Yamamoto Yui, Shioda Norifumi, Owada Yuji, Fukunaga Kohji
Department of Pharmacology, Graduate School of Pharmaceutical Sciences, Tohoku University, Aoba-ku, Sendai, Japan.
Yakugaku Zasshi. 2011 Apr;131(4):497-501. doi: 10.1248/yakushi.131.497.
Haloperidol as a potent dopamine D2 receptor (D2R) antagonist was a major tranquilizer to treat schizophrenia patients. However, the D2R blocking action in dorsal striatum is thought to cause extrapyramidal symptoms as adverse effects. However, the pathophysiological mechanism underlying extrapramidal symptoms induced by chronic treatment of haloperidol remains unclear. We recently found that lacking of heart-type fatty acid binding protein (H-FABP) in the brain aggravate catalepsy behavior induced by haloperidol. Here, we examined neuronal mechanism of augmentation of haloperidol-induced catalepsy in H-FABP null mice. Notably, catalepsy induced by haloperidol, a D2 antagonist, is augmented, whereas catalepsy induced by SCH23390, a D1 antagonist, was not affected in H-FABP null mice. Interestingly, haloperidol-induced acetylcholine (ACh) release in the dorsal striatum was markedly enhanced in H-FABP null mice compared to wild mice. We also defined the co-localization of D2R with H-FABP in the ACh interneurons in the striatum. Taken together, H-FABP regulates dopaminergic neuronal activity through interaction with D2R in rodent brain. The increased ACh release in the striatum accounts for haloperidol-induced catalepsy.
氟哌啶醇作为一种强效多巴胺 D2 受体(D2R)拮抗剂,是治疗精神分裂症患者的主要镇静剂。然而,背侧纹状体中的 D2R 阻断作用被认为会导致锥体外系症状作为不良反应。然而,长期使用氟哌啶醇引起的锥体外系症状的病理生理机制仍不清楚。我们最近发现,大脑中缺乏心脏型脂肪酸结合蛋白(H-FABP)会加重氟哌啶醇诱导的僵住行为。在此,我们研究了 H-FABP 基因敲除小鼠中氟哌啶醇诱导的僵住增强的神经元机制。值得注意的是,D2 拮抗剂氟哌啶醇诱导的僵住在 H-FABP 基因敲除小鼠中增强,而 D1 拮抗剂 SCH23390 诱导的僵住则不受影响。有趣的是,与野生小鼠相比,H-FABP 基因敲除小鼠背侧纹状体中氟哌啶醇诱导的乙酰胆碱(ACh)释放明显增强。我们还确定了 D2R 与 H-FABP 在纹状体 ACh 中间神经元中的共定位。综上所述,H-FABP 通过与啮齿动物大脑中的 D2R 相互作用来调节多巴胺能神经元活动。纹状体中 ACh 释放的增加解释了氟哌啶醇诱导的僵住。