Pawłowski L, Kwiatek H
Psychopharmacology (Berl). 1983;81(1):48-53. doi: 10.1007/BF00439273.
Well established as supposed antidepressant drugs, desipramine (1.25-5 mg/kg), nisoxetine (0.625-2.5 mg/kg) and clomipramine (1.25-5 mg/kg) but not fluoxetine (2.5-40 mg/kg) or citalopram (2.5-40 mg/kg) dose-dependently potentiated TRH (40 mg/kg)-induced hyperthermia in mice. Alpha-adrenergic blocking agents, phenoxybenzamine (20 mg/kg) and prazosin (5 mg/kg), which when given alone lowered body temperature, did not prevent the thermogenic effect of TRH but completely abolished the potentiating effect of clomipramine and almost completely antagonized the same effect of desipramine. The potentiating effect of desipramine on TRH-induced hyperthermia was also attenuated by 4 mg/kg l-propranolol but not by the same dose of d-propranolol. l-Propranolol (4 mg/kg) did not affect the potentiating effect of clomipramine. Cyproheptadine (5 mg/kg), an antagonist of 5-hydroxytryptamine receptors (which, like the alpha-adrenoceptor antagonist, produced hypothermia in normal mice) did not prevent the effects of clomipramine or desipramine. We conclude that a noradrenergic rather than a 5-hydroxytryptaminergic mechanism is involved in the potentiating effect of antidepressant drugs on TRH-induced hyperthermia. Hence, screening tests for antidepressants, which are based on the potentiation of the TRH-induced hyperthermia will always result in false negatives for antidepressants, such as citalopram, which are highly selective inhibitors of the uptake of 5-hydroxytryptamine.
作为公认的抗抑郁药物,去甲丙咪嗪(1.25 - 5毫克/千克)、尼索西汀(0.625 - 2.5毫克/千克)和氯米帕明(1.25 - 5毫克/千克),但氟西汀(2.5 - 40毫克/千克)或西酞普兰(2.5 - 40毫克/千克)不会,能剂量依赖性地增强促甲状腺激素释放激素(40毫克/千克)诱导的小鼠体温过高。α - 肾上腺素能阻断剂,酚苄明(20毫克/千克)和哌唑嗪(5毫克/千克),单独使用时会降低体温,它们不能阻止促甲状腺激素释放激素的产热作用,但能完全消除氯米帕明的增强作用,并几乎完全拮抗去甲丙咪嗪的相同作用。去甲丙咪嗪对促甲状腺激素释放激素诱导的体温过高的增强作用也会被4毫克/千克的左旋普萘洛尔减弱,但不会被相同剂量的右旋普萘洛尔减弱。左旋普萘洛尔(4毫克/千克)不会影响氯米帕明的增强作用。赛庚啶(5毫克/千克),一种5 - 羟色胺受体拮抗剂(与α - 肾上腺素能受体拮抗剂一样,在正常小鼠中会产生体温过低),不能阻止氯米帕明或去甲丙咪嗪的作用。我们得出结论,抗抑郁药物对促甲状腺激素释放激素诱导的体温过高的增强作用涉及去甲肾上腺素能而非5 - 羟色胺能机制。因此,基于促甲状腺激素释放激素诱导的体温过高增强作用的抗抑郁药物筛选试验,对于像西酞普兰这样的5 - 羟色胺摄取高度选择性抑制剂的抗抑郁药物,总会产生假阴性结果。