Duncan W C, Johnson K A, Wehr T A
Clinical Psychobiology Branch, NIMH, NIH, Bethesda, Maryland 20892, USA.
Neuropsychopharmacology. 1995 Feb;12(1):17-37. doi: 10.1038/sj.npp.1380236.
Antidepressant drugs have been reported to alter the circadian pattern of body temperature, but specific effects on the amplitude or on average body temperature are not consistent, and there have been no specific studies to examine chronic drug effects on brain temperature. To address these issues, hypothalamic temperature (Thy) was monitored telemetrically in hamsters treated with three antidepressant drugs: the monoamine oxidase inhibitor (MAOI), clorgyline; the 5HT reuptake inhibitor, fluoxetine; and the alkali metal, lithium. For comparison, hamsters were also treated with two neuroleptic drugs, chlorpromazine and haloperidol. Each of the three antidepressant drugs, but neither of the neuroleptic drugs, produced a chronic decrease in diurnal (rest-phase) hypothalamic temperature. The Thy-decreasing effect of clorgyline was not prevented by pinealectomy, and Thy decreased more than peritoneal temperature (Tp), thus reducing the temperature difference between the hypothalamus and the peritoneal cavity. Less general effects of the antidepressants were also observed. Clorgyline and fluoxetine, but not lithium, delayed the 24-hour rhythm of Thy. Clorgyline and lithium, but not fluoxetine decreased the average 24-hour Thy. The neuroleptics chlorpromazine and haloperidol decreased the amplitude of the 24-hour Thy rhythm. The fact that chronic antidepressant drugs, but not neuroleptic drugs, decrease Thy is consistent with their different neurotransmitter effects and clinical applications, and raises the possibility that their antidepressant property might be related to their capacity to decrease Thy during sleep.
据报道,抗抑郁药物会改变体温的昼夜节律,但对体温幅度或平均体温的具体影响并不一致,而且尚无专门研究来考察长期用药对脑温的影响。为解决这些问题,我们通过遥测技术监测了用三种抗抑郁药物治疗的仓鼠的下丘脑温度(Thy):单胺氧化酶抑制剂(MAOI)氯吉兰;5-羟色胺再摄取抑制剂氟西汀;以及碱金属锂。作为对照,还对仓鼠使用了两种抗精神病药物氯丙嗪和氟哌啶醇进行治疗。三种抗抑郁药物中的每一种都导致了昼夜(休息期)下丘脑温度的长期下降,但两种抗精神病药物均未产生这种效果。氯吉兰降低Thy的作用不受松果体切除的影响,而且Thy的下降幅度大于腹膜温度(Tp),从而缩小了下丘脑与腹膜腔之间的温度差。还观察到了抗抑郁药物不太普遍的作用。氯吉兰和氟西汀,但不是锂,延迟了Thy的24小时节律。氯吉兰和锂,但不是氟西汀,降低了24小时的平均Thy。抗精神病药物氯丙嗪和氟哌啶醇降低了24小时Thy节律的幅度。长期使用抗抑郁药物而非抗精神病药物会降低Thy这一事实,与其不同的神经递质作用和临床应用是一致的,并增加了其抗抑郁特性可能与其在睡眠期间降低Thy的能力有关的可能性。