Samad Noreen
Department of Biomedical Engineering, Sir Syed University of Engineering and Technology, Karachi 75300, Pakistan.
J Food Drug Anal. 2015 Sep;23(3):370-375. doi: 10.1016/j.jfda.2014.10.012. Epub 2015 Jan 2.
Tardive dyskinesia (TD) is one of the serious side effects of long-term antipsychotic treatment. Chronic treatment with neuroleptic leads to the development of abnormal oral movements called vacuous chewing movements (VCMs). The oxidative stress hypothesis of TD is one of the possible pathophysiologic models for TD. Preclinical and clinical studies of this hypothesis indicate that neurotoxic free radical production is likely to be a consequence of antipsychotic medication and is related to occurrence of TD. Oxidative stress is implicated in the pathophysiology of TD. Rats chronically treated with haloperidol orally at a dose of 0.2 mg/kg/day for a period of 5 weeks developed VCMs, which increased in a time-dependent manner as the treatment continued for 5 weeks. Motor coordination impairment started after the 1 week and was maximally impaired after 3 weeks and gradually returned to the 1 week value. Motor activity in an open field or home cage (activity box) not altered. Administration of rice bran oil (antioxidant) by oral tubes at a dose of 0.4 mL/day prevented the induction of haloperidol-elicited VCMs as well impairment of motor coordination. The results are discussed in the context of a protective role of antioxidant of rice bran oil in the prevention of haloperidol-induced extrapyramidal symptoms.
迟发性运动障碍(TD)是长期抗精神病药物治疗的严重副作用之一。长期使用抗精神病药物会导致出现异常的口腔运动,称为空嚼运动(VCMs)。TD的氧化应激假说是TD可能的病理生理模型之一。该假说的临床前和临床研究表明,神经毒性自由基的产生可能是抗精神病药物治疗的结果,并且与TD的发生有关。氧化应激与TD的病理生理学有关。大鼠以0.2mg/kg/天的剂量口服氟哌啶醇,持续5周,出现了VCMs,随着治疗持续5周,VCMs呈时间依赖性增加。运动协调障碍在1周后开始出现,3周时受损最严重,随后逐渐恢复到1周时的水平。在旷场或家笼(活动箱)中的运动活动未改变。以0.4mL/天的剂量经口灌胃给予米糠油(抗氧化剂)可预防氟哌啶醇引起的VCMs以及运动协调障碍。本文在米糠油抗氧化剂对预防氟哌啶醇引起的锥体外系症状的保护作用的背景下讨论了这些结果。