Boschi G, Launay N, Rips R
Br J Pharmacol. 1987 Apr;90(4):745-51. doi: 10.1111/j.1476-5381.1987.tb11228.x.
The present study investigated the ability of neuroleptic drugs to induce hypothermia in mice when they were administered intraperitoneally (i.p.) or intracerebroventricularly (i.c.v.). Twelve neuroleptics belonging to five chemical classes including phenothiazines, butyrophenones, benzamides, thioxanthenes and diphenylbutylpiperidines were injected i.p. All of them, except benzamides, induced a dose-dependent decrease in rectal temperature. Neuroleptics were administered i.c.v. via cannulae previously implanted in mice to determine whether this response might have a central origin. None of the drugs tested induced hypothermia at doses which did not produce toxic effects. These negative results suggest that neuroleptics act to elicit hypothermia via a peripheral, rather than a central mechanism. Since some neuroleptics possess alpha-adrenolytic properties which could induce hypothermia by promoting vasodilatation, we attempted to antagonize the hypothermia produced by peripheral administration of two neuroleptics with phenylephrine, an alpha-adrenoceptor agonist that does not cross the blood-brain barrier. The hypothermia induced by both chlorpromazine and haloperidol was attenuated by phenylephrine, supporting the view that peripheral alpha-adrenoceptors may mediate neuroleptic-induced hypothermia.
本研究调查了抗精神病药物经腹腔注射(i.p.)或脑室内注射(i.c.v.)给药时诱导小鼠体温过低的能力。将属于五类化学类别的十二种抗精神病药物腹腔注射,这五类包括吩噻嗪类、丁酰苯类、苯甲酰胺类、噻吨类和二苯基丁基哌啶类。除苯甲酰胺类外,所有药物均引起直肠温度呈剂量依赖性下降。通过先前植入小鼠的套管进行脑室内注射抗精神病药物,以确定这种反应是否可能起源于中枢。所测试的药物在未产生毒性作用的剂量下均未诱导体温过低。这些阴性结果表明,抗精神病药物通过外周而非中枢机制引起体温过低。由于一些抗精神病药物具有α-肾上腺素能阻断特性,可通过促进血管舒张诱导体温过低,我们试图用去氧肾上腺素(一种不会穿过血脑屏障的α-肾上腺素能受体激动剂)对抗两种抗精神病药物经外周给药所产生的体温过低。氯丙嗪和氟哌啶醇所诱导的体温过低均被去氧肾上腺素减弱,这支持了外周α-肾上腺素能受体可能介导抗精神病药物诱导的体温过低这一观点。