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氯氮平通过一种不依赖多巴胺受体的机制降低伏隔核中血清素的细胞外水平。

Clozapine decreases serotonin extracellular levels in the nucleus accumbens by a dopamine receptor-independent mechanism.

作者信息

Ferré S, Artigas F

机构信息

Department of Neurochemistry, C.S.I.C., Barcelona, Spain.

出版信息

Neurosci Lett. 1995 Feb 24;187(1):61-4. doi: 10.1016/0304-3940(95)11338-w.

DOI:10.1016/0304-3940(95)11338-w
PMID:7617304
Abstract

By using brain microdialysis, clear differences in the effects of the systemic administration of clozapine and haloperidol on the extracellular concentration of dopamine (DA) and serotonin (5-HT) were found in the nucleus accumbens of freely moving rats. Haloperidol (0.5 mg/kg s.c.) significantly increased DA (ca. 40%) but did not modify 5-HT extracellular concentration, while clozapine (5 mg/kg s.c.) significantly decreased 5-HT (ca. 40%) but did not change DA concentration. Locally infused, clozapine (10(-5) M) significantly increased DA (75%) and reduced 5-HT extracellular concentration (50%). The reduction of 5-HT cannot be explained by a clozapine-induced blockade of DA receptors, because the local infusion (10(-5) M) of the DA D2-like antagonist raclopride and the DA D1-like antagonist SCH 23390 significantly increased DA (ca. 300% and 200%, respectively) but did not modify 5-HT extracellular concentration. Conversely, the DA D2-like agonist quinpirole and the DA D1-like agonist SKF-38393 significantly decreased (ca. 60% in both cases) DA extracellular concentration without affecting that of 5-HT. The present results indicate that clozapine displays a powerful anti-serotoninergic effect by inhibiting 5-HT release in the nucleus accumbens, an effect probably derived from the reduction of firing activity at the dorsal raphe and by local mechanisms that may involve some 5-HT receptor subtype(s).

摘要

通过使用脑微透析技术,发现在自由活动大鼠的伏隔核中,氯氮平和氟哌啶醇全身给药对细胞外多巴胺(DA)和5-羟色胺(5-HT)浓度的影响存在明显差异。氟哌啶醇(0.5毫克/千克,皮下注射)显著增加DA(约40%),但不改变5-HT细胞外浓度,而氯氮平(5毫克/千克,皮下注射)显著降低5-HT(约40%),但不改变DA浓度。局部注入氯氮平(10^-5摩尔)显著增加DA(75%)并降低5-HT细胞外浓度(50%)。5-HT的降低不能用氯氮平诱导的DA受体阻断来解释,因为局部注入DA D2样拮抗剂雷氯必利和DA D1样拮抗剂SCH 23390(10^-5摩尔)显著增加DA(分别约300%和200%),但不改变5-HT细胞外浓度。相反,DA D2样激动剂喹吡罗和DA D1样激动剂SKF-38393显著降低(两种情况均约60%)DA细胞外浓度,而不影响5-HT的浓度。目前的结果表明,氯氮平通过抑制伏隔核中5-HT的释放表现出强大的抗5-羟色胺能作用,这种作用可能源于背侧中缝核放电活动的减少以及可能涉及某些5-HT受体亚型的局部机制。

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