Bardin Laurent, Kleven Mark S, Barret-Grévoz Catherine, Depoortère Ronan, Newman-Tancredi Adrian
Division of Neurobiology 2, Centre de Recherche Pierre Fabre, Castres, France.
Neuropsychopharmacology. 2006 Sep;31(9):1869-79. doi: 10.1038/sj.npp.1300940. Epub 2005 Oct 19.
A new generation of proven or potential antipsychotics, including aripiprazole, bifeprunox, SSR181507 and SLV313, exhibit agonist actions at serotonin 5-HT1A receptors, but little comparative data are available on their pharmacological profiles. Here, we compared in mice the in vivo antipsychotic-like vs cataleptogenic activities of these compounds with those of drugs that exhibit little interaction at 5-HT1A receptors, such as haloperidol, olanzapine and risperidone. All the drugs dose-dependently reduced apomorphine-induced climbing or sniffing and, with the exception of ziprasidone, produced complete suppression of these responses. In the bar catalepsy test, when administered alone, haloperidol, olanzapine and risperidone produced marked catalepsy, whereas, at doses up to 40 mg/kg, aripiprazole, SLV313, SSR181507, and sarizotan produced little or no catalepsy. The latter compounds, therefore, displayed a large separation between doses with 'antipsychotic-like' and those with cataleptogenic actions. When 5-HT1A receptors were blocked by pretreatment with WAY100635 (2.5 mg/kg, s.c.), cataleptogenic properties of SSR181507 and sarizotan were unmasked, and the catalepsy induced by bifeprunox was enhanced. In the case of aripiprazole and SLV313, although WAY100635 produced upward shifts in their dose-response, the magnitude of catalepsy appeared to reach an asymptotic plateau, suggesting that other mechanisms may be involved in their low cataleptogenic liability. The present data confirm that 5-HT1A receptor activation reduces or even completely prevents the cataleptogenic potential of novel antipsychotic agents. Further, they indicate that the balance of affinity and/or efficacy between D2 and 5-HT1A receptors profoundly influences their pharmacological activities, and will likely impact their therapeutic profiles.
新一代经证实或具有潜在作用的抗精神病药物,包括阿立哌唑、双苯丙戊肟、SSR181507和SLV313,对5-羟色胺5-HT1A受体具有激动剂作用,但关于它们药理学特征的比较数据很少。在此,我们在小鼠体内比较了这些化合物与那些对5-HT1A受体几乎没有相互作用的药物(如氟哌啶醇、奥氮平和利培酮)的抗精神病样活性与致僵活性。所有药物均剂量依赖性地减少阿扑吗啡诱导的攀爬或嗅探行为,除齐拉西酮外,均能完全抑制这些反应。在棒状僵住试验中,单独给药时,氟哌啶醇、奥氮平和利培酮会产生明显的僵住反应,而在高达40mg/kg的剂量下,阿立哌唑、SLV313、SSR181507和沙立佐坦几乎不产生或不产生僵住反应。因此,后一类化合物在具有“抗精神病样”作用的剂量与具有致僵作用的剂量之间表现出很大差异。当用WAY100635(2.5mg/kg,皮下注射)预处理阻断5-HT1A受体时,SSR181507和沙立佐坦的致僵特性被揭示出来,双苯丙戊肟诱导的僵住反应增强。对于阿立哌唑和SLV313,虽然WAY100635使它们的剂量反应向上移位,但僵住反应的程度似乎达到一个渐近平台,这表明其他机制可能参与了它们低致僵倾向。目前的数据证实,5-HT1A受体激活可降低甚至完全防止新型抗精神病药物的致僵潜力。此外,这些数据表明D2和5-HT1A受体之间亲和力和/或效力的平衡深刻影响它们的药理活性,并可能影响它们的治疗效果。