McMillen B A, Warnack W, German D C, Shore P A
Eur J Pharmacol. 1980 Feb 8;61(3):239-46. doi: 10.1016/0014-2999(80)90126-0.
It has been previously reported that long-term tricyclic antidepressant treatment in the rat causes a subsensitivity of central beta-receptor-stimulated adenylate cyclase along with alterations of brain norepinephrine (NE) content and metabolism. We have confirmed earlier findings that after one week of desipramine treatment (5.0 mg/kg b.i.d.) brain NE levels decline while NE metabolism is similar to control animals, but is above control after 12 days of treatment. Single cell recordings from noradrenergic neurons of the locus coeruleus (LC) show that after one week of desipramine treatment, neuronal firing rate is lower than in control rats but greater than that seen in response to acutely administered drug. Furthermore, desipramine injection in a dose which profoundly altered LC impulse flow in control rats produced little or no effect on impulse flow in chronically treated rats. Of 25 or 250 microgram/kg doses of clonidine, which are equieffective for decreasing brain NE metabolism in control animals, only the larger dose decreased NE metabolism in 12 day desipramine-treated rats. The postsynaptic alpha-antagonist prazosin (5.0 mg/kg) increased NE metabolism in both groups. These results suggest that presynaptic (alpha 2) adrenoreceptors become subsensitive during long-term desipramine treatment, thus allowing recovery of noradrenergic impulse flow in the presence of NE uptake inhibition.
先前已有报道称,对大鼠进行长期三环类抗抑郁药治疗会导致中枢β受体刺激的腺苷酸环化酶敏感性降低,同时伴有脑去甲肾上腺素(NE)含量和代谢的改变。我们证实了早期的研究结果,即地昔帕明治疗一周(5.0毫克/千克,每日两次)后,脑NE水平下降,而NE代谢与对照动物相似,但治疗12天后高于对照。对蓝斑(LC)去甲肾上腺素能神经元的单细胞记录显示,地昔帕明治疗一周后,神经元放电率低于对照大鼠,但高于急性给药后的放电率。此外,以能显著改变对照大鼠LC冲动发放的剂量注射地昔帕明,对长期治疗的大鼠的冲动发放几乎没有影响。在对照动物中对降低脑NE代谢等效的25或250微克/千克剂量的可乐定,只有较大剂量能降低地昔帕明治疗12天的大鼠的NE代谢。突触后α拮抗剂哌唑嗪(5.0毫克/千克)在两组中均增加了NE代谢。这些结果表明,在长期地昔帕明治疗期间,突触前(α2)肾上腺素能受体变得不敏感,从而在存在NE摄取抑制的情况下使去甲肾上腺素能冲动发放得以恢复。