Ma J, Ye N, Lange N, Cohen B M
Molecular Pharmacology Laboratory, Mailman Research Center, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA.
Neuroscience. 2003;121(4):991-8. doi: 10.1016/s0306-4522(03)00397-x.
Administration of typical and atypical antipsychotic drugs leads to activation of cells in the nucleus accumbens shell, central amygdaloid nucleus, and midline thalamic central medial nucleus, implicating important shared effects of these drugs. However, the exact cell types responding to antipsychotic drugs in the nucleus accumbens shell, central amygdaloid nucleus, and midline thalamic central medial nucleus are unclear. We report here that, in a rat model, the results of studies using double immunofluorescence labeling with antibodies directed against markers specific to candidate cell types suggest that the cells responding to haloperidol and clozapine in all three sites are: 1) neurons, rather than astrocytes; 2) inhibitory GABA neurons, but not acetylcholinergic neurons; and 3) dynorphin-containing GABA neurons, but not M-enkephalin-containing GABA neurons. The present study provides pharmacological evidence, at the cellular level in vivo, that the shared effects of antipsychotic drugs, whether typical and atypical, is activation of dynorphinergic GABA neurons in the nucleus accumbens shell, central amygdaloid nucleus, and midline thalamic central medial nucleus. Alternative ways to modulate dynorphinergic GABA neuronal activity or its target receptors might present an important new avenue for the treatment of schizophrenia and other psychotic disorders.
给予典型和非典型抗精神病药物会导致伏隔核壳、杏仁中央核和丘脑中央内侧核中的细胞激活,这表明这些药物具有重要的共同作用。然而,伏隔核壳、杏仁中央核和丘脑中央内侧核中对抗精神病药物产生反应的确切细胞类型尚不清楚。我们在此报告,在大鼠模型中,使用针对候选细胞类型特异性标志物的抗体进行双重免疫荧光标记的研究结果表明,在所有这三个部位对氟哌啶醇和氯氮平产生反应的细胞是:1)神经元,而非星形胶质细胞;2)抑制性GABA神经元,而非乙酰胆碱能神经元;3)含强啡肽的GABA神经元,而非含甲硫氨酸脑啡肽的GABA神经元。本研究在体内细胞水平上提供了药理学证据,即抗精神病药物(无论是典型还是非典型)的共同作用是激活伏隔核壳、杏仁中央核和丘脑中央内侧核中的含强啡肽GABA神经元。调节含强啡肽GABA神经元活性或其靶受体的替代方法可能为治疗精神分裂症和其他精神障碍提供一条重要的新途径。