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氟哌啶醇诱发的情绪性排便:一种可能的抗精神病药物所致焦虑综合征模型。

Haloperidol-induced emotional defecation: a possible model for neuroleptic anxiety syndrome.

作者信息

Russell K H, Hagenmeyer-Houser S H, Sanberg P R

出版信息

Psychopharmacology (Berl). 1987;91(1):45-9. doi: 10.1007/BF00690925.

Abstract

The neuroleptic haloperidol was found to produce increased defecation in laboratory rats when tested in well habituated environments. It is well known that haloperidol induces catalepsy through antagonism of striatal dopaminergic receptor mechanisms. When another cataleptic agent, morphine, was tested, no significant increases in defectation were detected. Another study focused on the possible role of peripheral dopamine receptor sites within the gastrointestinal tract on neuroleptic-induced defecation. When the peripheral dopamine receptor antagonist domperidone was tested, no significant differences in fecal elimination were recorded. Thus, it appeared that the cataleptic state per se, or the peripheral effects of haloperidol did not seem to be responsible for the increased defecation. Defection is often used as an index of emotionality. The fact that this measure increased following administration of a major tranquilizer suggested the need to study more directly the relationship of this phenomenon of defecation with the affective state of the animal. In a control study it was found that the antianxiety agent benzodiazepam did not by itself influence defecation. However, those animals which were pre-injected with diazepam followed by haloperidol did not show increased defecation. Thus under certain circumstances, normal rats given haloperidol show "emotional defecation" which seems to reflect increased anxiety. This finding may serve as a basis for the development of an animal model for some of the atypical side effects of major tranquilizers, such as akathisia, dysphoria, and neuroleptic anxiety syndrome.

摘要

在适应良好的环境中对实验大鼠进行测试时,发现抗精神病药物氟哌啶醇会导致排便增加。众所周知,氟哌啶醇通过拮抗纹状体多巴胺能受体机制诱导僵住症。在测试另一种致僵剂吗啡时,未检测到排便有显著增加。另一项研究聚焦于胃肠道内外周多巴胺受体位点在抗精神病药物诱导排便中可能发挥的作用。在测试外周多巴胺受体拮抗剂多潘立酮时,未记录到粪便排出有显著差异。因此,似乎僵住症本身或氟哌啶醇的外周效应并非排便增加的原因。排便常被用作情绪指标。在给予一种主要镇静剂后这一指标增加,这一事实表明有必要更直接地研究这种排便现象与动物情感状态之间的关系。在一项对照研究中发现,抗焦虑药物苯二氮䓬本身不会影响排便。然而,那些预先注射地西泮然后再注射氟哌啶醇的动物并未出现排便增加。因此,在某些情况下,给予氟哌啶醇的正常大鼠会出现“情绪性排便”,这似乎反映了焦虑增加。这一发现可能为开发一种动物模型奠定基础,用于研究一些主要镇静剂的非典型副作用,如静坐不能、烦躁不安和抗精神病药物焦虑综合征。

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