Ali Obaid, Haleem Darakhshan J, Saify Zafar Saied, Kamil Noor, Obaid Roohi, Ahmed Syed Waseemuddin
Central Drugs Laboratory, Ministry of Health, Government of Pakistan, Pakistan.
Pak J Pharm Sci. 2005 Apr;18(2):23-8.
Development of antipsychotics with slight/no extra-pyramidal symptoms (EPS) and/or other side effects is one of the exploring fields of drug research. Haloperidol is a high potency typical neuroleptic used in the treatment of schizophrenia but produces muscles related side effects commonly known as EPS. These effects are not produced following the administration of atypical neuroleptics such as clozapine. A severe side effect of clozapine treatment is however, agranulocytosis. This involves investigation on the mechanism by which a typical neuroleptic acting via serotonergic mechanism tends to produce less or no EPS. The present study was, therefore, designed to determine the effect of serotonin precursor tryptophan and a large neutral amino acid other than tryptophan (valine) on the modulation of haloperidol induced catalepsy and akinesia. Cataleptic effects of the drug and activity reducing effects were monitored on inclined surface and in an activity box or open field respectively. The results are discussed in the context of a role of tryptophan and valine induced changes of brain serotonin in modifying the extrapyramidal and monoaminergic effects of the typical neuroleptic haloperidol. In the present study administration of TRP and valine decreased activity in rats, haloperidol-induced catalepsy' was not modulated by prior administration of tryptophan or valine. Brain serotonin levels were elevated by haloperidol treatment and correlated very well with the behavioral response. These findings suggest a possible serotonergic involvement in neuroleptic induced tardive dyskinesia and an amelioration of the disorder through TRP supplementation.
研发具有轻微/无锥体外系症状(EPS)和/或其他副作用的抗精神病药物是药物研究的探索领域之一。氟哌啶醇是一种高效的典型抗精神病药物,用于治疗精神分裂症,但会产生通常被称为EPS的肌肉相关副作用。非典型抗精神病药物如氯氮平给药后不会产生这些效应。然而,氯氮平治疗的一个严重副作用是粒细胞缺乏症。这涉及对一种典型抗精神病药物通过血清素能机制起作用时倾向于产生较少或无EPS的机制进行研究。因此,本研究旨在确定血清素前体色氨酸和色氨酸以外的一种大中性氨基酸(缬氨酸)对氟哌啶醇诱导的僵住症和运动不能的调节作用。分别在倾斜表面以及活动箱或旷场中监测药物的僵住症效应和活动减少效应。在色氨酸和缬氨酸诱导的脑血清素变化对典型抗精神病药物氟哌啶醇的锥体外系和单胺能效应的修饰作用的背景下讨论了结果。在本研究中,给予色氨酸和缬氨酸会降低大鼠的活动,预先给予色氨酸或缬氨酸并不能调节氟哌啶醇诱导的僵住症。氟哌啶醇治疗可提高脑血清素水平,且与行为反应密切相关。这些发现表明血清素能可能参与了抗精神病药物诱导的迟发性运动障碍,并通过补充色氨酸可改善该病症。