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[精神药物对D-1和D-2多巴胺受体抑制效力的行为药理学研究及临床思考]

[Behavioral pharmacological investigation and clinical consideration of the inhibitory potencies of psychotropic drugs against the D-1 and D-2 dopamine receptors].

作者信息

Kazawa T

出版信息

Yakubutsu Seishin Kodo. 1986 Sep;6(3):327-37.

PMID:2949452
Abstract

The potencies of various psychotropic drugs to antagonize stereotypes induced by a high dose of (-)-apomorphine (10 mg/kg) in rats have been investigated in a comparison with their inhibitory potencies against the D-1 and D-2 dopamine receptors binding sites in rat striatum labelled by 3H-cis-flupentixol and 3H-spiperone, respectively. cis-Flupentixol and fluphenazine, which had high affinities for D-1, showed about 10 times stronger inhibitory effects on the stereotypes than perphenazine and haloperidol, which had moderate or weak affinities for D-1, although these drugs had similar affinities for D-2. A D-1 selective antagonist, SCH 23390, showed manifest inhibitory effect. The D-2 selective antagonists tested, spiperone and YM-09151-2, also showed marked inhibitory effects on the stereotypes but their potencies were largely weakened by concomitant treatment with scopolamine (more than 20 times), whereas the potency of D-1 selective antagonist, SCH 23390, was little affected. Stereotypes induced by a high dose of (-)-apomorphine in rats may partly be mediated through D-1. Clinically, it is well known that D-2 antagonists are effective for the acute psychotic state, but not for the negative symptoms of chronic schizophrenia. On the basis of these laboratory and clinical findings, the possible roles of the D-1 receptor blocking property of some neuroleptic agents were discussed in terms of their clinical relevance.

摘要

研究了各种精神药物拮抗大鼠高剂量(-)-阿扑吗啡(10mg/kg)诱导的刻板行为的效能,并与它们对大鼠纹状体中分别由3H-顺式氟哌噻吨和3H-螺哌隆标记的D-1和D-2多巴胺受体结合位点的抑制效能进行比较。对D-1具有高亲和力的顺式氟哌噻吨和氟奋乃静,对刻板行为的抑制作用比那些对D-1具有中等或弱亲和力的奋乃静和氟哌啶醇强约10倍,尽管这些药物对D-2的亲和力相似。D-1选择性拮抗剂SCH 23390表现出明显的抑制作用。所测试的D-2选择性拮抗剂螺哌隆和YM-09151-2,对刻板行为也表现出显著的抑制作用,但它们的效能因与东莨菪碱同时给药而大大减弱(超过20倍),而D-1选择性拮抗剂SCH 23390的效能几乎没有受到影响。大鼠高剂量(-)-阿扑吗啡诱导的刻板行为可能部分通过D-1介导。临床上,众所周知D-2拮抗剂对急性精神病状态有效,但对慢性精神分裂症的阴性症状无效。基于这些实验室和临床研究结果,就一些抗精神病药物D-1受体阻断特性的临床相关性讨论了其可能的作用。

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