Department of Pharmacology, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
CNS Neurosci Ther. 2011 Apr;17(2):133-9. doi: 10.1111/j.1755-5949.2010.00218.x. Epub 2010 Dec 16.
Behavioral sensitization to psychostimulants in rodents is associated with the alteration of dopaminergic neurotransmission, and has been proposed as a useful model of schizophrenia due to its progressively intensifying, easily relapsing, and long-lasting features. Pharmacological treatments that reverse the established sensitization may have potential therapeutic values for schizophrenia. The present aim is to review pharmacological treatments that induce the reversal of established sensitization to psychostimulants. In addition, we discuss possible mechanisms for the reversal of sensitization. Reversal of sensitization is induced by chronic dopamine D1 receptor agonism, D2 or D1/D2 receptor agonism combined with mild N-methyl-D-aspartate (NMDA) receptor antagonism or serotonin (5-HT(2A) or 5-HT(3) ) receptor antagonism, 5-HT(1A) receptor agonism, and 5-HT(2A) or 5-HT(3) receptor antagonism. Chronic treatments with these drugs likely adjust altered dopaminergic neurotransmission in sensitized animals. Especially, chronic dopamine D1 receptor agonism, which may adjust mesolimbic hyperdopaminergic and mesocortical hypodopaminergic functions in sensitized animals, is an attractive therapeutic approach for schizophrenia.
在啮齿动物中,对精神兴奋剂的行为敏化与多巴胺能神经传递的改变有关,由于其逐渐加剧、容易复发和持久的特点,它被提出作为精神分裂症的有用模型。逆转已建立的敏化的药物治疗可能对精神分裂症具有潜在的治疗价值。本研究旨在综述诱导精神兴奋剂已建立敏化逆转的药物治疗。此外,我们还讨论了敏化逆转的可能机制。敏化的逆转是由慢性多巴胺 D1 受体激动剂、D2 或 D1/D2 受体激动剂联合轻度 N-甲基-D-天冬氨酸 (NMDA) 受体拮抗剂或 5-羟色胺(5-HT(2A)或 5-HT(3))受体拮抗剂、5-HT(1A)受体激动剂以及 5-HT(2A)或 5-HT(3)受体拮抗剂诱导的。这些药物的慢性治疗可能会调整敏化动物中改变的多巴胺能神经传递。特别是,慢性多巴胺 D1 受体激动剂可能会调节敏化动物中边缘系统的多巴胺能亢进和中皮质的多巴胺能低下功能,这是一种有吸引力的精神分裂症治疗方法。