Bürki H R, Ruch W, Asper H
Psychopharmacologia. 1975;41(1):27-33. doi: 10.1007/BF00421302.
The effects of clozapine, thioridazine, perlapine and haloperidol on the metabolism of the biogenic amines in the brain of the rat have been investigated. Haloperidol, perlapine and thioridazine induce catalepsy and enhance the turnover of DA in the striatum as indicated by the dose-dependent increase in the DA-metabolites, HVA and DOPAC. These effects are due to blockade of dopaminergic transmission, haloperidol being far more potent than perlapine or thiridazine. Clozapine differs from these agents in that it elevates the concentration of striatal DA. The increase of the concentrations of HVA and DOPAC by clozapine is not accompanied by development of catalepsy. Therefore, clozapine seems to influence striatal DA by a mechanism other than DA-receptor blockade. All four drugs enhance the turnover of NA in the brain stem. This effect is probably secondary to the blockade of NA-receptors. There was no correlation between the effects on NA-metabolism and the EEG-arousal inhibitory activities of these agents or their clinical antipsychotic effects. Clozapine increase the concentration of 5-HT and 5-HIAA in the brain. This effect was not seen with the other drugs. Perlapine seems to enhance the turnover of 5-HT, whereas haloperidol reduced the 5-HT concentration. Thioridazine appears to have no effect on the metabolism of 5-HT.
已对氯氮平、硫利达嗪、奋乃静和氟哌啶醇对大鼠脑内生物胺代谢的影响进行了研究。氟哌啶醇、奋乃静和硫利达嗪可诱发僵住症,并增强纹状体内多巴胺(DA)的周转,这表现为DA代谢产物高香草酸(HVA)和3,4-二羟基苯乙酸(DOPAC)的剂量依赖性增加。这些作用是由于多巴胺能传递受阻,氟哌啶醇的效力远高于奋乃静或硫利达嗪。氯氮平与这些药物不同,它可提高纹状体DA的浓度。氯氮平使HVA和DOPAC浓度增加,但并未伴随僵住症的出现。因此,氯氮平似乎是通过一种不同于DA受体阻断的机制来影响纹状体DA的。所有这四种药物均可增强脑干中去甲肾上腺素(NA)的周转。这种作用可能是NA受体阻断的继发效应。对NA代谢的影响与这些药物的脑电图唤醒抑制活性或其临床抗精神病作用之间没有相关性。氯氮平可增加脑内5-羟色胺(5-HT)和5-羟吲哚乙酸(5-HIAA)的浓度。其他药物未观察到这种作用。奋乃静似乎可增强5-HT的周转,而氟哌啶醇则降低5-HT的浓度。硫利达嗪似乎对5-HT的代谢没有影响。