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用于治疗抑郁症和焦虑症药物的辨别刺激特性。

The Discriminative Stimulus Properties of Drugs Used to Treat Depression and Anxiety.

作者信息

Prus Adam J, Porter Joseph H

机构信息

Department of Psychology, Northern Michigan University, Marquette, MI, USA.

Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.

出版信息

Curr Top Behav Neurosci. 2018;39:213-241. doi: 10.1007/7854_2016_27.

DOI:10.1007/7854_2016_27
PMID:27352389
Abstract

Drug discrimination is a powerful tool for evaluating the stimulus effects of psychoactive drugs and for linking these effects to pharmacological mechanisms. This chapter reviews the primary findings from drug discrimination studies of antidepressant and anxiolytic drugs, including novel pharmacological mechanisms. The stimulus properties revealed from these animal studies largely correspond to the receptor affinities of antidepressant and anxiolytic drugs, indicating that subjective effects may correspond to either therapeutic or side effects of these medications. We discuss drug discrimination findings concerning adjunctive medications and novel pharmacologic strategies in antidepressant and anxiolytic research. Future directions for drug discrimination work include an urgent need to explore the subjective effects of medications in animal models, to better understand shifts in stimulus sensitivity during prolonged treatments, and to further characterize stimulus effects in female subjects. We conclude that drug discrimination is an informative preclinical procedure that reveals the interoceptive effects of pharmacological mechanisms as they relate to behaviors that are not captured in other preclinical models.

摘要

药物辨别是评估精神活性药物刺激效应以及将这些效应与药理机制相联系的有力工具。本章回顾了抗抑郁药和抗焦虑药的药物辨别研究的主要发现,包括新的药理机制。这些动物研究揭示的刺激特性在很大程度上与抗抑郁药和抗焦虑药的受体亲和力相对应,表明主观效应可能与这些药物的治疗作用或副作用相对应。我们讨论了抗抑郁和抗焦虑研究中有关辅助药物和新的药理策略的药物辨别研究结果。药物辨别工作的未来方向包括迫切需要在动物模型中探索药物的主观效应,以更好地理解长期治疗期间刺激敏感性的变化,并进一步表征雌性受试者的刺激效应。我们得出结论,药物辨别是一种信息丰富的临床前程序,它揭示了药理机制的内感受效应,因为它们与其他临床前模型中未捕捉到的行为有关。

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本文引用的文献

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Treating comorbid anxiety and depression: Psychosocial and pharmacological approaches.治疗共病焦虑和抑郁:心理社会和药物学方法。
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Treatment of bipolar disorder: Review of evidence regarding quetiapine and lithium.双相情感障碍的治疗:关于喹硫平和锂盐的证据综述。
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The Role of Muscarinic Receptors in the Pathophysiology of Mood Disorders: A Potential Novel Treatment?
毒蕈碱受体在情绪障碍病理生理学中的作用:一种潜在的新型治疗方法?
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The quetiapine active metabolite N-desalkylquetiapine and the neurotensin NTS₁ receptor agonist PD149163 exhibit antidepressant-like effects on operant responding in male rats.喹硫平的活性代谢物N-去烷基喹硫平以及神经降压素NTS₁受体激动剂PD149163对雄性大鼠的操作性反应表现出抗抑郁样作用。
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Use of antipsychotics in the treatment of depressive disorders.抗精神病药物在抑郁症治疗中的应用。
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Scopolamine and depression: a role for muscarinic antagonism?东莨菪碱与抑郁症:毒蕈碱拮抗作用的角色?
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A review of ketamine in affective disorders: current evidence of clinical efficacy, limitations of use and pre-clinical evidence on proposed mechanisms of action.氯胺酮在情感障碍中的应用综述:临床疗效的现有证据、使用限制以及作用机制的临床前证据。
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Active metabolites as antidepressant drugs: the role of norquetiapine in the mechanism of action of quetiapine in the treatment of mood disorders.活性代谢产物作为抗抑郁药物:去甲喹硫平在喹硫平治疗情绪障碍作用机制中的作用。
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