Ichikawa J, Meltzer H Y
Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.
Eur J Pharmacol. 1995 Aug 15;281(3):255-61. doi: 10.1016/0014-2999(95)00264-l.
The effect of the selective serotonin (5-hydroxytryptamine, 5-HT) reuptake inhibitor, fluoxetine (10 mg/kg s.c.), two tricyclic antidepressants, clomipramine (10 mg/kg s.c.) and imipramine (10 mg/kg s.c.), and vehicle on extracellular dopamine levels was studied in rat nucleus accumbens and striatum by in vivo microdialysis. Fluoxetine produced significant decreases in extracellular dopamine levels in both the nucleus accumbens and striatum (mean maximum percentage decrease: 58% and 57% of pre-drug baseline, respectively). In contrast, imipramine and clomipramine significantly increased extracellular dopamine in the striatum (148% and 150%, respectively) compared to the effect of vehicle alone (118%). These results suggest that the selective serotonin reuptake inhibitor, fluoxetine, and the tricyclic antidepressants, clomipramine and imipramine, affect dopaminergic activity in diverse ways and in a region-specific manner. Thus, the antidepressant effect of these drugs is unlikely to be related to their acute effects on dopaminergic neurotransmission. The differential effects of the selective serotonin reuptake inhibitor and tricyclic antidepressants on extracellular dopamine could account for other differences in their clinical and side effect profiles. Further studies of the chronic effects of the selective serotonin reuptake inhibitor and the tricyclic antidepressants on dopaminergic activity are required to elucidate the role of dopamine in the antidepressant effect.
通过体内微透析技术,研究了选择性5-羟色胺(5-羟色胺,5-HT)再摄取抑制剂氟西汀(10mg/kg皮下注射)、两种三环类抗抑郁药氯米帕明(10mg/kg皮下注射)和丙咪嗪(10mg/kg皮下注射)以及溶剂对大鼠伏隔核和纹状体细胞外多巴胺水平的影响。氟西汀使伏隔核和纹状体的细胞外多巴胺水平均显著降低(平均最大降低百分比分别为给药前基线的58%和57%)。相比之下,与单独使用溶剂的效果(118%)相比,丙咪嗪和氯米帕明显著提高了纹状体中的细胞外多巴胺水平(分别为148%和150%)。这些结果表明,选择性5-羟色胺再摄取抑制剂氟西汀以及三环类抗抑郁药氯米帕明和丙咪嗪以不同方式且具有区域特异性地影响多巴胺能活性。因此,这些药物的抗抑郁作用不太可能与其对多巴胺能神经传递的急性作用有关。选择性5-羟色胺再摄取抑制剂和三环类抗抑郁药对细胞外多巴胺的不同作用可能解释了它们在临床和副作用方面的其他差异。需要进一步研究选择性5-羟色胺再摄取抑制剂和三环类抗抑郁药对多巴胺能活性的慢性影响,以阐明多巴胺在抗抑郁作用中的作用。