Soubrié P
J Pharmacol. 1986 Apr-Jun;17(2):107-12.
The hypothesis linking decreased serotonin transmission to reduced anxiety as the mechanism in the anxiolytic activity of benzodiazepines conflicts with most clinical observations. Serotonin antagonists show no marked capacity to alleviate anxiety. On the other hand, clinical signs of reduced serotonergic transmission (low 5-HIAA levels in the cerebrospinal fluid) are frequently associated with aggressiveness, suicide attempts and increased anxiety. This brief review attempts to reconcile these human and animal findings by investigating whether anxiety reduction or increased impulsivity are likely to account for animal behavioral changes associated with decreased serotonergic transmission. The effects of manipulating central serotonin on experimental anxiety paradigms in animals (punishment, novelty) are reviewed and compared to the effects of anti-anxiety drugs. Anxiety seems neither necessary nor sufficient to induce control by serotonergic neurons on behavior. Further evidence suggests that behavioral effects of anxiolytics thought to be mediated by decreases in anxiety are not caused by the ability of these drugs to reduce serotonin transmission. Blockade of serotonin transmission, especially at the level of the substantia nigra, results in a shift of behavior towards facilitation of responding. This behavioral shift is particularly marked when there is competition between acting and restraining response tendencies and when obstacles prevent the immediate attainment of an anticipated reward. It is proposed that serotonergic neurons are not only involved in behavioral arousal but also in enabling the organism to arrange or tolerate delay before acting. Decreases in serotonin transmission seem to be associated with the increased performance of behaviors which are usually suppressed though not necessarily because of the alleviation of anxiety which might contribute to the suppression.
将血清素传递减少与焦虑减轻相联系,以此作为苯二氮䓬类抗焦虑活性机制的假说,与大多数临床观察结果相冲突。血清素拮抗剂并无明显的减轻焦虑的能力。另一方面,血清素能传递减少的临床迹象(脑脊液中5-羟吲哚乙酸水平低)常与攻击性、自杀企图及焦虑增加相关。这篇简短综述试图通过研究焦虑减轻或冲动性增加是否可能解释与血清素能传递减少相关的动物行为变化,来调和这些人与动物研究的发现。综述了调控中枢血清素对动物实验性焦虑范式(惩罚、新奇性)的影响,并与抗焦虑药物的影响进行了比较。焦虑似乎既不是血清素能神经元控制行为的必要条件,也不是充分条件。进一步的证据表明,被认为由焦虑减轻介导的抗焦虑药物的行为效应,并非由这些药物降低血清素传递的能力所致。血清素传递的阻断,尤其是在黑质水平的阻断,会导致行为向促进反应的方向转变。当行动与抑制反应倾向之间存在竞争,且障碍阻碍预期奖励的即时获得时,这种行为转变尤为明显。有人提出,血清素能神经元不仅参与行为唤醒,还能使机体在行动前安排或耐受延迟。血清素传递的减少似乎与通常被抑制的行为表现增加有关,不过不一定是因为可能导致抑制的焦虑减轻。