Miklya Ildikó
Semmelweis Egyetem, AOK, Farmakológiai és Farmakoterápiás Intézet, Budapest.
Neuropsychopharmacol Hung. 2008 Mar;10(1):15-22.
N-methylpropargylamine-1-aminoindane (J-508), a strong releaser of catecholamines was described 30 years ago as a more potent selective inhibitor of MAO-B than (-)-deprenyl (Knoll 1978). In 2007 the desmethyl-analogue of J-508 (rasagiline) was registered as a new selective inhibitor of MAO-B and a possible substitute for (-)-deprenyl in therapy. The discovery of the enhancer regulation, the realization that catecholaminergic and serotonergic neurons in the brain stem are enhancer-sensitive neurons, phenylethylamine (PEA) and triptamine are endogenous enhancer substances, (-)-deprenyl is a PEA-derived synthetic enhancer substance, and finally the development of (-)-BPAP, a tryptamine-derived, 100 times more potent synthetic enhancer substance than (-)-deprenyl, made it clear that the enhancer effect of (-)-deprenyl is primarily responsible for the therapeutic benefits of this drug. To compare the pharmacological spectrum of (-)-deprenyl and rasagiline was the aim of this study. The ability of rats to acquire a two way conditioned avoidance response (CAR) in the shuttle box was analyzed during 5 consecutive days. Tetrabenazine treatment (1 mg/kg, s.c.) depletes from their stores the transmitters of the catecholaminergic neurons of the brain stem. Since the activation of the cortical neurons via the noradrenergic neurons in the brain stem is sine qua non for the acquisition for a CAR, rats treated with tetrabenazine are unable to learn in the shuttle box. To block the activity of MAO-A (clorgyline) or to treat rats with an enhancer substance [(-)-BPAP] are the two possibilities to antagonize the learning deficit caused by tetrabenazine. We compared in shuttle box experiments the effect of (-)-deprenyl, (-)-desmethyl-deprenyl, J-508 and desmethyl-J-508 (rasagiline) on the learning ability of rats pretreated with tetrabenazine. We used as a reference substance clorgyline to demonstrate the effect of a selective MAO-A inhibitor, and (-)-BPAP to demonstrate the effect of a selective enhancer substance. (-)-Deprenyl and (-)-desmethyl-deprenyl acted, like (-)-BPAP, in low doses as enhancer substances and in very high doses as MAO-A inhibitors. J-508 and rasagiline proved to be devoid of the enhancer property and in doses which are known to block MAO-A, they antagonized the effect of tetrabenazine, like clorgyline. Thus, rasagiline can not be a substitute for (-)-deprenyl in therapy.
N-甲基炔丙基胺-1-氨基茚满(J-508)是一种强效的儿茶酚胺释放剂,30年前就被描述为比(-)-司来吉兰更有效的单胺氧化酶B(MAO-B)选择性抑制剂(诺尔,1978年)。2007年,J-508的去甲基类似物(雷沙吉兰)被注册为一种新型的MAO-B选择性抑制剂,并可能在治疗中替代(-)-司来吉兰。增强子调节的发现,意识到脑干中的儿茶酚胺能和5-羟色胺能神经元是对增强子敏感的神经元,苯乙胺(PEA)和色胺是内源性增强子物质,(-)-司来吉兰是一种源自PEA的合成增强子物质,最后是(-)-BPAP的开发,一种源自色胺的、比(-)-司来吉兰效力强100倍的合成增强子物质,这清楚地表明(-)-司来吉兰的增强子作用是该药物治疗益处的主要原因。比较(-)-司来吉兰和雷沙吉兰的药理谱是本研究的目的。在连续5天内分析大鼠在穿梭箱中获得双向条件回避反应(CAR)的能力。丁苯那嗪治疗(1mg/kg,皮下注射)会耗尽脑干儿茶酚胺能神经元储存的神经递质。由于通过脑干中的去甲肾上腺素能神经元激活皮质神经元是获得CAR的必要条件,用丁苯那嗪治疗的大鼠无法在穿梭箱中学习。阻断MAO-A的活性(氯吉兰)或用增强子物质[(-)-BPAP]治疗大鼠是拮抗丁苯那嗪引起的学习缺陷的两种可能性。我们在穿梭箱实验中比较了(-)-司来吉兰、(-)-去甲基司来吉兰、J-508和去甲基-J-508(雷沙吉兰)对用丁苯那嗪预处理的大鼠学习能力的影响。我们使用氯吉兰作为参考物质来证明选择性MAO-A抑制剂的作用,使用(-)-BPAP来证明选择性增强子物质的作用。(-)-司来吉兰和(-)-去甲基司来吉兰在低剂量时像(-)-BPAP一样作为增强子物质起作用,在非常高的剂量时作为MAO-A抑制剂起作用。J-508和雷沙吉兰被证明没有增强子特性,并且在已知能阻断MAO-A的剂量下,它们像氯吉兰一样拮抗丁苯那嗪的作用。因此,雷沙吉兰在治疗中不能替代(-)-司来吉兰。