Kovachich G B, Frazer A, Aronson C E
Department of Veterans Affairs Medical Center, Department of Psychiatry, Philadelphia, Pennsylvania 19104.
Neuropsychopharmacology. 1993 Jan;8(1):57-65. doi: 10.1038/npp.1993.7.
The density of alpha 2-adrenoceptors, using 3H-idazoxan as the radioligand, was determined by quantitative autoradiography in the locus coeruleus and in 13 noradrenergic projection fields following chronic administration of drugs acting on noradrenergic and/or serotonergic neurons. Protriptyline, an inhibitor of the uptake or norepinephrine, and mianserin, an alpha 2-adrenoceptor antagonist, reduced the binding of 3H-idazoxan only in the locus coeruleus. Phenelzine, an inhibitor of both type A and type B monoamine oxidase (MAO), reduced the binding of 3H-idazoxan in the locus coeruleus and in several areas with noradrenergic innervation from tegmental cell bodies. Clorgyline, a selective inhibitor of type A MAO, had no effect. Of the two selective inhibitors of serotonin uptake, citalopram caused a modest increase in binding only in one terminal field area, whereas sertraline had no effect. Although these antidepressants did not produce consistent effects on alpha 2-adrenoceptors, protriptyline, mianserin, and phenelzine were similar in that they all decreased the binding of 3H-idazoxan in the locus coeruleus without widely affecting its binding in the coerulean terminal fields. Deprenyl, a selective inhibitor of type B MAO, the only drug in this study without proven antidepressant efficacy, differed from all other drugs in that it decreased the binding of 3H-idazoxan both in the locus coeruleus as well as in most terminal fields with primarily coerulean noradrenergic innervation.
以3H-咪唑克生作为放射性配体,通过定量放射自显影法,测定了慢性给予作用于去甲肾上腺素能和/或5-羟色胺能神经元的药物后,蓝斑核及13个去甲肾上腺素能投射区域中α2-肾上腺素能受体的密度。普罗替林是一种去甲肾上腺素摄取抑制剂,米安色林是一种α2-肾上腺素能受体拮抗剂,它们仅降低了蓝斑核中3H-咪唑克生的结合。苯乙肼是一种A、B型单胺氧化酶(MAO)抑制剂,它降低了蓝斑核及几个来自被盖细胞体的去甲肾上腺素能神经支配区域中3H-咪唑克生的结合。氯吉兰是一种A型MAO选择性抑制剂,无此作用。在两种5-羟色胺摄取选择性抑制剂中,西酞普兰仅在一个终末场区域使结合略有增加,而舍曲林无作用。尽管这些抗抑郁药对α2-肾上腺素能受体未产生一致的作用,但普罗替林、米安色林和苯乙肼有相似之处,即它们均降低了蓝斑核中3H-咪唑克生的结合,而未广泛影响其在蓝斑终末场的结合。司来吉兰是一种B型MAO选择性抑制剂,是本研究中唯一无抗抑郁疗效的药物,它与所有其他药物不同,它降低了蓝斑核以及大多数主要由蓝斑去甲肾上腺素能神经支配的终末场中3H-咪唑克生的结合。