Reches A, Wagner H R, Barkai A I, Jackson V, Yablonskaya-Alter E, Fahn S
Psychopharmacology (Berl). 1984;83(2):155-8. doi: 10.1007/BF00429725.
Electroconvulsive treatment (ECT) has a transitory beneficial effect on patients with Parkinson's disease (PD). The possibility that this effect is mediated by dopamine (DA) receptors was investigated in the rat brain. Repeated ECT or chronic haloperidol treatment induced supersensitivity of putative autoreceptors in the nigrostrital and mesolimbic DA pathways as reflected by enhanced apomorphine-induced inhibition of DA synthesis. Effect of simultaneous administration of ECT plus haloperidol on DA receptor sensitivity were not additive. Chronic haloperidol treatment induced significant elevations in the density of 3[H]-spiperone striatal binding sites. Concurrent administration of ECT had no effect on the neuroleptic-induced supersensitivity. ECT alone was also without effect on 3[H]-spiperone binding. Thus, ECT-induced increases in the sensitivity of presynaptic autoinhibition of DA release was not reflected by changes in the striatal 3[H]-spiperone binding sites. This suggests that effects of ECT on the DA system are not mediated by dopamine D2 receptors.
电休克治疗(ECT)对帕金森病(PD)患者有短暂的有益作用。在大鼠脑中研究了这种作用由多巴胺(DA)受体介导的可能性。重复ECT或慢性氟哌啶醇治疗诱导黑质纹状体和中脑边缘DA通路中假定的自身受体超敏,这表现为阿扑吗啡诱导的DA合成抑制增强。同时给予ECT加氟哌啶醇对DA受体敏感性的影响并非相加性的。慢性氟哌啶醇治疗导致纹状体中3[H] - 螺哌隆结合位点密度显著升高。同时给予ECT对神经阻滞剂诱导的超敏反应没有影响。单独ECT对3[H] - 螺哌隆结合也没有影响。因此,ECT诱导的DA释放突触前自身抑制敏感性增加并未通过纹状体3[H] - 螺哌隆结合位点的变化反映出来。这表明ECT对DA系统的作用不是由多巴胺D2受体介导的。