Blier P, De Montigny C, Azzaro A J
J Pharmacol Exp Ther. 1986 Jun;237(3):987-94.
The net effect of repeated administration of monoamine oxidase inhibitors (MAOI) on central serotonergic (5-HT) and noradrenergic (NE) neurotransmissions was studied by assessing the responsiveness of hippocampal pyramidal neurons to microiontophoretically applied 5-HT and NE and the response of these neurons to the electrical activation of the 5-HT and NE ascending pathways. Brain monoamine oxidase (MAO) activity as well as the levels of 5-HT, NE and their metabolites were determined in order to verify the biochemical effects of the drugs administered. Twenty-one-day treatments with clorgyline and deprenyl inhibited very selectively MAO-A and MAO-B, respectively, whereas a treatment with phenelzine inhibited both forms of the enzyme. Whole brain concentrations of 5-HT and NE were increased by the antidepressant drugs clorgyline and phenelzine whereas deprenyl, an MAOI type B ineffective in endogenous depression, increased only NE levels after a 21-day treatment. The responsiveness of hippocampal pyramidal neurons to 5-HT was decreased by the long-term clorgyline treatment, but not by deprenyl and phenelzine, whereas that to NE was not altered by any of the treatments. The suppression of firing of these same neurons induced by the stimulation of the 5-HT pathway was increased by clorgyline and phenelzine, but not by deprenyl. The effect of the stimulation of the dorsal NE bundle was not modified by any of the treatments. These data show that prolonged inhibition of MAO-A, but not that of MAO-B, results in an enhanced 5-HT neurotransmission.(ABSTRACT TRUNCATED AT 250 WORDS)
通过评估海马锥体神经元对微量离子电泳施加的5-羟色胺(5-HT)和去甲肾上腺素(NE)的反应性以及这些神经元对5-HT和NE上行通路电激活的反应,研究了单胺氧化酶抑制剂(MAOI)重复给药对中枢5-羟色胺能(5-HT)和去甲肾上腺素能(NE)神经传递的净效应。测定脑单胺氧化酶(MAO)活性以及5-HT、NE及其代谢产物的水平,以验证所给药药物的生化效应。用氯吉兰和司来吉兰分别进行21天的治疗,非常选择性地抑制了MAO-A和MAO-B,而用苯乙肼进行的治疗则抑制了该酶的两种形式。抗抑郁药物氯吉兰和苯乙肼使全脑5-HT和NE浓度升高,而司来吉兰(一种对内源性抑郁症无效的B型MAOI)在21天治疗后仅使NE水平升高。长期氯吉兰治疗降低了海马锥体神经元对5-HT的反应性,但司来吉兰和苯乙肼未使其降低,而对NE的反应性在任何治疗中均未改变。氯吉兰和苯乙肼增强了由5-HT通路刺激诱导的这些相同神经元的放电抑制,但司来吉兰未使其增强。刺激背侧NE束的效应在任何治疗中均未改变。这些数据表明,长期抑制MAO-A而非MAO-B会导致5-HT神经传递增强。(摘要截断于250字)