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慢性非典型抗精神病药物和氟哌啶醇对体内苯丙胺诱导的多巴胺释放的影响。

The effect of chronic atypical antipsychotic drugs and haloperidol on amphetamine-induced dopamine release in vivo.

作者信息

Ichikawa J, Meltzer H Y

机构信息

Laboratory of Biological Psychiatry, Case Western Reserve University, Cleveland, OH 44106.

出版信息

Brain Res. 1992 Mar 6;574(1-2):98-104. doi: 10.1016/0006-8993(92)90805-j.

Abstract

The effect of chronic administration of antipsychotic drugs (21 days in drinking water followed by 3 days drug washout) on the D-amphetamine (1.0 mg/kg, s.c.)-induced increase in dopamine (DA) release in the striatum and the nucleus accumbens of awake, freely-moving rats was investigated with microdialysis. Chronic administration of haloperidol, a typical antipsychotic, (0.5 mg/kg/day), decreased basal extracellular DA release in the striatum and the nucleus accumbens but did not affect D-amphetamine-induced DA release in either region. In marked contrast, chronic administration of three atypical antipsychotic drugs: amperozide (2 mg/kg/day), clozapine (10 mg/kg/day) and melperone (2 mg/kg/day) increased basal extracellular DA and enhanced D-amphetamine-induced DA release in the striatum. In the nucleus accumbens, basal extracellular DA was decreased by chronic amperozide, unchanged by chronic clozapine and increased by chronic melperone. Most significantly, D-amphetamine-induced DA release was inhibited by chronic amperozide or clozapine, but unaffected by chronic melperone in this region. These results suggest that atypical antipsychotic drugs can alter DA release in a region specific manner. In particular, attenuation of amphetamine-like stimulation of DA release with reduced basal DA release in the nucleus accumbens could contribute to the antipsychotic action of amperozide which has a very weak affinity for D2 DA receptors.

摘要

采用微透析技术,研究了长期给予抗精神病药物(在饮水中给药21天,随后停药3天)对清醒、自由活动大鼠纹状体和伏隔核中,由D-苯丙胺(1.0mg/kg,皮下注射)诱导的多巴胺(DA)释放增加的影响。长期给予典型抗精神病药物氟哌啶醇(0.5mg/kg/天),可降低纹状体和伏隔核中细胞外基础DA释放,但不影响任一区域中D-苯丙胺诱导的DA释放。与之形成显著对比的是,长期给予三种非典型抗精神病药物:氨哌齐特(2mg/kg/天)、氯氮平(10mg/kg/天)和美哌隆(2mg/kg/天),可增加纹状体中细胞外基础DA水平,并增强D-苯丙胺诱导的DA释放。在伏隔核中,长期给予氨哌齐特可降低细胞外基础DA水平,长期给予氯氮平使其保持不变,而长期给予美哌隆则使其升高。最为显著的是,在该区域,长期给予氨哌齐特或氯氮平可抑制D-苯丙胺诱导的DA释放,但长期给予美哌隆则无此作用。这些结果表明,非典型抗精神病药物可通过区域特异性方式改变DA释放。特别是,在伏隔核中,苯丙胺样刺激DA释放减弱,同时基础DA释放减少,这可能有助于解释氨哌齐特对D2 DA受体亲和力非常弱,却仍具有抗精神病作用的原因。

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