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促肾上腺皮质激素释放因子1受体拮抗剂和苯二氮䓬类药物在莫里斯水迷宫及位置延迟非匹配试验中的作用。

Effects of CRF1 receptor antagonists and benzodiazepines in the Morris water maze and delayed non-matching to position tests.

作者信息

Hogan John B, Hodges Donald B, Lelas Snjezana, Gilligan Paul J, McElroy John F, Lindner Mark D

机构信息

Neuroscience Drug Discovery, Bristol-Myers Squibb Pharmaceutical Research Institute, 5 Research Parkway, Wallingford, CT, 06492, USA.

出版信息

Psychopharmacology (Berl). 2005 Apr;178(4):410-9. doi: 10.1007/s00213-004-2028-y. Epub 2004 Oct 14.

Abstract

RATIONALE

Benzodiazepines continue to be widely used for the treatment of anxiety, but it is well known that benzodiazepines have undesirable side effects, including sedation, ataxia, cognitive deficits and the risk of addiction and abuse. CRF(1) receptor antagonists are being developed as potential novel anxiolytics, but while CRF(1) receptor antagonists seem to have a better side-effect profile than benzodiazepines with respect to sedation and ataxia, the effects of CRF(1) receptor antagonists on cognitive function have not been well characterized. It is somewhat surprising that the potential cognitive effects of CRF(1) receptor antagonists have not been more fully characterized since there is some evidence to suggest that these compounds may impair cognitive function.

OBJECTIVE

The Morris water maze and the delayed non-matching to position test are sensitive tests of a range of cognitive functions, including spatial learning, attention and short-term memory, so the objective of the present experiments was to assess the effects of benzodiazepines and CRF(1) receptor antagonists in these tests.

RESULTS

The benzodiazepines chlordiazepoxide and alprazolam disrupted performance in the Morris water maze and delayed non-matching to position at doses close to their therapeutic, anxiolytic doses. In contrast, the CRF(1) receptor antagonists DMP-904 and DMP-696 produced little or no impairment in the Morris water maze or delayed non-matching to position test even at doses 10-fold higher than were necessary to produce anxiolytic effects.

CONCLUSIONS

The results of the present experiments suggest that, with respect to their effects on cognitive functions, CRF(1) receptor antagonists seem to have a wider therapeutic index than benzodiazepines.

摘要

理论依据

苯二氮䓬类药物仍被广泛用于治疗焦虑症,但众所周知,苯二氮䓬类药物具有不良副作用,包括镇静、共济失调、认知缺陷以及成瘾和滥用风险。促肾上腺皮质激素释放因子(CRF)(1)受体拮抗剂正在被开发为潜在的新型抗焦虑药,虽然CRF(1)受体拮抗剂在镇静和共济失调方面似乎比苯二氮䓬类药物具有更好的副作用谱,但CRF(1)受体拮抗剂对认知功能的影响尚未得到充分表征。鉴于有一些证据表明这些化合物可能损害认知功能,CRF(1)受体拮抗剂的潜在认知作用尚未得到更全面的表征,这有点令人惊讶。

目的

莫里斯水迷宫和延迟位置匹配试验是一系列认知功能的敏感测试,包括空间学习、注意力和短期记忆,因此本实验的目的是评估苯二氮䓬类药物和CRF(1)受体拮抗剂在这些测试中的作用。

结果

苯二氮䓬类药物氯氮卓和阿普唑仑在接近其治疗性抗焦虑剂量时,会干扰莫里斯水迷宫中的表现以及延迟位置匹配试验。相比之下,CRF(1)受体拮抗剂DMP - 904和DMP - 696即使在比产生抗焦虑作用所需剂量高10倍的情况下,在莫里斯水迷宫或延迟位置匹配试验中也几乎没有或没有造成损害。

结论

本实验结果表明,就对认知功能的影响而言,CRF(1)受体拮抗剂似乎比苯二氮䓬类药物具有更宽的治疗指数。

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