Chung M Y, Kim D G, Yoo K J, Hong S S
Department of Neuropsychiatry, Korea Veterans Hospital, Seoul.
Yonsei Med J. 1993 Sep;34(3):266-77. doi: 10.3349/ymj.1993.34.3.266.
Changes in the levels of biogenic amines in different brain regions and the cerebrospinal fluid in rats were measured after acute or chronic treatment with tricyclic antidepressants. After single or 3 weeks' treatment with imipramine or desipramine, blocks of tissues were obtained from seven regions of the brain (frontal cortex, corpus striatum, hippocampus, thalamus, hypothalamus, substantia nigra and cerebellum) immediately after collection of the cerebrospinal fluid (CSF) from the cisterna magna. The concentrations of biogenic amines and their metabolites (norepinephrine, epinephrine, dopamine, 5-hydroxytryptamine (5-HT), dihydroxyphenylacetic acid (DOPAC), homovanillic acid (HVA), 5-hydroxyindoleacetic acid (5-HIAA)) in brain tissues and the CSF were measured using the high performance liquid chromatography-electrochemical detection system (HPLC-ECD). Treatment with desipramine or imipramine caused major alterations in the concentrations of central norepinephrine or 5-HT and its metabolite, respectively. Brain regional responses were variable according to the kind of tricyclic antidepressants and the duration of treatment. It is noteworthy that chronic treatment with both desipramine and imipramine caused altered hippocampal concentrations of norepinephrine and/or 5-HT and its metabolites. Striatal DOPAC concentrations were also changed after acute or chronic treatment with both drugs. These results suggest that tricyclic antidepressants altered neurotransmission according to the brain region, and the hippocampal norepinephrine and 5-HT and/or the striatal dopamine may have a significant role for the expression of antidepressant action of tricyclic antidepressants.
在用三环类抗抑郁药进行急性或慢性治疗后,测量大鼠不同脑区和脑脊液中生物胺水平的变化。在用丙咪嗪或地昔帕明单次或连续3周治疗后,在从枕大池收集脑脊液(CSF)后,立即从大脑的七个区域(额叶皮质、纹状体、海马体、丘脑、下丘脑、黑质和小脑)获取组织块。使用高效液相色谱 - 电化学检测系统(HPLC - ECD)测量脑组织和脑脊液中生物胺及其代谢物(去甲肾上腺素、肾上腺素、多巴胺、5 - 羟色胺(5 - HT)、二羟基苯乙酸(DOPAC)、高香草酸(HVA)、5 - 羟基吲哚乙酸(5 - HIAA))的浓度。地昔帕明或丙咪嗪治疗分别导致中枢去甲肾上腺素或5 - HT及其代谢物浓度发生重大变化。根据三环类抗抑郁药的种类和治疗持续时间,脑区反应各不相同。值得注意的是,地昔帕明和丙咪嗪的慢性治疗均导致海马体中去甲肾上腺素和/或5 - HT及其代谢物浓度发生改变。两种药物急性或慢性治疗后,纹状体DOPAC浓度也发生了变化。这些结果表明,三环类抗抑郁药根据脑区改变神经传递,海马体中的去甲肾上腺素和5 - HT和/或纹状体中的多巴胺可能对三环类抗抑郁药的抗抑郁作用表达具有重要作用。