Bossé R, Di Paolo T
School of Pharmacy, Laval University, Quebec City, Canada.
J Psychiatry Neurosci. 1995 Nov;20(5):364-71.
A peak of first episodes of schizophrenia can occur in postmenopausal women. Furthermore, tardive dyskinesia is more common in postmenopausal women than in men of comparable age. This study investigated the effect of ovariectomy (2 weeks or 3 months) in rats as a model of decreased gonadal function associated with menopause. After ovariectomy, frontal cortex D1 receptors progressively decreased in density with no change of affinity over time. Striatal D1 and D2 receptors also had decreased density after ovariectomy with no change of affinity. In the substantia nigra pars reticulata, a progressive increase in [3H]flunitrazepam-specific binding associated with GABAA receptors was observed as a function of time following ovariectomy. It is hypothesized that low prefrontal cortex dopamine activity has implications in negative symptoms of schizophrenia and, furthermore, that GABAergic overactivity in the internal globus pallidus-substantia nigra pars reticulata complex plays a role in tardive dyskinesia. The present results suggest that, by reducing brain dopamine receptors and increasing GABAA receptors, gonadal hormone withdrawal may predispose to schizophrenia and dyskinesia.
绝经后女性可能会出现精神分裂症首发症状的高峰。此外,迟发性运动障碍在绝经后女性中比在同龄男性中更常见。本研究以大鼠卵巢切除(2周或3个月)作为与绝经相关的性腺功能减退模型,调查其影响。卵巢切除后,额叶皮质D1受体密度随时间逐渐降低,亲和力无变化。纹状体D1和D2受体在卵巢切除后密度也降低,亲和力无变化。在黑质网状部,观察到卵巢切除后随着时间推移,与GABAA受体相关的[3H]氟硝西泮特异性结合逐渐增加。据推测,前额叶皮质多巴胺活性降低与精神分裂症的阴性症状有关,此外,苍白球内侧部 - 黑质网状部复合体中的GABA能活性过高在迟发性运动障碍中起作用。目前的结果表明,通过减少脑多巴胺受体和增加GABAA受体,性腺激素撤退可能易患精神分裂症和运动障碍。