Department of Psychiatry, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Prog Neuropsychopharmacol Biol Psychiatry. 2012 Oct 1;39(1):107-11. doi: 10.1016/j.pnpbp.2012.05.017. Epub 2012 May 30.
Several studies have shown that the α₁-adrenoreceptor is involved in controlling extracellular serotonin levels. The administration of the α₁-adrenoreceptor antagonist prazosin was shown to decrease extracellular serotonin levels in the hippocampus, the prefrontal cortex and the raphe nucleus, while the administration of the α₁-adrenoreceptor agonist cirazoline was shown to increase serotonin levels. Furthermore, the elevation of serotonin levels induced by the selective serotonin reuptake inhibitor (SSRI) citalopram was attenuated by prazosin. Thus, α₁-adrenoreceptor antagonists may affect SSRI-induced increases in extracellular serotonin levels and their antidepressive and anxiolytic effects. However, little is known about the influence of α₁-adrenoreceptor antagonists on the behavioral pharmacological effects of SSRIs. The conditioned fear stress-induced freezing behavior is an animal model of anxiety and can detect the anxiolytic effect of SSRIs. To clarify whether an α₁-adrenoreceptor antagonist affects the anxiolytic action of SSRIs, we examined the effects of the co-administration of the α₁-adrenoreceptor antagonist prazosin and the SSRI citalopram using the contextual conditioned fear stress model. Low-dose prazosin (0.03 mg/kg) significantly attenuated the citalopram (3 mg/kg)-induced decrease in conditioned freezing. Moreover, high-dose (0.5 mg/kg), but not low-dose (0.03 mg/kg), prazosin significantly attenuated citalopram (10 mg/kg)-induced decreases in conditioned freezing. These drugs did not affect the spontaneous motor activity of the rats. Therefore, these results suggest that blocking the α₁-adrenoreceptor decreases the anxiolytic effect of citalopram.
几项研究表明,α₁-肾上腺素受体参与控制细胞外血清素水平。给予α₁-肾上腺素受体拮抗剂哌唑嗪可降低海马体、前额叶皮层和中缝核的细胞外血清素水平,而给予α₁-肾上腺素受体激动剂西拉洛嗪可增加血清素水平。此外,选择性 5-羟色胺再摄取抑制剂(SSRI)西酞普兰引起的血清素水平升高被哌唑嗪减弱。因此,α₁-肾上腺素受体拮抗剂可能会影响 SSRI 诱导的细胞外血清素水平升高及其抗抑郁和抗焦虑作用。然而,关于 α₁-肾上腺素受体拮抗剂对 SSRI 的行为药理学作用的影响知之甚少。条件性恐惧应激诱导的冻结行为是一种焦虑动物模型,可以检测 SSRI 的抗焦虑作用。为了阐明 α₁-肾上腺素受体拮抗剂是否影响 SSRI 的抗焦虑作用,我们使用情境条件性恐惧应激模型检查了 α₁-肾上腺素受体拮抗剂哌唑嗪和 SSRI 西酞普兰联合给药的效果。低剂量哌唑嗪(0.03 mg/kg)显著减弱了西酞普兰(3 mg/kg)诱导的条件性冻结减少。此外,高剂量(0.5 mg/kg)但不是低剂量(0.03 mg/kg)哌唑嗪显著减弱了西酞普兰(10 mg/kg)诱导的条件性冻结减少。这些药物不影响大鼠的自发运动活动。因此,这些结果表明,阻断α₁-肾上腺素受体可降低西酞普兰的抗焦虑作用。