Division of Psychopharmacology, Vanderbilt University Medical Center, Nashville, TN 37212, USA.
Psychopharmacology (Berl). 2012 May;221(2):205-15. doi: 10.1007/s00213-011-2561-4. Epub 2012 Jan 7.
Atypical antipsychotic drugs (APDs), many of which are direct or indirect serotonin (5-HT)(1A) agonists, and tandospirone, a 5-HT(1A) partial agonist, have been reported to improve cognition in schizophrenia.
We tested the effect of 5-HT(1A) agonism, alone, and in combination with other psychotropic agents, including the atypical APD, lurasidone, in reversing the deficit in novel object recognition (NOR) induced by subchronic treatment with the non-competitive NMDA receptor antagonist, phencyclidine (PCP) (2 mg/kg, b.i.d., for 7 days).
Subchronic treatment with PCP induced a persistent NOR deficit. Lurasidone (0.1 mg/kg), a potent 5-HT(1A) partial agonist, 5-HT(2A) antagonist, and weaker D(2) antagonist, tandospirone (0.6 mg/kg), and the selective post-synaptic 5-HT(1A) agonist, F15599 (0.16 mg/kg), ameliorated the subchronic PCP-induced-NOR deficit. The 5-HT(1A) antagonist, WAY100635 (0.6 mg/kg), blocked the ameliorating effects of tandospirone and lurasidone. The combination of sub-effective doses of tandospirone (0.2 mg/kg) and lurasidone (0.03 mg/kg) also reversed the PCP-induced NOR-deficit. Buspirone, a less potent partial 5-HT(1A) agonist than tandospirone, was less effective. Co-administration of tandospirone (0.2 mg/kg) and pimavanserin (3 mg/kg), a relatively selective 5-HT(2A) receptor inverse agonist, did not reverse the effect of sub-chronic PCP on NOR. The D(2) antagonist, haloperidol, blocked the ameliorating effect of tandospirone on the PCP-induced deficit in NOR.
These results indicate that 5-HT(1A) agonism is adequate to ameliorate the PCP-induced impairment in NOR and suggest further study of utilizing the combination of a 5-HT(1A) agonist and an atypical APD to ameliorate some types of cognitive impairment in schizophrenia.
多种非典型抗精神病药物(APD),其中许多是直接或间接的 5-羟色胺(5-HT)(1A)激动剂,以及坦度螺酮,一种 5-HT(1A)部分激动剂,已被报道可改善精神分裂症的认知功能。
我们测试了 5-HT(1A)激动剂单独使用以及与其他精神药物联合使用的效果,包括非典型 APD 药物鲁拉西酮,以逆转亚慢性使用非竞争性 NMDA 受体拮抗剂苯环利定(PCP)(2mg/kg,每天 2 次)引起的新物体识别(NOR)缺陷。
亚慢性 PCP 治疗导致 NOR 缺陷持续存在。鲁拉西酮(0.1mg/kg),一种有效的 5-HT(1A)部分激动剂、5-HT(2A)拮抗剂和较弱的 D2 拮抗剂,坦度螺酮(0.6mg/kg)和选择性突触后 5-HT(1A)激动剂 F15599(0.16mg/kg)改善了亚慢性 PCP 诱导的 NOR 缺陷。5-HT(1A)拮抗剂 WAY100635(0.6mg/kg)阻断了坦度螺酮和鲁拉西酮的改善作用。亚有效剂量坦度螺酮(0.2mg/kg)和鲁拉西酮(0.03mg/kg)的组合也逆转了 PCP 诱导的 NOR 缺陷。比坦度螺酮效力弱的部分 5-HT(1A)激动剂丁螺环酮效果较差。坦度螺酮(0.2mg/kg)和 pimavanserin(3mg/kg)联合给药,一种相对选择性 5-HT(2A)受体反向激动剂,不能逆转亚慢性 PCP 对 NOR 的作用。D2 拮抗剂氟哌啶醇阻断了坦度螺酮对 PCP 诱导的 NOR 缺陷的改善作用。
这些结果表明 5-HT(1A)激动作用足以改善 PCP 诱导的 NOR 损伤,并提示进一步研究利用 5-HT(1A)激动剂和非典型 APD 的组合改善精神分裂症的某些类型的认知障碍。