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抗抑郁药阿地唑仑(一种三唑并苯二氮䓬类药物)的药理学特性

Pharmacological profile of the antidepressant adinazolam, a triazolobenzodiazepine.

作者信息

Lahti R A, Sethy V H, Barsuhn C, Hester J B

出版信息

Neuropharmacology. 1983 Nov;22(11):1277-82. doi: 10.1016/0028-3908(83)90200-9.

Abstract

Adinazolam, which is a 1-dimethylaminomethyl triazolobenzodiazepine, is an effective anxiolytic agent as defined by suppression of stress-induced increases in plasma corticosteroids. Adinazolam is also an effective antagonist of pentylenetetrazole. The 1-dimethylaminoethyl triazolo analog, U-43,465F, was inactive in the stressed rat test and only weakly active against pentylenetetrazole. Adinazolam and U-43,465F have been previously shown to have antidepressant activity in classical screening tests. They have also been found to potentiate the effect of norepinephrine and this is consistent with the activity of the known antidepressants; U-43,465F was found to be equieffective to imipramine in this test. Adinazolam was also effective; however, the magnitude of the potentiation was not as great. The uptake of norepinephrine was only weakly affected by either compound. Potentiation or uptake of serotonin were not significantly-altered pharmacological factors. Receptor binding studies were negative except at the benzodiazepine receptor. Chronic treatment with adinazolam did not decrease the number of beta-adrenergic receptors in the cerebral cortex of the rat, in contrast to the positive effect of imipramine. The discovery of triazolobenzodiazepines with antidepressant activity is of special interest. These agents will hopefully have lower toxicity than the tricyclic antidepressants and thus possess a more favourable therapeutic index. This would be advantageous in the treatment of depression.

摘要

阿地唑仑是一种1-二甲基氨基甲基三唑并苯二氮䓬,通过抑制应激诱导的血浆皮质类固醇增加来定义,它是一种有效的抗焦虑药。阿地唑仑也是戊四氮的有效拮抗剂。1-二甲基氨基乙基三唑类似物U-43465F在应激大鼠试验中无活性,对戊四氮仅有微弱活性。阿地唑仑和U-43465F先前已在经典筛选试验中显示出抗抑郁活性。它们还被发现可增强去甲肾上腺素的作用,这与已知抗抑郁药的活性一致;在该试验中发现U-43465F与丙咪嗪等效。阿地唑仑也有效;然而,增强的程度没有那么大。两种化合物对去甲肾上腺素的摄取仅有微弱影响。对5-羟色胺的增强或摄取不是显著改变的药理学因素。除了在苯二氮䓬受体处,受体结合研究均为阴性。与丙咪嗪的阳性作用相反,阿地唑仑长期治疗并未减少大鼠大脑皮质中β-肾上腺素能受体的数量。具有抗抑郁活性的三唑并苯二氮䓬的发现特别令人感兴趣。这些药物有望比三环类抗抑郁药具有更低的毒性,因此具有更有利的治疗指数。这在抑郁症治疗中是有利的。

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