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抗精神病药物在血清素 5-HT 受体的药理学特征。

Pharmacological fingerprint of antipsychotic drugs at the serotonin 5-HT receptor.

机构信息

Institute for Research in Immunology and Cancer (IRIC), Department of Biochemistry and Molecular Medicine, Université de Montréal, Montréal, QC, H3T 1J4, Canada.

Department of Physiology and Biophysics, School of Medicine, Virginia Commonwealth University, Richmond, VA, 23298, USA.

出版信息

Mol Psychiatry. 2024 Sep;29(9):2753-2764. doi: 10.1038/s41380-024-02531-7. Epub 2024 Apr 2.

Abstract

The intricate involvement of the serotonin 5-HT receptor (5-HTR) both in schizophrenia and in the activity of antipsychotic drugs is widely acknowledged. The currently marketed antipsychotic drugs, although effective in managing the symptoms of schizophrenia to a certain extent, are not without their repertoire of serious side effects. There is a need for better therapeutics to treat schizophrenia for which understanding the mechanism of action of the current antipsychotic drugs is imperative. With bioluminescence resonance energy transfer (BRET) assays, we trace the signaling signature of six antipsychotic drugs belonging to three generations at the 5-HTR for the entire spectrum of signaling pathways activated by serotonin (5-HT). The antipsychotic drugs display previously unidentified pathway preference at the level of the individual Gα subunits and β-arrestins. In particular, risperidone, clozapine, olanzapine and haloperidol showed G protein-selective inverse agonist activity. In addition, G protein-selective partial agonism was found for aripiprazole and cariprazine. Pathway-specific apparent dissociation constants determined from functional analyses revealed distinct coupling-modulating capacities of the tested antipsychotics at the different 5-HT-activated pathways. Computational analyses of the pharmacological and structural fingerprints support a mechanistically based clustering that recapitulate the clinical classification (typical/first generation, atypical/second generation, third generation) of the antipsychotic drugs. The study provides a new framework to functionally classify antipsychotics that should represent a useful tool for the identification of better and safer neuropsychiatric drugs and allows formulating hypotheses on the links between specific signaling cascades and in the clinical outcomes of the existing drugs.

摘要

5-羟色胺 5-HT 受体(5-HTR)在精神分裂症和抗精神病药物的活性中都有复杂的参与,这一点已被广泛认可。目前市场上的抗精神病药物虽然在一定程度上有效控制了精神分裂症的症状,但也并非没有严重的副作用。我们需要更好的治疗方法来治疗精神分裂症,了解当前抗精神病药物的作用机制是至关重要的。我们通过生物发光共振能量转移(BRET)测定法,追踪了属于三个世代的六种抗精神病药物在 5-HTR 上的信号特征,研究了 5-HT 激活的所有信号通路。这些抗精神病药物在单个 Gα亚基和β-arrestin 水平上表现出以前未被识别的途径偏好。特别是利培酮、氯氮平、奥氮平和氟哌啶醇显示出 G 蛋白选择性反向激动剂活性。此外,阿立哌唑和卡利培嗪还表现出 G 蛋白选择性部分激动剂活性。从功能分析中确定的途径特异性表观解离常数揭示了测试的抗精神病药物在不同 5-HT 激活途径中的不同偶联调节能力。药理学和结构指纹的计算分析支持基于机制的聚类,这种聚类再现了抗精神病药物的临床分类(典型/第一代、非典型/第二代、第三代)。该研究为抗精神病药物的功能分类提供了一个新的框架,应该成为识别更好、更安全的神经精神药物的有用工具,并允许对抗精神病药物的特定信号级联与现有药物的临床结果之间的联系提出假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab31/11420065/ebffb8daf7d4/41380_2024_2531_Fig1_HTML.jpg

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