Glaser Paul E A, Thomas Theresa C, Joyce B Matthew, Castellanos F Xavier, Gerhardt Greg A
Department of Psychiatry, University of Kentucky, 306 Davis Mills Bldg, Lexington, KY 40536, USA.
Psychopharmacology (Berl). 2005 Mar;178(2-3):250-8. doi: 10.1007/s00213-004-2012-6. Epub 2004 Sep 30.
Current medications for attention-deficit/hyperactivity disorder (ADHD) include some single isomer compounds [dextroamphetamine (D: -amphetamine, dexedrine) and dexmethylphenidate (Focalin)] and some racemic compounds [methylphenidate and mixed-salts amphetamine (Adderall)]. Adderall, which contains approximately 25% L: -amphetamine, has been successfully marketed as a first-line medication for ADHD. Although different clinical effects have been observed for D: -amphetamine, Adderall, and benzedrine; potential psychopharmacological differences on the level of neurotransmission between D: -amphetamine and L: -amphetamine have not been well characterized.
To evaluate potential differences in the isomers, we used the technique of high-speed chronoamperometry with Nafion-coated single carbon-fiber microelectrodes to measure amphetamine-induced release of dopamine (DA) in the striatum and nucleus accumbens core of anesthetized male Fischer 344 rats. Amphetamine solutions were locally applied by pressure ejection using micropipettes.
The presence of L: -amphetamine in the D: ,L: -amphetamine solutions did not cause increased release of DA but did change DA release kinetics. The D: ,L: -amphetamine-evoked signals exhibited significantly faster rise times and shorter signal decay times. This difference was also observed in the nucleus accumbens core. When L: -amphetamine was locally applied, DA release was not significantly different in amplitude, and it exhibited the same rapid kinetics of D: ,L: -amphetamine.
These data support the hypothesis that amphetamine isomers have different effects on release of DA from nerve endings. It is possible that L: -amphetamine may have unique actions on the DA transporter, which is required for the effects of amphetamine on DA release from nerve terminals.
目前用于治疗注意力缺陷多动障碍(ADHD)的药物包括一些单一异构体化合物[右旋苯丙胺(D:-苯丙胺,右旋安非他明)和右甲基苯丙胺(专注达)]以及一些外消旋化合物[甲基苯丙胺和混合盐苯丙胺(阿得拉)]。含有约25%L:-苯丙胺的阿得拉已成功作为ADHD的一线药物上市。尽管已观察到D:-苯丙胺、阿得拉和苄非他明有不同的临床效果,但D:-苯丙胺和L:-苯丙胺在神经传递水平上潜在的精神药理学差异尚未得到充分表征。
为了评估异构体之间的潜在差异,我们使用了带有涂有Nafion的单碳纤维微电极的高速计时电流法技术,来测量苯丙胺诱导的麻醉雄性Fischer 344大鼠纹状体和伏隔核核心中多巴胺(DA)的释放。使用微量移液器通过压力喷射局部施加苯丙胺溶液。
D:,L:-苯丙胺溶液中L:-苯丙胺的存在并未导致DA释放增加,但确实改变了DA释放动力学。D:,L:-苯丙胺诱发的信号显示出明显更快的上升时间和更短的信号衰减时间。这种差异在伏隔核核心中也观察到。当局部应用L:-苯丙胺时,DA释放幅度没有显著差异,并且它表现出与D:,L:-苯丙胺相同的快速动力学。
这些数据支持以下假设,即苯丙胺异构体对神经末梢DA释放有不同影响。L:-苯丙胺可能对DA转运体有独特作用,而DA转运体是苯丙胺对神经末梢DA释放产生作用所必需的。