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传统和新型抗精神病药物诱发大鼠口腔运动障碍

Drug-induced oral dyskinesias in rats after traditional and new neuroleptics.

作者信息

Kakigi T, Gao X M, Tamminga C A

机构信息

Department of Psychiatry, University of Maryland School of Medicine, Baltimore, USA.

出版信息

J Neural Transm Gen Sect. 1995;101(1-3):41-9. doi: 10.1007/BF01271544.

Abstract

Tardive dyskinesia (TD) is a serious human side effect of neuroleptic treatment in psychotic disorders. Although the etiology is clear (i.e. chronic neuroleptic drugs), its pathophysiology has not yet been satisfactorily explained. This is important not only theoretically but also to inform drug development, allowing the introduction of antipsychotic compounds without TD liability. The development of an animal condition which putatively models these delayed onset dyskinesias, has provided a technique to differentiate between neuroleptic drug effect and dyskinesia correlates. We report here the development of oral dyskinesias in rats in response to a number of different neuroleptics, which have a range of neurochemical and clinical characteristics. Traditional neuroleptics (e.g. haloperidol) produced rat oral dyskinesias, in an open-cage environment. Clozapine, while it produced an increased rate of oral movements, showed a significantly decreased potency in this model. SCH23390 (D1 antagonist) neither produced the oral movements nor modified their onset by coadministration with raclopride. These data replicate and extend other similar studies in the literature. They suggest that clozapine differs from traditional neuroleptics with respect to motor side effects.

摘要

迟发性运动障碍(TD)是精神病性障碍中使用抗精神病药物治疗产生的一种严重的人体副作用。尽管其病因明确(即长期使用抗精神病药物),但其病理生理学尚未得到令人满意的解释。这不仅在理论上很重要,而且对指导药物研发也很重要,有助于推出无迟发性运动障碍风险的抗精神病化合物。一种假定可模拟这些迟发性运动障碍的动物模型的建立,提供了一种区分抗精神病药物作用和运动障碍相关因素的技术。我们在此报告了大鼠对多种具有不同神经化学和临床特征的抗精神病药物产生的口部运动障碍。传统抗精神病药物(如氟哌啶醇)在开放笼环境中可导致大鼠出现口部运动障碍。氯氮平虽然会使口部运动频率增加,但在该模型中其效力显著降低。SCH23390(D1拮抗剂)既不会引发口部运动,与雷氯必利联合使用时也不会改变其发作情况。这些数据重复并扩展了文献中的其他类似研究。它们表明,氯氮平在运动副作用方面与传统抗精神病药物不同。

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