Kornhuber J, Kim J S, Kornhuber M E, Kornhuber H H
Eur Neurol. 1984;23(4):269-73. doi: 10.1159/000115741.
A dose-dependent elevation of striatal gamma-aminobutyric acid (GABA) level was found under chronic treatment with haloperidol, a classical neuroleptic drug. The unaltered GABA level in the substantia nigra is compatible with the existence of GABAergic interneurons in the striatum, which are inhibited by the afferent dopaminergic innervation to the striatum. The glutamate levels of the cerebrospinal fluid (CSF) and different brain regions investigated were not significantly changed by haloperidol. By contrast, we found in an earlier investigation with sulpiride, an atypical neuroleptic drug, a changed glutamate level in the striatum and the CSF and an unaltered GABA level. These findings may correspond to the different clinical effects of classical and atypical neuroleptics.
在使用经典抗精神病药物氟哌啶醇进行长期治疗的情况下,发现纹状体γ-氨基丁酸(GABA)水平呈剂量依赖性升高。黑质中未改变的GABA水平与纹状体中存在GABA能中间神经元相一致,这些中间神经元受到纹状体传入多巴胺能神经支配的抑制。氟哌啶醇对所研究的脑脊液(CSF)和不同脑区的谷氨酸水平没有显著影响。相比之下,我们在早期使用非典型抗精神病药物舒必利的研究中发现,纹状体和CSF中的谷氨酸水平发生了变化,而GABA水平未改变。这些发现可能与经典和非典型抗精神病药物的不同临床效果相对应。