Laboratoire de Neurobiologie et Pharmacologie Moléculaire, INSERM/Université Paris Descartes, 2 ter rue d'Alésia, 75014, Paris, France.
Psychopharmacology (Berl). 2010 Jul;210(4):591-604. doi: 10.1007/s00213-010-1863-2. Epub 2010 May 1.
H(3)-receptor inverse agonists raise a great interest as innovative therapeutics in several central disorders. Whereas their procognitive properties are well established, their antipsychotic-like properties are still debated.
We further explored the effect of maximal doses (3-10 mg/kg) of ciproxifan, BF2.649, and ABT-239, three selective H(3)-receptor inverse agonists, on deficits of prepulse inhibition (PPI) induced by apomorphine, MK-801, and phencyclidine (PCP). Their effect was also investigated on stereotypies induced by apomorphine and methamphetamine.
Ciproxifan, BF2.649, and ABT-239 did not reverse the PPI impairment produced by apomorphine (0.5 mg/kg, subcutaneous) in rats. Ciproxifan and BF2.649 did not reverse the impairment induced in mice by MK-801 (0.3 mg/kg). Ciproxifan and BF2.649 also failed to reverse the disruption induced in mice by PCP (5-10 mg/kg). Low to moderate doses of haloperidol (0.1-0.4 mg/kg, intraperitoneal), alone or co-administered with BF2.649, did not reverse MK-801-induced PPI disruption. A high dose (1 mg/kg) of haloperidol partially reversed the MK-801-induced deficit and BF2.649 tended to increase this effect, although nonsignificantly. Whereas stereotypies induced in mice by apomorphine and methamphetamine were totally suppressed by haloperidol, the decrease induced by ciproxifan was partial against apomorphine and very low, if any, against methamphetamine.
Their total absence of effect in several validated animal models of the disease does not support antipsychotic properties of H(3)-receptor inverse agonists. However, their positive effects previously reported in behavioral tasks addressing learning, attention, and memory maintain the interest of H(3)-receptor inverse agonists for the treatment of cognitive symptoms of schizophrenia as adjunctive medications.
H3-受体反向激动剂作为几种中枢疾病的创新疗法引起了极大的兴趣。虽然它们的促认知作用已得到充分证实,但它们的抗精神病作用仍存在争议。
我们进一步探讨了最大剂量(3-10mg/kg)的西普罗昔芬、BF2.649 和 ABT-239 三种选择性 H3-受体反向激动剂对阿扑吗啡、MK-801 和苯环利定(PCP)诱导的前脉冲抑制(PPI)缺陷的影响。还研究了它们对阿扑吗啡和甲基苯丙胺诱导的刻板行为的影响。
西普罗昔芬、BF2.649 和 ABT-239 均不能逆转阿扑吗啡(0.5mg/kg,皮下注射)诱导的大鼠 PPI 损伤。西普罗昔芬和 BF2.649 不能逆转 MK-801(0.3mg/kg)诱导的小鼠损伤。西普罗昔芬和 BF2.649 也不能逆转 PCP(5-10mg/kg)诱导的小鼠损伤。低至中等剂量的氟哌啶醇(0.1-0.4mg/kg,腹腔注射),单独或与 BF2.649 联合使用,不能逆转 MK-801 诱导的 PPI 破坏。高剂量(1mg/kg)的氟哌啶醇部分逆转了 MK-801 诱导的缺陷,BF2.649 倾向于增加这种效果,尽管没有统计学意义。虽然阿扑吗啡和甲基苯丙胺诱导的小鼠刻板行为被氟哌啶醇完全抑制,但西普罗昔芬的抑制作用部分针对阿扑吗啡,针对甲基苯丙胺则非常低,如果有的话。
它们在几种已验证的疾病动物模型中完全没有效果,不支持 H3-受体反向激动剂的抗精神病作用。然而,它们以前在涉及学习、注意力和记忆的行为任务中报告的积极作用仍然使 H3-受体反向激动剂对治疗精神分裂症的认知症状作为辅助药物保持兴趣。