Broekkamp C L, Berendsen H H, Jenck F, Van Delft A M
CNS Pharmacology Department, Organon International, Oss, The Netherlands.
Psychopathology. 1989;22 Suppl 1:2-12. doi: 10.1159/000284620.
In examining anxiety and the response of animal models to serotonergic drugs, four aspects should be taken into account: (1) the serotonin receptor is subdivided into at least six receptor subtypes; (2) benzodiazepines have acute anxiety-relieving effects, whereas antidepressants, serotonin-uptake inhibitors, buspirone, and serotonin antagonists have antianxiety effects only after prolonged administration; (3) diagnostic criteria differentiate several distinguishable anxiety disorders that have different responsiveness to serotonin-related drugs, and (4) various types of animal models exist, each responding differently to serotonin-related drugs. Perhaps particular animal models are relevant only for the study of one particular type of anxiety disorder. This differentiated view will be used when discussing the role of 5-hydroxytryptamine (5-HT) receptor subtypes in anxiety disorders and anxiety models. The 5-HT1A receptor is implicated in anxiety by the compounds buspirone and 8-hydroxy-2-(di-n-propyl-aminotetraline) (OHDPAT). The 5-HT1B or the 5-HT1D receptors play a role in the 'defensive burying' anxiety model and probably mediate antidepressant and antianxiety effects of serotonin-uptake inhibitors. The 5-HT1C receptor plays a role in the aversive brain stimulation anxiety model and could play a role in antianxiety effects of mianserin. The 5-HT2 receptor is selectively blocked by ritanserin. In animal 'conflict models' for anxiety, 5-HT-2-receptor antagonists are active, although they are weaker than the benzodiazepines. The 5-HT3-receptor antagonists are reported to be active in social interaction models for anxiety; however, clinical experience in anxiety using these compounds is not yet available.
在研究焦虑以及动物模型对血清素能药物的反应时,应考虑四个方面:(1)血清素受体至少可细分为六种受体亚型;(2)苯二氮䓬类药物具有急性缓解焦虑的作用,而抗抑郁药、血清素摄取抑制剂、丁螺环酮和血清素拮抗剂仅在长期给药后才具有抗焦虑作用;(3)诊断标准区分了几种对血清素相关药物反应不同的可区分的焦虑症,以及(4)存在各种类型的动物模型,每种模型对血清素相关药物的反应都不同。也许特定的动物模型仅与一种特定类型的焦虑症研究相关。在讨论5-羟色胺(5-HT)受体亚型在焦虑症和焦虑模型中的作用时,将采用这种差异化观点。丁螺环酮和8-羟基-2-(二正丙基氨基四氢萘)(OHDPAT)等化合物表明5-HT1A受体与焦虑有关。5-HT1B或5-HT1D受体在“防御性埋埋”焦虑模型中起作用,可能介导血清素摄取抑制剂的抗抑郁和抗焦虑作用。5-HT1C受体在厌恶性脑刺激焦虑模型中起作用,可能在米安色林的抗焦虑作用中起作用。5-HT2受体被利坦色林选择性阻断。在动物焦虑“冲突模型”中,5-HT-2受体拮抗剂有活性,尽管它们比苯二氮䓬类药物弱。据报道,5-HT3受体拮抗剂在焦虑的社交互动模型中有活性;然而,使用这些化合物治疗焦虑的临床经验尚不可用。