Antipsychotic Research Laboratory, Illawarra Health and Medical Research Institute, Wollongong 2522, NSW, Australia; School of Medical, Indigenous and Health Sciences, Molecular Horizons, University of Wollongong, Wollongong 2522, NSW, Australia.
Antipsychotic Research Laboratory, Illawarra Health and Medical Research Institute, Wollongong 2522, NSW, Australia; School of Medical, Indigenous and Health Sciences, Molecular Horizons, University of Wollongong, Wollongong 2522, NSW, Australia.
Pharmacol Biochem Behav. 2022 Sep;219:173453. doi: 10.1016/j.pbb.2022.173453. Epub 2022 Aug 25.
Second generation antipsychotic drugs including aripiprazole, olanzapine and risperidone are prescribed increasingly (mostly off-label) to treat various mental disorders in children and adolescents. Early treatment with antipsychotics during this period may have long-lasting behavioural impacts, but to date there have been only limited investigations. Maternal infection could be implicated in the aetiology of various mental disorders including schizophrenia. Exposure of pregnant rodents to polyriboinosinic-polyribocytidylic acid (Poly I:C) causes schizophrenia-like behavioural abnormalities and neurodevelopmental conditions such as autism spectrum disorders in offspring. This study, using a Poly I:C rat model, investigated the long-lasting effects of early aripiprazole, olanzapine and risperidone treatment in the childhood/adolescent period (postnatal day 22-50) on adult behaviours of male rats. The study showed that early treatment with three antipsychotics had different effects on long-term behavioural changes in adults. Prenatal Poly I:C exposure (5 mg/kg) at gestation day 15 caused deficits in pre-pulse inhibition and social interaction, as well as cognitive impairments, that could be partially improved by early antipsychotic treatment in the juvenile period. Early antipsychotic treatment during the childhood-adolescent period resulted in similar long-lasting effects on pre-pulse inhibition, anxiety- and depressive-related behaviours in both Poly I:C and healthy (control) male rats. Overall, these results suggest that both prenatal Poly I:C exposure and early antipsychotic treatment in the childhood/adolescent period had long-lasting effects on adult behaviours of male rats, while early antipsychotic treatment could partly prevent the onset of behavioural abnormalities resulting from prenatal insult.
第二代抗精神病药物包括阿立哌唑、奥氮平和利培酮,越来越多地被用于治疗儿童和青少年的各种精神障碍(主要是超适应证使用)。在此期间,早期使用抗精神病药物可能会对行为产生长期影响,但迄今为止,相关研究有限。母体感染可能与各种精神障碍(包括精神分裂症)的病因有关。怀孕的啮齿动物暴露于聚肌胞苷酸(Poly I:C)中会导致类似精神分裂症的行为异常和神经发育障碍,如自闭症谱系障碍。本研究使用 Poly I:C 大鼠模型,研究了儿童/青少年期(出生后第 22-50 天)早期使用阿立哌唑、奥氮平和利培酮治疗对雄性大鼠成年后行为的长期影响。研究表明,三种抗精神病药物的早期治疗对成年后的长期行为变化有不同的影响。妊娠第 15 天给予 5mg/kg Poly I:C 会导致预脉冲抑制和社会互动缺陷,以及认知障碍,这些缺陷可以通过幼年期的早期抗精神病治疗部分改善。儿童/青少年期的早期抗精神病治疗导致 Poly I:C 和健康(对照)雄性大鼠的预脉冲抑制、焦虑和抑郁相关行为均产生类似的长期持久影响。总之,这些结果表明,产前 Poly I:C 暴露和儿童/青少年期的早期抗精神病治疗均对雄性大鼠的成年行为产生长期影响,而早期抗精神病治疗可部分预防产前损伤引起的行为异常的发生。