Lublin H, Gerlach J
Sct. Hans Hospital, Department 2, H, Roskilde, Denmark.
Eur J Pharmacol. 1988 Aug 24;153(2-3):239-45. doi: 10.1016/0014-2999(88)90611-5.
The effects of dopamine D-1 and D-2 receptor agonists were evaluated in five Cebus apella monkeys. During a previous haloperidol treatment (2 years), three of the monkeys had developed oral tardive dyskinesia (tongue protrusion and/or chewing). The partial D-1 agonist, SKF 38393, induced/aggravated oral dyskinesia and slight sedation, but no non-oral repetitive movements. Conversely, the selective D-2 agonist, LY 171555, produced non-oral repetitive movements and increased reactivity (arousal), but no significant change in the oral movements. Apomorphine (a mixed D-1/D-2 agonist) induced non-oral repetitive movements, increased reactivity, and increased oral dyskinesia. Pretreatment with SKF 38393 inhibited the LY 171555-induced non-oral repetitive movements, while in four monkeys the SKF 38393-induced oral movements were inhibited by LY 171555. The results suggest that oral dyskinesia (tardive dyskinesia) is more related to D-1 receptor stimulation than to D-2 receptor supersensitivity.
在五只僧帽猴中评估了多巴胺D-1和D-2受体激动剂的作用。在先前的氟哌啶醇治疗(2年)期间,其中三只猴子出现了口部迟发性运动障碍(伸舌和/或咀嚼)。部分D-1激动剂SKF 38393诱发/加重了口部运动障碍并伴有轻微镇静作用,但未出现非口部重复性运动。相反,选择性D-2激动剂LY 171555产生了非口部重复性运动并增强了反应性(觉醒),但口部运动无明显变化。阿扑吗啡(一种D-1/D-2混合激动剂)诱发了非口部重复性运动、增强了反应性并加重了口部运动障碍。用SKF 38393预处理可抑制LY 171555诱发的非口部重复性运动,而在四只猴子中,LY 171555抑制了SKF 38393诱发的口部运动。结果表明,口部运动障碍(迟发性运动障碍)与D-1受体刺激的关系比与D-2受体超敏反应的关系更大。