Takashima M, Toru M
Yakubutsu Seishin Kodo. 1983 Dec;3(3):149-58.
The neurochemical background of clinical experiences that the patients receiving high dosage haloperidol showed no extrapyramidal side effects was investigated by using rats. Haloperidol at doses of 1, 2.5, 5, 7.5 and 10 mg/kg, ip caused a dose-dependent decrease in the duration of catalepsy. Haloperidol at a dose of 10 mg/kg induced catalepsy lasting only 20% of that by 1 mg/kg. Haloperidol decreased noradrenaline content in the frontal cortex and thalamus in a dose-dependent manner while 3-methoxy-4-hydroxyphenylglycol content showed a dose-dependent increase in the same brain areas. Thus, there is an inverse relationship between the duration of catalepsy and the ratio of 3-methoxy-4-hydroxyphenylglycol to noradrenaline in the frontal cortex or thalamus. In contrast, haloperidol caused a dose-dependent decrease in homovanillic acid and 3, 4-dihydroxyphenylacetic acid content in the striatum and mesolimbic area. These results indicate that noradrenergic hyperfunction in the frontal cortex or thalamus induced by high dosage haloperidol may reduce cataleptogenic effect of the drug via indirect stimulation of dopaminoceptive neuron in the striatum or mesolimbic area.
通过对大鼠的研究,探讨了接受高剂量氟哌啶醇治疗的患者未出现锥体外系副作用这一临床现象的神经化学背景。腹腔注射剂量为1、2.5、5、7.5和10mg/kg的氟哌啶醇,可使僵住症持续时间呈剂量依赖性缩短。10mg/kg剂量的氟哌啶醇诱发的僵住症持续时间仅为1mg/kg剂量的20%。氟哌啶醇可使额叶皮质和丘脑的去甲肾上腺素含量呈剂量依赖性降低,而在相同脑区,3-甲氧基-4-羟基苯乙二醇含量呈剂量依赖性增加。因此,额叶皮质或丘脑的僵住症持续时间与3-甲氧基-4-羟基苯乙二醇与去甲肾上腺素的比值呈负相关。相反,氟哌啶醇可使纹状体和中脑边缘区的高香草酸和3,4-二羟基苯乙酸含量呈剂量依赖性降低。这些结果表明,高剂量氟哌啶醇诱导的额叶皮质或丘脑去甲肾上腺素能功能亢进可能通过间接刺激纹状体或中脑边缘区的多巴胺受体神经元来降低药物的致僵住症作用。