Glover V, Pycock C J, Sandler M
Br J Pharmacol. 1983 Sep;80(1):141-8. doi: 10.1111/j.1476-5381.1983.tb11059.x.
Clorgyline (1 and 10 microM) and (+)-deprenyl (10 microM) both significantly potentiated the tyramine (100 microM)-induced release of [3H]-noradrenaline from rat cerebral cortex slices. (-)-Deprenyl (50 microM) significantly reduced it, while lower concentrations had no effect on noradrenaline release. However, in combination, 1 microM (-)-deprenyl blocked the release-facilitating action of 1 microM clorgyline, and 10 microM (-)-deprenyl that of 10 microM (+)-deprenyl. Low concentrations of (+)- and (-)-deprenyl (1 and 10 microM), both selectively inhibited phenylethylamine oxidation by monoamine oxidase B. Higher concentrations of (-)-deprenyl (20 and 50 microM) also inhibited 5-hydroxytryptamine oxidation by monoamine oxidase A. Clorgyline (1 and 10 microM) inhibited both enzymes. Thus, the effects of these drugs on noradrenaline-release cannot be explained solely in terms of irreversible inhibition of monoamine oxidase A and B, and other possible mechanisms are discussed. If the brain-slice model faithfully mirrors the sequence of events manifesting peripherally as the tyramine hypertensive response ('cheese effect'), then it is possible that low doses of (-)-deprenyl, administered with antidepressant monoamine oxidase inhibitors, can prevent this adverse reaction.
氯吉兰(1和10微摩尔)和(+)-司来吉兰(10微摩尔)均显著增强了酪胺(100微摩尔)诱导的大鼠大脑皮层切片中[3H]-去甲肾上腺素的释放。(-)-司来吉兰(50微摩尔)显著降低了这种释放,而较低浓度对去甲肾上腺素的释放没有影响。然而,联合使用时,1微摩尔(-)-司来吉兰阻断了1微摩尔氯吉兰的释放促进作用,10微摩尔(-)-司来吉兰阻断了10微摩尔(+)-司来吉兰的释放促进作用。低浓度的(+)-和(-)-司来吉兰(1和10微摩尔)均选择性抑制单胺氧化酶B对苯乙胺的氧化。较高浓度的(-)-司来吉兰(20和50微摩尔)也抑制单胺氧化酶A对5-羟色胺的氧化。氯吉兰(1和10微摩尔)抑制这两种酶。因此,这些药物对去甲肾上腺素释放的影响不能仅用对单胺氧化酶A和B的不可逆抑制来解释,文中还讨论了其他可能的机制。如果脑片模型如实地反映了在外周表现为酪胺高血压反应(“奶酪效应”)的一系列事件,那么与抗抑郁单胺氧化酶抑制剂一起使用低剂量的(-)-司来吉兰有可能预防这种不良反应。