Kinon B J, Merson D, Kane J M
Psychopharmacology (Berl). 1984;84(3):347-51. doi: 10.1007/BF00555211.
Behavioral hypersensitivity in the rat consisting of increased dopamine-mediated stereotypic behaviors has been found to follow a 10-day course of treatment with the neuroleptic haloperidol as well as with the direct dopamine agonist apomorphine. The daily dose versus response relationship for chronic haloperidol indicates that a threshold daily dose exists and that behaviors increase with increasing daily dose. On the other hand, low rather than high daily doses of chronic apomorphine induce behavioral hypersensitivity and the response decreases with increasing daily dose. Prolonged functional denervation of striatal postsynaptic dopamine receptors by either neuroleptic blockade or autoreceptor stimulation may explain these findings. The results may help elucidate the relative risk of daily neuroleptic dose on tardive dyskinesia development and indicate a possible mechanism for chronic agonist-associated side effects like L-Dopa dyskinesias.
已发现,大鼠中由多巴胺介导的刻板行为增加所构成的行为超敏反应,会在使用抗精神病药物氟哌啶醇以及直接多巴胺激动剂阿扑吗啡进行为期10天的治疗后出现。慢性氟哌啶醇的每日剂量与反应关系表明,存在一个每日阈值剂量,且行为会随着每日剂量的增加而增加。另一方面,慢性阿扑吗啡的每日低剂量而非高剂量会诱发行为超敏反应,且反应会随着每日剂量的增加而降低。通过抗精神病药物阻断或自身受体刺激对纹状体突触后多巴胺受体进行长期功能性去神经支配,可能解释了这些发现。这些结果可能有助于阐明每日抗精神病药物剂量对迟发性运动障碍发展的相对风险,并指出慢性激动剂相关副作用(如左旋多巴运动障碍)的一种可能机制。