Barr G A, Lithgow T
Nature. 1983;302(5907):431-2. doi: 10.1038/302431a0.
The benzodiazepines are a class of drugs used to alleviate anxiety. As such they constitute one of the most commonly prescribed compounds, due in part to their efficacy and safety. The physiological effect of these drugs is probably through interactions with a low affinity benzodiazepine binding site and two (types 1 and 2) higher affinity sites. The ontogenesis of these latter two binding sites in the rat differs, with the type 2 binding site being predominant at birth and the type 1 binding site increasing in number after the second week after birth. The differential development of these two receptor types is important because the immature organism may have different physiological and behavioural responses from the adult. Here we demonstrate an important difference: that a prototypic benzodiazepine, chlordiazepoxide, and a water-soluble benzodiazepine, flurazepam, produce behavioural convulsions in the preweanling rat. The convulsions are antagonized by the benzodiazepine blocker Ro-15-1788. The triazolopyridizine CL-218872, specific to the type 1 receptor, does not share this action. We suggest that this paradoxical convulsant effect of chlordiazepoxide and flurazepam is due to activation of the type 2 receptor in the absence of the type 1 receptor in the immature rat.
苯二氮䓬类药物是一类用于缓解焦虑的药物。因此,它们是最常被处方的化合物之一,部分原因在于其有效性和安全性。这些药物的生理效应可能是通过与一个低亲和力的苯二氮䓬结合位点以及两个(1型和2型)高亲和力位点相互作用实现的。大鼠体内后两个结合位点的个体发生情况有所不同,2型结合位点在出生时占主导,而1型结合位点在出生后第二周后数量增加。这两种受体类型的不同发育情况很重要,因为未成熟生物体可能与成年生物体有不同的生理和行为反应。在此我们证明了一个重要差异:即一种原型苯二氮䓬类药物氯氮䓬以及一种水溶性苯二氮䓬类药物氟西泮,会在断奶前的大鼠中引发行为性惊厥。这些惊厥可被苯二氮䓬类拮抗剂Ro - 15 - 1788拮抗。对1型受体具有特异性的三唑并吡啶CL - 218872不具有这种作用。我们认为氯氮䓬和氟西泮这种矛盾的惊厥效应是由于未成熟大鼠中在缺乏1型受体的情况下2型受体被激活所致。