Ballmaier Martina, Bortolato Marco, Rizzetti Cristina, Zoli Michele, Gessa GianLuigi, Heinz Andreas, Spano PierFranco
Department of Psychiatry and Psychotherapy, Charité University Medicine, Campus Mitte, Shumannstrasse 20/21, 10117 Berlin, Germany.
Neuropsychopharmacology. 2007 Oct;32(10):2098-107. doi: 10.1038/sj.npp.1301344. Epub 2007 Feb 14.
Clinical and laboratory findings suggest that cannabinoids and their receptors are implicated in schizophrenia. The role of cannabinoids in schizophrenia remains however poorly understood, as data are often contradictory. The primary aim of this study was to investigate whether the cannabinoid CB1 receptor antagonists rimonabant and AM251 are able to reverse deficits of sensorimotor gating induced by phencyclidine and to mimic the 'atypical' antipsychotic profile of clozapine. The prepulse inhibition (PPI) of the startle reflex was used to measure deficits of sensorimotor gating. PPI-disruptive effects of phencyclidine and their antagonism by rimonabant, AM251, and clozapine were studied in rats. The effects of rimonabant were carefully examined taking into account dose ranges, vehicle, and route of administration. We also examined the ability of rimonabant to reduce the PPI-disruptive effects of dizocilpine and apomorphine. Rimonabant as well as AM251 significantly counteracted the phencyclidine-disruptive model of PPI, comparable to the restoring effect of clozapine; no augmentation effect was observed with rimonabant and clozapine as cotreatment. Rimonabant also significantly attenuated the PPI disruptive effects of dizocilpine and apomorphine. Taken together, our results indicate that CB1 receptor antagonists do produce 'atypical' antipsychotic profile mimicking that of clozapine in the phencyclidine disruption of sensorimotor gating. Our findings further suggest that CB1 receptor antagonism may be involved in restoring disturbed interactions between the activity of the endocannabinoid system and glutamate neurotransmitter system implied in schizophrenia.
临床和实验室研究结果表明,大麻素及其受体与精神分裂症有关。然而,大麻素在精神分裂症中的作用仍知之甚少,因为数据往往相互矛盾。本研究的主要目的是调查大麻素CB1受体拮抗剂利莫那班和AM251是否能够逆转苯环利定诱导的感觉运动门控缺陷,并模拟氯氮平的“非典型”抗精神病特性。采用惊吓反射的前脉冲抑制(PPI)来测量感觉运动门控缺陷。在大鼠中研究了苯环利定对PPI的破坏作用以及利莫那班、AM251和氯氮平对其的拮抗作用。考虑到剂量范围、溶媒和给药途径,仔细研究了利莫那班的作用。我们还研究了利莫那班降低地佐环平及阿扑吗啡对PPI破坏作用的能力。利莫那班和AM251均能显著对抗苯环利定对PPI的破坏作用,与氯氮平的恢复作用相当;利莫那班与氯氮平联合治疗未观察到增强效应。利莫那班还能显著减弱地佐环平和阿扑吗啡对PPI的破坏作用。综上所述,我们的结果表明CB1受体拮抗剂在苯环利定破坏感觉运动门控方面确实产生了类似氯氮平的“非典型”抗精神病特性。我们的研究结果进一步表明,CB1受体拮抗作用可能参与恢复精神分裂症中内源性大麻素系统与谷氨酸神经递质系统活动之间紊乱的相互作用。