Towell A, Willner P, Muscat R
Psychopharmacology (Berl). 1986;90(1):64-71. doi: 10.1007/BF00172873.
The suppression by apomorphine of food intake and eating time was used to assay the sensitivity of dopamine cell body autoreceptors during the course of treatment with DMI, amitriptyline and mianserin. Brief (2-4 days) DMI treatment enhanced the effects of apomorphine, administered systemically or centrally to DA cell body regions. During chronic DMI treatment (3-7 weeks) some evidence of autoreceptor subsensitivity was observed with systemic apomorphine, but not with central apomorphine. Responses to apomorphine applied systemically were reduced during withdrawal from chronic DMI, and responses to apomorphine applied to the ventral tegmental area were reduced during withdrawal from all three antidepressants. As evidence of DA autoreceptor subsensitivity was only observed reliably during withdrawal, this effect is unlikely to be of clinical importance.
在使用去甲丙咪嗪(DMI)、阿米替林和米安色林治疗过程中,采用阿扑吗啡对食物摄入量和进食时间的抑制作用来测定多巴胺细胞体自身受体的敏感性。短期(2 - 4天)DMI治疗增强了全身或向多巴胺细胞体区域中枢给予阿扑吗啡的作用。在慢性DMI治疗(3 - 7周)期间,全身给予阿扑吗啡时观察到一些自身受体敏感性降低的证据,但中枢给予阿扑吗啡时未观察到。从慢性DMI撤药期间,对全身给予阿扑吗啡的反应降低,而从所有三种抗抑郁药撤药期间,对给予腹侧被盖区阿扑吗啡的反应降低。由于仅在撤药期间可靠地观察到多巴胺自身受体敏感性降低的证据,这种效应不太可能具有临床重要性。