Green A R
Br J Pharmacol. 1978 Mar;62(3):325-31. doi: 10.1111/j.1476-5381.1978.tb08464.x.
1 Rats were convulsed once daily for 7 days by exposure to the inhalant convulsant agent, flurothyl (Indoklon, bis (2,2,2-trifluouroethyl)ether). Twenty four hours after the final convulsion the rats were injected with tranylcypromine (20 mg/kg) followed 30 min later by L-DOPA (50 mg/kg), a procedure which increases brain dopamine concentrations. The flurothyl-treated rats showed a greater locomotor activity response than rats that had not been convulsed.2 This enhanced response appears to be due to increased postsynaptic dopamine receptor sensitivity since flurothyl-treated rats also showed enhanced locomotor responses to methamphetamine (2 mg/kg) and apomorphine (2 mg/kg).3 Enhanced 5-hydroxytryptamine-induced activity responses following administration of tranylcypromine (20 mg/kg) and L-tryptophan (50 mg/kg) were also seen 24 h after the last of 10 daily flurothyl-induced convulsions.4 The increased 5-hydroxytryptamine response also appears to be due to increased postsynaptic sensitivity since the flurothyl-treated rats showed increased hyperactivity following administration of tranylcypromine (20 mg/kg) and the suggested 5-hydroxytryptamine agonist, 5-methoxy N,N-dimethyltryptamine (2 mg/kg).5 No change in the brain concentration of 5-hydroxytryptamine, 5-hydroxyindoleacetic acid, tryptophan, dopamine or noradrenaline was observed 24 h after the last of 10 daily flurothyl-induced convulsions, compared to untreated rats. The rate of 5-hydroxytryptamine accumulation after tranylcypromine/L-tryptophan treatment and of dopamine and noradrenaline accumulation after tranylcypromine/L-DOPA treatment was similar in both groups.6 Repeated flurothyl convulsion has the same effects on these behavioural tests as repeated electroconvulsive shock. Since both treatments have been used successfully to treat depression, it is suggested that the mechanism of action of electroconvulsive therapy may be by increasing postsynaptic responses to the monoamine neurotransmitters.
大鼠每天暴露于吸入性惊厥剂氟替尔(Indoklon,双(2,2,2 - 三氟乙基)醚)中惊厥一次,持续7天。在最后一次惊厥后24小时,给大鼠注射反苯环丙胺(20毫克/千克),30分钟后再注射左旋多巴(50毫克/千克),该操作可提高脑内多巴胺浓度。经氟替尔处理的大鼠比未惊厥的大鼠表现出更大的运动活性反应。
这种增强的反应似乎是由于突触后多巴胺受体敏感性增加,因为经氟替尔处理的大鼠对甲基苯丙胺(2毫克/千克)和阿扑吗啡(2毫克/千克)也表现出增强的运动反应。
在10次每日氟替尔诱导惊厥的最后一次后24小时,给予反苯环丙胺(20毫克/千克)和L - 色氨酸(50毫克/千克)后,5 - 羟色胺诱导的活性反应也增强。
5 - 羟色胺反应的增加似乎也是由于突触后敏感性增加,因为经氟替尔处理的大鼠在给予反苯环丙胺(20毫克/千克)和建议的5 - 羟色胺激动剂5 - 甲氧基 - N,N - 二甲基色胺(2毫克/千克)后表现出多动增加。
与未处理的大鼠相比,在10次每日氟替尔诱导惊厥的最后一次后24小时,未观察到5 - 羟色胺、5 - 羟吲哚乙酸、色氨酸、多巴胺或去甲肾上腺素的脑浓度有变化。两组中反苯环丙胺/L - 色氨酸处理后5 - 羟色胺的积累速率以及反苯环丙胺/L - 多巴处理后多巴胺和去甲肾上腺素的积累速率相似。
重复氟替尔惊厥对这些行为测试的影响与重复电惊厥休克相同。由于这两种治疗方法都已成功用于治疗抑郁症,因此有人提出电惊厥治疗的作用机制可能是通过增加对单胺神经递质的突触后反应。