Sasaki H, Hashimoto K, Maeda Y, Inada T, Kitao Y, Fukui S, Iyo M
Division of Drug Dependence and Psychotropic Drug Clinical Research, National Institute of Mental Health, Ichikawa, Japan.
Life Sci. 1995;56(25):PL443-7. doi: 10.1016/0024-3205(95)00218-u.
Since striatal dopamine D2 receptor supersensitivity in the etiology of tardive dyskinesia has been suggested and dopamine D2 receptors are known to inhibit adenylate cyclase activity resulting in a decrease of cyclic adenosine 3',5'-monophosphate (cAMP) levels, we hypothesized that an increase in cAMP levels ameliorates the condition. In the present study, 21-day haloperidol treatment (1.5 mg/kg I.P.) in rats resulted in an increase in striatal [3H]-spiperone (D2) binding whereas [3H] SCH23390 (D1) binding was unaltered. This haloperidol treatment also induced a significantly increase in the frequency of involuntary chewing movements and tongue protrusions, which are considered as a model of tardive dyskinesia. These dyskinetic movements were suppressed by administration of rolipram (0.5 and 1.0 mg/kg I.P.), an inhibitor of the cAMP phosphodiesterase type IV. The present results suggest that selective cAMP phosphodiesterase type IV inhibitors could be putative therapeutic drugs for tardive dyskinesia.
由于已有研究表明纹状体多巴胺D2受体超敏反应与迟发性运动障碍的病因有关,且已知多巴胺D2受体可抑制腺苷酸环化酶活性,导致环磷酸腺苷(cAMP)水平降低,因此我们推测cAMP水平升高可改善这种状况。在本研究中,大鼠接受为期21天的氟哌啶醇治疗(腹腔注射1.5mg/kg)后,纹状体[3H] - 螺哌隆(D2)结合增加,而[3H] SCH23390(D1)结合未改变。这种氟哌啶醇治疗还导致不自主咀嚼运动和伸舌频率显著增加,这些被视为迟发性运动障碍的模型。给予罗匹尼罗(腹腔注射0.5和1.0mg/kg),一种IV型cAMP磷酸二酯酶抑制剂,可抑制这些运动障碍。目前的结果表明,选择性IV型cAMP磷酸二酯酶抑制剂可能是治疗迟发性运动障碍的潜在药物。