Ohmori T
Department of Psychiatry and Neurology, Hokkaido University School of Medicine, Sapporo, Japan.
Hokkaido Igaku Zasshi. 1993 Mar;68(2):205-13.
Phencyclidine (PCP) produces schizophreniform psychoses in drug abusers and exacerbates symptoms in chronic schizophrenics. Although the exact mechanisms of psychotomimetic effects are unknown, the drug is known to act as an indirect dopamine (DA) agonist by inhibiting neuronal reuptake of DA. The drug is also known to work as a N-methyl-D-aspartate (NMDA) antagonist. Aiming to investigate characteristics of these two properties of PCP in the same experimental system, the effects of PCP on spontaneous and NMDA-induced DA efflux from superfused slices of rat striatum were examined. DA and 3,4-dihydroxyphenylacetic acid (DOPAC) in the superfusate samples were extracted via alumina extraction and measured by high-performance liquid chromatography with electrochemical detection (HPLC-ECD). PCP, at concentrations greater than 1 microM, produced a concentration-dependent increase of the spontaneous efflux of DA. DOPAC efflux was also concentration-dependently increased by PCP. However, PCP inhibited DA efflux induced by NMDA even at a low concentration (0.1 microM), which did not alter the spontaneous efflux of the transmitter. The mode of the inhibition of PCP was shown to be noncompetitive with an estimated IC 50 value of 280 nM. These results indicate that PCP acts simultaneously as a weak indirect DA agonist and as a potent noncompetitive NMDA antagonist. Since psychological change in normal subjects or exacerbation of schizophrenic symptoms has been reported to occur with a small dose of PCP, the psychotomimetic effects of the drug are more likely to be mediated by its interaction with NMDA receptor. The clinical significance of the present study is discussed in relation with the qlutamatergic hypothesis of schizophrenia.
苯环利定(PCP)在药物滥用者中会引发精神分裂症样精神病,并加重慢性精神分裂症患者的症状。尽管致幻作用的确切机制尚不清楚,但已知该药物通过抑制多巴胺(DA)的神经元再摄取而作为间接DA激动剂起作用。该药物还被认为是一种N-甲基-D-天冬氨酸(NMDA)拮抗剂。为了在同一实验系统中研究PCP的这两种特性,研究了PCP对大鼠纹状体灌流切片中自发和NMDA诱导的DA流出的影响。灌流液样品中的DA和3,4-二羟基苯乙酸(DOPAC)通过氧化铝萃取法提取,并采用高效液相色谱-电化学检测法(HPLC-ECD)进行测定。浓度大于1 microM的PCP会导致DA自发流出呈浓度依赖性增加。PCP也使DOPAC流出呈浓度依赖性增加。然而,即使在低浓度(0.1 microM)下,PCP也能抑制NMDA诱导的DA流出,且这并未改变递质的自发流出。PCP的抑制模式显示为非竞争性,估计IC50值为280 nM。这些结果表明,PCP同时作为一种弱的间接DA激动剂和一种强效的非竞争性NMDA拮抗剂起作用。由于据报道小剂量的PCP会导致正常受试者出现心理变化或精神分裂症症状加重,该药物的致幻作用更可能是由其与NMDA受体的相互作用介导的。本研究的临床意义结合精神分裂症的谷氨酸能假说进行了讨论。