Department of Environmental and Molecular Health Sciences, Graduate School of Pharmaceutical Sciences, Kumamoto University, 5-1 Oe-honmachi, Kumamoto 862-0973, Japan.
Behav Brain Res. 2011 Jan 1;216(1):308-12. doi: 10.1016/j.bbr.2010.08.010. Epub 2010 Aug 14.
Our previous study revealed that centrally acting non-narcotic antitussives inhibited G-protein-coupled inwardly rectifying K(+) (GIRK) channel currents in brain neurons, and that the tipepidine antitussives had a novel antidepressive-like effect on rats. Furthermore, the antitussives revealed multiplexed ameliorating actions on intractable brain disease models. This study evaluated the therapeutic potential of tipepidine in obsessive-compulsive disorder (OCD) subjects using marble-burying behavior (MBB) tests in mice. In fact, OCD is classified as an anxiety disorder characterized by obsession or compulsion. Although selective 5-HT reuptake inhibitors (SSRIs) are considered first choice agents for the pharmacological treatment of OCD, 50% of patients with OCD failed to respond to SSRIs. The burying of harmless objects such as marbles by mice might reflect the formation of compulsive behavior. The results show that tipepidine reduced MBB in a dose-dependent manner. The effect of tipepidine was significant even at a dosage as small as 5 mg/kg. The tipepidine at 10 mg/kg s.c. nearly abolished MBB without reducing the locomotor activity in mice. It is particularly interesting that the dopamine D₂ antagonist or 5-HT(1A) antagonist partly inhibited the effect of tipepidine on MBB. The results suggest that tipepidine has more of a potent inhibitory effect on MBB, compared with known drugs used for the treatment of OCD, and that the tipepidine action mechanism might differ from that of known drugs.
我们之前的研究表明,中枢作用的非麻醉性镇咳药抑制了脑神经元中的 G 蛋白偶联内向整流钾 (GIRK) 通道电流,而替匹嘧啶类镇咳药对大鼠具有新型抗抑郁样作用。此外,这些镇咳药对多种难治性脑部疾病模型具有多重改善作用。本研究通过在小鼠中进行埋藏大理石行为 (MBB) 测试,评估替匹嘧啶在强迫症 (OCD) 患者中的治疗潜力。事实上,OCD 被归类为一种以强迫观念或强迫行为为特征的焦虑症。尽管选择性 5-羟色胺再摄取抑制剂 (SSRIs) 被认为是 OCD 药物治疗的首选药物,但仍有 50%的 OCD 患者对 SSRIs 没有反应。小鼠埋藏无害物体(如大理石)可能反映了强迫行为的形成。结果表明,替匹嘧啶以剂量依赖的方式减少 MBB。替匹嘧啶的作用即使在 5mg/kg 这么小的剂量下也很显著。替匹嘧啶 10mg/kg 皮下注射几乎消除了 MBB,而不减少小鼠的运动活性。特别有趣的是,多巴胺 D₂拮抗剂或 5-HT(1A) 拮抗剂部分抑制了替匹嘧啶对 MBB 的作用。结果表明,与用于治疗 OCD 的已知药物相比,替匹嘧啶对 MBB 的抑制作用更强,并且替匹嘧啶的作用机制可能与已知药物不同。