Massol J, Martin P, Chatelain F, Soubrié P, Puech A J
Service de Diabétologie-Endocrinologie, Hôpital J. Minjoz, Besançon, France.
Pharmacol Biochem Behav. 1988 Dec;31(4):807-12. doi: 10.1016/0091-3057(88)90388-7.
Diabetes is reportedly associated with alterations in peripheral and central noradrenergic systems. The latter might be involved in the antidepressant effects of imipramine-like drugs in both humans and animals. Therefore, it is possible that diabetics show an impaired responsiveness to tricyclics. To test this possibility the effects of streptozotocin (STZ)-induced experimental diabetes in mice were assessed in two psychopharmacological tests: 1) the reversal of apomorphine- (16 mg/kg) induced hypothermia and 2) the hypoactivity induced by a direct beta-agonist (clenbuterol 0.06 mg/kg). At day 15 after STZ or vehicle treatment, imipramine (4 mg/kg) antagonized the apomorphine-induced hypothermia in diabetic (D) and nondiabetic (ND) mice and clenbuterol produced hypoactivity in both groups. At day 30 and 45, the ability of imipramine (1, 2, 4, 8, 16 mg/kg), clomipramine (8 mg/kg) and desipramine (2 mg/kg) to reverse apomorphine-induced hypothermia disappeared at the same time that clenbuterol lost its ability to induce hypomotility in D mice. These impaired responses on both tests were corrected by a short period of insulin therapy. These two tests may reflect central beta-adrenergic functions. Therefore, these data suggest that the impaired responsiveness of diabetic mice might be due at least in part to a noradrenergic dysfunction. Possibly, in diabetes, a beta-adrenoceptor desensitization identical to that observed at the peripheral level occurs in the central nervous system. The possibility that a thyroid hormone deficiency may be involved was also tested. Decreased T3 plasma levels were found in D mice concomitant with the impaired pharmacological responses and T3 supplementation turned these responses to normal.(ABSTRACT TRUNCATED AT 250 WORDS)
据报道,糖尿病与外周和中枢去甲肾上腺素能系统的改变有关。后者可能参与了丙咪嗪类药物对人和动物的抗抑郁作用。因此,糖尿病患者可能对三环类药物反应受损。为了验证这一可能性,在两项精神药理学试验中评估了链脲佐菌素(STZ)诱导的小鼠实验性糖尿病的影响:1)阿扑吗啡(16mg/kg)诱导的体温过低的逆转;2)直接β-激动剂(克伦特罗0.06mg/kg)诱导的活动减少。在STZ或赋形剂治疗后的第15天,丙咪嗪(4mg/kg)拮抗糖尿病(D)和非糖尿病(ND)小鼠中阿扑吗啡诱导的体温过低,克伦特罗在两组中均产生活动减少。在第30天和第45天,丙咪嗪(1、2、4、8、16mg/kg)、氯米帕明(8mg/kg)和地昔帕明(2mg/kg)逆转阿扑吗啡诱导的体温过低的能力消失,同时克伦特罗在D小鼠中失去诱导运动减少的能力。这两项试验中受损的反应通过短期胰岛素治疗得到纠正。这两项试验可能反映中枢β-肾上腺素能功能。因此,这些数据表明糖尿病小鼠反应受损可能至少部分归因于去甲肾上腺素能功能障碍。可能在糖尿病中,中枢神经系统发生了与外周水平观察到的相同的β-肾上腺素能受体脱敏。还测试了甲状腺激素缺乏可能参与的可能性。在D小鼠中发现血浆T3水平降低,同时伴有药理学反应受损,补充T3使这些反应恢复正常。(摘要截断于250字)