State Key Laboratory of Drug Research and Department of Neuropharmacology, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China.
Synapse. 2011 May;65(5):379-87. doi: 10.1002/syn.20855. Epub 2010 Sep 24.
l-Stepholidine (l-SPD), a tetrahydroprotoberberine alkaloid, possesses a pharmacological profile of a D₁/5-HT(1A) agonist and a D₂ antagonist. This unique pharmacological profile makes it a promising novel antipsychotic candidate. Preliminary clinical trials and animal experiments suggest that l-SPD improves both positive and negative symptoms of schizophrenia without producing significant extrapyramidal side effects. To further explore the antipsychotic mechanisms of the drug, we studied the effects of l-SPD on the activity of dopamine (DA) neurons in the ventral tegmental area (VTA) using in vivo single-unit recording technique in rats.
We found that l-SPD increased VTA DA neurons firing rate and induced slow oscillation in firing pattern. Moreover, l-SPD, not clozapine, reversed d-amphetamine-induced inhibition which induced an excitation of VTA DA neurons. Furthermore, our data indicated that the excitatory effect of l-SPD is associated with its partial agonistic action for the 5-HT(1A) receptor since the 5-HT(1A) receptor antagonist WAY100635 could block the l-SPD-induced excitatory effect. However, activation of 5-HT(1A) receptor alone by specific agonist (±)-8-Hydroxy-2-(dipropylamino) tetralin (8-OH-DPAT) was insufficient to elicit excitation of VTA DA neurons, but the excitation of 8-OH-DPAT on VTA DA neurons was elicited in the presence of D₂-like receptors antagonist raclopride. Collectively, these results indicate that l-SPD excited VTA DA neurons requiring its D₂-like receptors antagonistic activity and 5-HT(1A) receptor agonistic activity.
The present data demonstrate that D₂ receptor antagonist/5-HT(1A) receptor agonistic dual properties modulate dopaminergic transmission in a unique pattern that may underlie the different therapeutic responses between l-SPD and other atypical antipsychotic drugs.
l-石杉堿(l-SPD),一种四氢原小檗碱生物碱,具有 D₁/5-HT(1A)激动剂和 D₂ 拮抗剂的药理学特征。这种独特的药理学特征使其成为一种很有前途的新型抗精神病候选药物。初步临床研究和动物实验表明,l-SPD 可改善精神分裂症的阳性和阴性症状,而不会产生明显的锥体外系副作用。为了进一步探讨该药物的抗精神病机制,我们使用大鼠在体单细胞记录技术研究了 l-SPD 对腹侧被盖区(VTA)多巴胺(DA)神经元活性的影响。
我们发现 l-SPD 增加了 VTA DA 神经元的放电率,并诱导了放电模式的缓慢振荡。此外,l-SPD(而非氯氮平)逆转了 d-安非他命诱导的抑制作用,从而引起 VTA DA 神经元的兴奋。此外,我们的数据表明,l-SPD 的兴奋作用与其对 5-HT(1A)受体的部分激动作用有关,因为 5-HT(1A)受体拮抗剂 WAY100635 可以阻断 l-SPD 诱导的兴奋作用。然而,特异性激动剂(±)-8-羟基-2-(二丙基氨基)四氢萘(8-OH-DPAT)单独激活 5-HT(1A)受体不足以引起 VTA DA 神经元的兴奋,但在 D₂ 样受体拮抗剂氯氮平存在的情况下,8-OH-DPAT 可引起 VTA DA 神经元的兴奋。总之,这些结果表明,l-SPD 兴奋 VTA DA 神经元需要其 D₂ 样受体拮抗作用和 5-HT(1A)受体激动作用。
本研究数据表明,D₂ 受体拮抗剂/5-HT(1A)受体激动剂双重特性以独特的方式调节多巴胺能传递,这可能是 l-SPD 与其他非典型抗精神病药物治疗反应不同的基础。