Hirose Tsuyoshi, Kikuchi Tetsuro
Otsuka Pharmaceutical Co., Ltd., Tokushima, Japan.
J Med Invest. 2005 Nov;52 Suppl:284-90. doi: 10.2152/jmi.52.284.
It is obvious that DA is an important neurotransmitter in vivo. It is involved in a variety of physiological processes such as mental processes, motor function and hormone regulation. In this context, it is quite understandable that a DA D2 receptor antagonist that inhibits the DA D2 receptor regardless of the state of activity of dopaminergic neurotransmission and inhibit the physiological function of DA can have a variety of adverse effects. In contrast to DA D2 antagonists, aripiprazole acts as an antagonist at the DA D2 receptor in the state of excessive dopaminergic neurotransmission, while it acts as an agonist at the DA D2 receptor in the state of low dopaminergic neurotransmission, and thus attempts to bring the state of dopaminergic neurotransmission to normal. This activity of aripiprazole to regulate dopaminergic neurotransmission is physiologically reasonable, and can be regarded as a stabilizing effect, for which aripiprazole is called a dopamine system stabilizer.
显然,多巴胺(DA)是体内一种重要的神经递质。它参与多种生理过程,如心理过程、运动功能和激素调节。在这种情况下,一种无论多巴胺能神经传递的活动状态如何都抑制DA D2受体并抑制DA生理功能的DA D2受体拮抗剂会产生多种不良反应,这是完全可以理解的。与DA D2拮抗剂不同,阿立哌唑在多巴胺能神经传递过度的状态下作为DA D2受体的拮抗剂起作用,而在多巴胺能神经传递低下的状态下作为DA D2受体的激动剂起作用,从而试图使多巴胺能神经传递状态恢复正常。阿立哌唑调节多巴胺能神经传递的这种活性在生理上是合理的,可被视为一种稳定作用,因此阿立哌唑被称为多巴胺系统稳定剂。