terminals which, in turn, enhance 5-HT activity via stimulation of postsynaptic 5-HT1C receptors to promote growth hormone releasing factor. Furthermore, either 5-HT1C receptors or alpha 2 adrenergic heteroreceptors or both are functionally sub-sensitive in the Fawn-Hooded rat strain relative to the Wistar rat strain.
给予不同剂量的可乐定可提高血浆生长激素水平。用α2肾上腺素能拮抗剂育亨宾和1-(2-嘧啶基)哌嗪预处理可完全阻断可乐定对生长激素水平的影响。用5-羟色胺3(5-HT3)受体拮抗剂MDL-72222、5-HT1A/5-HT2拮抗剂螺哌隆以及β肾上腺素能/5-HT1B混合拮抗剂l-普萘洛尔和CGP361A预处理,并未减弱可乐定引起的生长激素水平升高。相反,用非选择性5-HT1/2拮抗剂美替拉酮和5-HT1C/5-HT2选择性拮抗剂美舒麦角预处理,可使可乐定引起的生长激素水平升高降低81%至87%,而不影响可乐定引起的运动活性降低。另外两种5-HT1C/5-HT2拮抗剂利坦色林和米安色林也减弱了(47%)可乐定引起的生长激素水平升高。用去甲肾上腺素能神经毒素DSP4预处理并未阻断可乐定对生长激素水平的影响。给予可乐定可使小鹿帽鼠和Wistar大鼠品系的运动活性降低至相同程度。另一方面,给予可乐定未能提高小鹿帽鼠品系的生长激素水平。这些发现表明,可乐定通过激活5-羟色胺神经末梢上的α2肾上腺素能异受体来刺激生长激素分泌,这些异受体继而通过刺激突触后5-HT1C受体来增强5-羟色胺活性,从而促进生长激素释放因子的释放。此外,相对于Wistar大鼠品系,小鹿帽鼠品系中的5-HT1C受体或α2肾上腺素能异受体或两者在功能上均不敏感。