De Veaugh-Geiss J, Devanand D P, Carey R J
Biol Psychiatry. 1982 Nov;17(11):1289-301.
In an animal model of tardive dyskinesia, sensitivity to apomorphine-induced stereotyped behavior reflects increased dopamine receptor activity induced by chronic neuroleptic treatment. Four groups of Sprague-Dawley rats received haloperidol (H) 0.5 mg/kg, haloperidol 0.5 mg/kg + benztropine 2.0 mg/kg (H + B), thioridazine (T) 25 mg/kg, or saline (S) ip daily for 18 days, were withdrawn for 21 days, and then received another 10 days of drug. Drug-induced catalepsy was measured daily during the second phase of drug treatment. Sensitivity to apomorphine 0.125 mg/kg and 0.250 mg/kg was assessed during the first and second weeks of withdrawal from each phase of drug treatment. Catalepsy scores for H, H + B, and T groups showed an unexpected progressive increase over treatment days. Following withdrawal from the first drug phase, only H and H + B rats showed enhanced apomorphine stereotypy. H rats were hypersensitive for both weeks of testing while H + B rats were only hypersensitive for the first week. All rats showed changes in apomorphine sensitivity after withdrawal from the second drug phase. H and H + B rats showed significant enhancement of stereotypy at both apomorphine dose levels and at both weeks of testing. T rats showed a significant enhancement but only at the higher apomorphine dose level and only during the first withdrawal week. S rats had a significant enhancement of apomorphine-induced stereotypy during the second withdrawal week. We conclude that H, H + B, and T have differential liability for inducing dopamine receptor hypersensitivity, with haloperidol being most effective and thioridazine being least effective.
在迟发性运动障碍的动物模型中,对阿扑吗啡诱导的刻板行为的敏感性反映了慢性抗精神病药物治疗引起的多巴胺受体活性增加。四组Sprague-Dawley大鼠每天腹腔注射0.5mg/kg氟哌啶醇(H)、0.5mg/kg氟哌啶醇+2.0mg/kg苯海索(H+B)、25mg/kg硫利达嗪(T)或生理盐水(S),持续18天,停药21天,然后再接受10天药物治疗。在药物治疗的第二阶段,每天测量药物诱导的僵住症。在每个药物治疗阶段停药的第一周和第二周,评估对0.125mg/kg和0.250mg/kg阿扑吗啡的敏感性。H、H+B和T组的僵住症评分在治疗期间意外地逐渐增加。在第一阶段药物治疗停药后,只有H组和H+B组大鼠表现出阿扑吗啡刻板行为增强。H组大鼠在两周测试中均超敏,而H+B组大鼠仅在第一周超敏。所有大鼠在第二阶段药物治疗停药后阿扑吗啡敏感性均发生变化。H组和H+B组大鼠在两个阿扑吗啡剂量水平和两周测试中均表现出刻板行为显著增强。T组大鼠仅在较高阿扑吗啡剂量水平且仅在第一周停药期间表现出显著增强。S组大鼠在第二周停药期间阿扑吗啡诱导的刻板行为显著增强。我们得出结论,H、H+B和T在诱导多巴胺受体超敏反应方面具有不同的可能性,氟哌啶醇最有效,硫利达嗪最无效。