Pietraszek M, Nagel J, Gravius A, Schäfer D, Danysz W
Preclinical R&D, Merz Pharmaceuticals GmbH, Frankfurt am Main, Germany.
Amino Acids. 2007 Feb;32(2):173-8. doi: 10.1007/s00726-006-0319-9. Epub 2006 May 15.
It has been proposed that glutamatergic transmission, in particular NMDA receptor function, might be altered in schizophrenia. This hypothesis is mainly based on the observation that uncompetitive NMDA receptor antagonists, e.g. phencyclidine, evoke psychotic symptoms in healthy subjects, whereas agonists interacting at the glycine site of the NMDA receptor complex, e.g. glycine or D-serine, administered jointly with typical neuroleptics, can alleviate schizophrenic symptoms. The function of NMDA receptors may be modulated by group I mGluRs (mGluR1 and mGluR5), which have also been shown to be altered in schizophrenia. In rodents, mGluR5 antagonists, but not mGluR1 ones, potentiate the locomotor activity and the deficit of prepulse inhibition (PPI) induced by uncompetitive NMDA receptor antagonists. These antagonists (of either type) administered alone are not active in the above tests. Hence, antagonists of mGluR1 and mGluR5 may evoke different effects on the NMDA receptor antagonists-induced behavior and, possibly, on schizophrenic symptoms.
有人提出,在精神分裂症中,谷氨酸能传递,尤其是NMDA受体功能,可能会发生改变。这一假说主要基于以下观察结果:非竞争性NMDA受体拮抗剂,如苯环己哌啶,可在健康受试者中诱发精神病症状,而与典型抗精神病药物联合使用时,作用于NMDA受体复合物甘氨酸位点的激动剂,如甘氨酸或D-丝氨酸,可缓解精神分裂症症状。I组代谢型谷氨酸受体(mGluR1和mGluR5)可调节NMDA受体的功能,研究也表明,这些受体在精神分裂症中也发生了改变。在啮齿动物中,mGluR5拮抗剂而非mGluR1拮抗剂,可增强非竞争性NMDA受体拮抗剂诱导的运动活性和前脉冲抑制(PPI)缺陷。单独给予这两种拮抗剂在上述试验中均无活性。因此,mGluR1和mGluR5拮抗剂可能对NMDA受体拮抗剂诱导的行为以及可能对精神分裂症症状产生不同影响。