Integrative Pharmacology and Systems Neuroscience, Hospital del Mar Medical Research Institute, Barcelona Biomedical Research Park, 08003, Barcelona, Spain.
Barcelonaβeta Brain Research Center, Pasqual Maragall Foundation, 08005, Barcelona, Spain; Centre for Brain and Cognition, University Pompeu Fabra, 08018, Barcelona, Spain.
Neuropharmacology. 2019 Nov 1;158:107743. doi: 10.1016/j.neuropharm.2019.107743. Epub 2019 Aug 17.
Atypical antipsychotic drugs (APDs) used to treat positive and negative symptoms in schizophrenia block serotonin receptors 5-HTR and dopamine receptors DR and stimulate 5-HTR directly or indirectly. However, the exact cellular mechanisms mediating their therapeutic actions remain unresolved. We recorded neural activity in the prefrontal cortex (PFC) and hippocampus (HPC) of freely-moving mice before and after acute administration of 5-HTR, 5-HTR and DR selective agonists and antagonists and atypical APD risperidone. We then investigated the contribution of the three receptors to the actions of risperidone on brain activity via statistical modeling and pharmacological reversal (risperidone + 5-HTR antagonist WAY-100635, risperidone + 5-HTR agonist DOI, risperidone + DR agonist quinpirole). Risperidone, 5-HTR agonism with 8-OH-DPAT, 5-HTR antagonism with M100907, and DR antagonism with haloperidol reduced locomotor activity of mice that correlated with a suppression of neural spiking, power of theta and gamma oscillations in PFC and HPC, and reduction of PFC-HPC theta phase synchronization. By contrast, activation of 5-HTR with DOI enhanced high-gamma oscillations in PFC and PFC-HPC high gamma functional connectivity, likely related to its hallucinogenic effects. Together, power changes, regression modeling and pharmacological reversals suggest an important role of 5-HTR agonism and 5-HTR antagonism in risperidone-induced alterations of delta, beta and gamma oscillations, while DR antagonism may contribute to risperidone-mediated changes in delta oscillations. This study provides novel insight into the neural mechanisms for widely prescribed psychiatric medication targeting the serotonin and dopamine systems in two regions involved in the pathophysiology of schizophrenia.
用于治疗精神分裂症阳性和阴性症状的非典型抗精神病药物 (APD) 阻断血清素受体 5-HTR 和多巴胺受体 DR,并直接或间接刺激 5-HTR。然而,介导其治疗作用的确切细胞机制仍未解决。我们在自由活动的小鼠前额叶皮层 (PFC) 和海马 (HPC) 中记录了神经活动,然后在急性给予 5-HTR、5-HTR 和 DR 选择性激动剂和拮抗剂以及非典型 APD 利培酮之前和之后。然后,我们通过统计建模和药理学逆转(利培酮+5-HTR 拮抗剂 WAY-100635、利培酮+5-HTR 激动剂 DOI、利培酮+DR 激动剂喹吡罗)研究了这三种受体对利培酮对大脑活动的作用的贡献。利培酮、5-HTR 激动剂 8-OH-DPAT、5-HTR 拮抗剂 M100907 和 DR 拮抗剂氟哌啶醇降低了小鼠的运动活性,这与神经放电的抑制、PFC 和 HPC 中的θ和γ振荡功率以及 PFC-HPC θ 相位同步的减少有关。相比之下,DOI 激活 5-HTR 增强了 PFC 中的高γ振荡和 PFC-HPC 的高γ功能连接,这可能与其致幻作用有关。总之,功率变化、回归建模和药理学逆转表明 5-HTR 激动剂和 5-HTR 拮抗剂在利培酮诱导的δ、β和γ振荡变化中起着重要作用,而 DR 拮抗剂可能有助于利培酮介导的δ振荡变化。这项研究为广泛用于治疗精神疾病的药物提供了新的见解,这些药物针对与精神分裂症病理生理学相关的两个区域中的血清素和多巴胺系统。