Nguyen T V, Kosofsky B E, Birnbaum R, Cohen B M, Hyman S E
Molecular Neurobiology Laboratory, Massachusetts General Hospital, Boston 02114.
Proc Natl Acad Sci U S A. 1992 May 15;89(10):4270-4. doi: 10.1073/pnas.89.10.4270.
Antipsychotic drugs are monoamine receptor antagonists. However, the mechanisms by which these direct actions are translated into therapeutic effects are unknown. Candidate mechanisms include receptor-mediated regulation of gene expression in target neurons. Inducible transcription factors, including certain immediate early genes (IEGs), may mediate between receptor-activated second messenger systems and expression of genes involved in the differentiated functions of neurons. We examined the specificity of induction of the IEGs c-fos and zif268 after acute administration of several antipsychotic drugs and, for comparison, the stimulant amphetamine, which has pharmacologic effects relatively opposite to those of antipsychotics. Antipsychotic drugs with potent dopamine D2 receptor antagonist properties, such as haloperidol, induced both c-fos and zif268 mRNA in the caudate-putamen; however, the atypical antipsychotic drug clozapine induced zif268 but not c-fos mRNA in that region. Similarly, haloperidol, but not clozapine, induced c-Fos-like immunoreactivity in the caudate-putamen. In contrast, both drugs induced c-Fos-like immunoreactivity in the nucleus accumbens. Like haloperidol, amphetamine induced both c-fos and zif268 mRNA in the caudate-putamen, but the anatomic patterns of induction of c-Fos-like immunoreactivity by the two drugs were dramatically different. Haloperidol and amphetamine induced AP-1 binding activity in cell extracts from the caudate-putamen, indicating that drug-induced IEG expression results in protein products that may function in the regulation of target gene expression. Thus these data demonstrate that inductions of IEG expression by haloperidol, clozapine, and amphetamine are specific, may be biologically relevant, and suggest avenues for further investigation.
抗精神病药物是单胺受体拮抗剂。然而,这些直接作用转化为治疗效果的机制尚不清楚。候选机制包括受体介导的靶神经元基因表达调控。可诱导转录因子,包括某些即刻早期基因(IEGs),可能在受体激活的第二信使系统与参与神经元分化功能的基因表达之间起介导作用。我们研究了几种抗精神病药物急性给药后IEGs c-fos和zif268诱导的特异性,并作为比较,研究了具有与抗精神病药物相对药理作用的兴奋剂苯丙胺。具有强效多巴胺D2受体拮抗特性的抗精神病药物,如氟哌啶醇,可诱导尾状核-壳核中的c-fos和zif268 mRNA;然而,非典型抗精神病药物氯氮平在该区域诱导zif268而非c-fos mRNA。同样,氟哌啶醇而非氯氮平在尾状核-壳核中诱导c-Fos样免疫反应性。相比之下,两种药物均在伏隔核中诱导c-Fos样免疫反应性。与氟哌啶醇一样,苯丙胺在尾状核-壳核中诱导c-fos和zif268 mRNA,但两种药物诱导c-Fos样免疫反应性的解剖学模式显著不同。氟哌啶醇和苯丙胺在尾状核-壳核的细胞提取物中诱导AP-1结合活性,表明药物诱导的IEG表达产生可能在靶基因表达调控中起作用的蛋白质产物。因此,这些数据表明氟哌啶醇、氯氮平和苯丙胺对IEG表达的诱导是特异性的,可能具有生物学相关性,并为进一步研究提供了途径。