Campbell A, Yeghiayan S, Baldessarini R J, Neumeyer J L
Department of Psychiatry, Harvard Medical School, Boston, MA.
Psychopharmacology (Berl). 1991;103(3):323-9. doi: 10.1007/BF02244285.
Dopamine (DA), injected unilaterally into rat forebrain after pretreatment with a monoamine oxidase inhibitor, equipotently induced locomotor arousal when placed in the nucleus accumbens septi (a limbic site) and contralateral deviation of the head when placed in the corpus striatum (an extrapyramidal target); testing was done with an ED50 dose of DA (16 micrograms). Systemic injections (IP) of the representative typical neuroleptic haloperidol showed high potency and minor striatal selectivity against the behavioral effects of intracerebral DA [accumbens ID50 = 0.090, striatum = 0.027 mg/kg (0.24 and 0.072 mumol/kg); ID50 ratio = 3.3, favoring striatum]. The atypical antipsychotic agent clozapine was less potent against DA in both brain regions but, paradoxically, showed ever greater striatal selectivity [ID50 = 12 and 1.4 mg/kg (37 and 4.2 mumol/kg); ratio = 8.8, favoring striatum], while its analog, the piperazinyl-dibenzothiazepine ICI-204,636 showed intermediate potency and the lowest striatal selectivity of these three neuroleptic agents [ID50 = 1.8 and 0.88 mg/kg (4.1 and 2.0 mumol/kg); ratio = 2.1]. In striking contrast, the S(+) isomers of N-n-propylnorapomorphine, its orally active 10,11-methylenedioxy prodrug derivative, and its 11-monohydroxy analog all induced potent antagonism of limbic DA but had little effect on extrapyramidal injections of DA except at high systemic doses [ID50, accumbens = 0.18-0.52, striatal = 10-15 mg/kg (0.50-1.6 and 29-42 mumol/kg); regional ID50 ratios = 18-69, favoring accumbens]. The S(+)aporphines showed limbic potency similar to that of haloperidol and 25-73 times greater than that of clozapine.(ABSTRACT TRUNCATED AT 250 WORDS)
在用单胺氧化酶抑制剂预处理后,将多巴胺(DA)单侧注射到大鼠前脑,当注射到伏隔核(一个边缘系统部位)时,能等电位地诱发运动性觉醒,而当注射到纹状体(一个锥体外系靶点)时,则会引起头部向对侧偏斜;实验使用的是ED50剂量的DA(16微克)。全身注射(腹腔注射)代表性的典型抗精神病药物氟哌啶醇,对脑内DA的行为效应显示出高效力和轻微的纹状体选择性[伏隔核ID50 = 0.090,纹状体 = 0.027毫克/千克(0.24和0.072微摩尔/千克);ID50比值 = 3.3,有利于纹状体]。非典型抗精神病药物氯氮平在两个脑区对DA的效力较低,但矛盾的是,它表现出更大的纹状体选择性[ID50 = 12和1.4毫克/千克(37和4.2微摩尔/千克);比值 = 8.8,有利于纹状体],而它的类似物哌嗪基 - 二苯并噻氮䓬ICI - 204,636在这三种抗精神病药物中表现出中等效力和最低的纹状体选择性[ID50 = 1.8和0.88毫克/千克(4.1和2.0微摩尔/千克);比值 = 2.1]。与之形成鲜明对比的是,N - 正丙基去甲阿扑吗啡的S(+)异构体、其口服活性的10,11 - 亚甲基二氧基前药衍生物及其11 - 单羟基类似物,均能有效拮抗边缘系统的DA,但除了高全身剂量外,对锥体外系注射的DA几乎没有影响[ID50,伏隔核 = 0.18 - 0.52,纹状体 = 10 - 15毫克/千克(0.50 - 1.6和29 - 42微摩尔/千克);区域ID50比值 = 18 - 69,有利于伏隔核]。S(+)阿朴啡类药物的边缘系统效力与氟哌啶醇相似,比氯氮平大25 - 73倍。(摘要截取自250字)