N-甲基-D-天冬氨酸(NMDA)和多巴胺D1受体介导的神经传递同时增强在氯氮平对苯环己哌啶诱导的大鼠内侧前额叶皮质谷氨酸水平急性升高影响中的作用

Role of the simultaneous enhancement of NMDA and dopamine D1 receptor-mediated neurotransmission in the effects of clozapine on phencyclidine-induced acute increases in glutamate levels in the rat medial prefrontal cortex.

作者信息

Abekawa T, Ito K, Koyama T

机构信息

Department of Psychiatry, Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, 060-8638, Sapporo, Japan.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2006 Dec;374(3):177-93. doi: 10.1007/s00210-006-0115-9. Epub 2006 Nov 14.

Abstract

Clozapine (CLZ) can improve both the positive and negative symptoms of treatment-resistant schizophrenia (TRS), which does not respond to typical antipsychotics. This suggests that elucidation of the pharmacological mechanism for CLZ could lead to further clarification of the pathophysiology of TRS. This study examined the effects of CLZ on phencyclidine (PCP)-induced hyperlocomotion and on the acute increases in glutamate levels that occur in the medial prefrontal cortex (mPFC) in order to test the hypothesis that CLZ effect is associated with the simultaneous enhancement of N-methyl-D: -aspartate (NMDA) and dopamine D(1) receptor-mediated neurotransmission. CLZ effect on PCP-induced hyperlocomotion and increases in glutamate levels were examined by using behavioral rating scores and in vivo microdialysis, respectively. CLZ and haloperidol (HAL) dose-relatedly attenuated PCP-induced hyperlocomotion, and concentration-relatedly blocked PCP-induced acute increases in glutamate levels in the mPFC, with the decrease in saline-induced locomotor activity induced by CLZ being much weaker than that induced by HAL. CLZ also blocked, in a dose-related manner, acute increases in glutamate levels in the mPFC that were induced by local perfusion with a competitive NMDA receptor antagonist, CPP, in this region. Although an enhanced blocking effect of the sub-threshold concentration of NMDA perfusion on PCP-induced acute increases in glutamate levels in the mPFC was noted after co-perfusion with a dopamine D(1) receptor agonist, SKF-38393, perfusion with SKF-38393 did not reverse the CLZ blocking of PCP-induced increases in glutamate levels. Therefore, CLZ may block PCP-induced acute increases in glutamate levels in the mPFC by an enhancement of the NMDA receptor-mediated neurotransmission that is not accelerated by an enhanced dopaminergic transmission via dopamine D(1) receptors. This blocking effect may partially explain the CLZ-induced attenuation of PCP-induced hyperlocomotion.

摘要

氯氮平(CLZ)可改善难治性精神分裂症(TRS)的阳性和阴性症状,而典型抗精神病药物对此类症状无效。这表明阐明氯氮平的药理机制可能会进一步明确难治性精神分裂症的病理生理学。本研究检测了氯氮平对苯环己哌啶(PCP)诱导的运动亢进以及内侧前额叶皮质(mPFC)中谷氨酸水平急性升高的影响,以检验氯氮平的作用与N-甲基-D-天冬氨酸(NMDA)和多巴胺D1受体介导的神经传递同时增强相关这一假说。分别使用行为评分和体内微透析检测氯氮平对PCP诱导的运动亢进和谷氨酸水平升高的影响。氯氮平和氟哌啶醇(HAL)均与剂量相关地减弱PCP诱导的运动亢进,并与浓度相关地阻断PCP诱导的mPFC中谷氨酸水平的急性升高,氯氮平诱导的生理盐水诱导的运动活性降低比HAL诱导的要弱得多。氯氮平还以剂量相关的方式阻断了该区域局部灌注竞争性NMDA受体拮抗剂CPP诱导的mPFC中谷氨酸水平的急性升高。尽管在与多巴胺D1受体激动剂SKF-38393共同灌注后,注意到亚阈值浓度的NMDA灌注对PCP诱导的mPFC中谷氨酸水平急性升高的阻断作用增强,但用SKF-38393灌注并未逆转氯氮平对PCP诱导的谷氨酸水平升高的阻断作用。因此,氯氮平可能通过增强NMDA受体介导的神经传递来阻断PCP诱导的mPFC中谷氨酸水平的急性升高,而这种神经传递不会因通过多巴胺D1受体增强多巴胺能传递而加速。这种阻断作用可能部分解释了氯氮平诱导的PCP诱导的运动亢进的减弱。

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