Millan Mark J, Dekeyne Anne
Institut de Recherches Servier, Centre de Recherches de Croissy, Psychopharmacology Department, Croissy-sur-Seine, Paris, France.
Int J Neuropsychopharmacol. 2007 Oct;10(5):579-93. doi: 10.1017/S1461145706007309. Epub 2006 Nov 1.
Although little information is available concerning discriminative stimulus (DS) properties of antidepressants, rats can be trained to recognize the selective norepinephrine (NE) reuptake inhibitor, reboxetine (2.5 mg/kg i.p.). By analogy to reboxetine (effective dose50, 1.1), 'full' (80%) substitution dose50 was obtained with the NE reuptake inhibitors, nisoxetine (4.9), nomifensine (0.5) and BW1555,U88 (1.0). Full substitution was also attained with the NE/serotonin (5-HT) reuptake inhibitors, S33005 (0.3), venlafaxine (4.8) and duloxetine (26.8), and the tricyclics, imipramine (2.5) and clomipramine (2.9). In contrast, the 5-HT reuptake inhibitors, citalopram, sertraline and paroxetine (all >2.5), and the 5-HT reuptake inhibitors/5-HT2 receptor antagonists, nefazodone and trazodone (both >10.0), did not substitute for reboxetine. The 'atypical' antidepressants, mirtazapine (>10.0) and mianserin (>2.5), similarly failed to substitute. DS properties of reboxetine were dose-dependently blocked by the alpha1-adrenoceptor (AR) antagonists, prazosin (inhibitory dose50, 0.3) and WB4101 (0.5), but resistant to the alpha2-AR antagonists, atipamezole (>0.63), idazoxan (>2.5) and RX821,002 (>0.08), and to the beta1-AR and beta2-AR antagonists, betaxolol (>2.5) and ICI118,551 (>10.0). Interestingly, the neurokinin-1 receptor antagonist, GR205,171, stereospecifically substituted for reboxetine (1.1) compared to its less active isomer, GR226,206 (>10.0). The corticotrophin-releasing factor-1 antagonists, DMP695 (>40), CP154,526 (>10.0) and SN003 (>40.0), and the melanin-concentrating hormone-1 antagonist, SNAP-7941 (>40.0), failed to substitute for reboxetine. In conclusion, DS properties of reboxetine are mimicked by antidepressants recognizing NE transporters, and require functionally intact alpha1-ARs for their expression. The neurokinin-1 antagonist, GR205,171, mimics the interoceptive properties of reboxetine, possibly reflecting its elevation of extracellular levels of NE in corticolimbic structures.
尽管关于抗抑郁药的辨别性刺激(DS)特性的信息很少,但大鼠可以被训练识别选择性去甲肾上腺素(NE)再摄取抑制剂瑞波西汀(腹腔注射2.5毫克/千克)。类比瑞波西汀(半数有效剂量为1.1),用NE再摄取抑制剂尼索西汀(4.9)、诺米芬辛(0.5)和BW1555、U88(1.0)可获得“完全”(80%)替代半数有效剂量。用NE/5-羟色胺(5-HT)再摄取抑制剂S33005(0.3)、文拉法辛(4.8)和度洛西汀(26.8)以及三环类药物丙咪嗪(2.5)和氯米帕明(2.9)也能实现完全替代。相比之下,5-HT再摄取抑制剂西酞普兰、舍曲林和帕罗西汀(均大于2.5)以及5-HT再摄取抑制剂/5-HT2受体拮抗剂奈法唑酮和曲唑酮(均大于10.0)不能替代瑞波西汀。“非典型”抗抑郁药米氮平(大于10.0)和米安色林(大于2.5)同样不能替代。瑞波西汀的DS特性被α1-肾上腺素能受体(AR)拮抗剂哌唑嗪(半数抑制剂量为0.3)和WB4101(0.5)剂量依赖性地阻断,但对α2-AR拮抗剂阿替美唑(大于0.63)、伊达唑胺(大于2.5)和RX821,002(大于0.08)以及β1-AR和β2-AR拮抗剂倍他洛尔(大于2.5)和ICI118,551(大于10.0)有抗性。有趣的是,神经激肽-1受体拮抗剂GR205,171与其活性较低的异构体GR226,206(大于10.0)相比,能立体特异性地替代瑞波西汀(1.1)。促肾上腺皮质激素释放因子-1拮抗剂DMP695(大于40)、CP154,526(大于10.0)和SN003(大于40.0)以及促黑素细胞激素-1拮抗剂SNAP-7941(大于40.0)不能替代瑞波西汀。总之,识别NE转运体的抗抑郁药可模拟瑞波西汀的DS特性,且其表达需要功能完整的α1-ARs。神经激肽-1拮抗剂GR205,171模拟了瑞波西汀的内感受特性,这可能反映了其提高了皮质边缘结构中NE的细胞外水平。