Gariano R F, Young S J, Jeste D V, Segal D S, Groves P M
Department of Neuroscience, University of California, San Diego, School of Medicine, La Jolla.
J Pharmacol Exp Ther. 1990 Oct;255(1):108-13.
Haloperidol (1.5-1.7 mg/kg/day) was administered to rats via their drinking water for periods of either 4 weeks or 13 to 14 months, after which the animals were withdrawn from the neuroleptic for 1 or 2 weeks, respectively. Rats given haloperidol for 13 to 14 months exhibited significantly more perioral dyskinesias than controls. Single-unit extracellular recordings were obtained from the substantia nigra and ventral tegmental area in subjects under urethane anesthesia. After 1 month and after 1 year of treatment, a significant decrease in the mean firing rate of substantia nigra pars reticulata neurons was found. Subtle changes in the response of pars reticulata neurons to striatal stimulation were seen after extended haloperidol intake. No consistent effects of haloperidol administration for 4 weeks or 13 to 14 months were found for either the number of spontaneously active dopamine neurons or their firing rates. Histopathologic assessment of tissue from dorsomedial, dorsolateral and ventrolateral sectors of the striatum revealed no significant effect of long-term haloperidol treatment on neuronal cell counts. The results are discussed with reference to neuroleptic-induced tardive dyskinesias.
将氟哌啶醇(1.5 - 1.7毫克/千克/天)通过饮用水给予大鼠,持续4周或13至14个月,之后分别让动物停用抗精神病药物1周或2周。给予氟哌啶醇13至14个月的大鼠比对照组表现出明显更多的口周运动障碍。在氨基甲酸乙酯麻醉下,从黑质和腹侧被盖区获取单单位细胞外记录。治疗1个月和1年后,发现黑质网状部神经元的平均放电率显著降低。长期摄入氟哌啶醇后,可见网状部神经元对纹状体刺激的反应有细微变化。给予氟哌啶醇4周或13至14个月,对自发活动的多巴胺能神经元数量或其放电率均未发现一致的影响。对纹状体背内侧、背外侧和腹外侧区组织的组织病理学评估显示,长期氟哌啶醇治疗对神经元细胞计数无显著影响。结合抗精神病药物引起的迟发性运动障碍对结果进行了讨论。