Neisewander J L, Lucki I, McGonigle P
Department of Pharmacology, University of Pennsylvania School of Medicine, Philadelphia 19104.
Brain Res. 1991 Aug 30;558(1):27-35. doi: 10.1016/0006-8993(91)90710-d.
Rats treated chronically with reserpine develop spontaneous oral dyskinesia. The present study examined the development of the oral dyskinesia during the course of reserpine treatment, and its persistence after termination of treatment. Rats were injected with either reserpine (1 mg/kg, s.c.) or vehicle once daily for 4 days and then every other day for 6 weeks. Oral dyskinesia developed rapidly, reaching a maximal level after 3 days. It persisted at a maximal level for up to 20 days after termination of reserpine treatment, and continued to persist above control level for at least 60 days. The reserpine-treated rats also exhibited stereotypy in response to acute injection of the D1-selective agonist SKF-38393 (10 mg/kg), which was not observed in control rats. In contrast to the oral dyskinesia, this altered sensitivity to SKF-38393 returned to normal within 20 days after terminating the reserpine treatment, suggesting that these two behavioral responses involve different neural mechanisms. Quantitative autoradiographic measurement of dopamine receptor subtypes revealed that both D1 and D2 receptors were increased in the caudate-putamen (Cpu) and nucleus accumbens. Only the increase in D2 receptor density in the CPu correlated with the persistence of the oral dyskinesia; both changes persisted following termination of the reserpine treatment, and their magnitude was less at 60 days than at 1 and 20 days post-treatment. These results may have important implications for tardive dyskinesia.
长期接受利血平治疗的大鼠会出现自发性口腔运动障碍。本研究考察了利血平治疗过程中口腔运动障碍的发展情况以及治疗终止后其持续性。大鼠每日一次皮下注射利血平(1毫克/千克)或赋形剂,共注射4天,之后每隔一天注射一次,持续6周。口腔运动障碍迅速发展,3天后达到最高水平。在利血平治疗终止后,它在最高水平持续了20天,并且在至少60天内持续高于对照水平。接受利血平治疗的大鼠对急性注射D1选择性激动剂SKF - 38393(10毫克/千克)也表现出刻板行为,而对照大鼠未观察到这种情况。与口腔运动障碍不同,对SKF - 38393的这种敏感性改变在利血平治疗终止后20天内恢复正常,这表明这两种行为反应涉及不同的神经机制。多巴胺受体亚型的定量放射自显影测量显示,尾状核 - 壳核(Cpu)和伏隔核中的D1和D2受体均增加。只有CPu中D2受体密度的增加与口腔运动障碍的持续性相关;在利血平治疗终止后,这两种变化均持续存在,且其幅度在治疗后60天时小于治疗后1天和20天时。这些结果可能对迟发性运动障碍具有重要意义。