Haraguchi K, Ito K, Sawada Y, Iga T
Department of Pharmacy, University of Tokyo Hospital, Faculty of Medicine, University of Tokyo, Japan.
J Pharm Pharmacol. 1996 Apr;48(4):429-32. doi: 10.1111/j.2042-7158.1996.tb05946.x.
Manidipine, a calcium channel blocker, is a piperazine derivative similar to flunarizine or cinnarizine, which are known to induce parkinsonism. Since it has been reported that manidipine can worsen parkinsonian symptoms in a patient with Parkinson's disease, we have evaluated catalepsy in manidipine-treated mice and compared this with flunarizine-and haloperidol-induced catalepsy. The minimum dose at which manidipine induced catalepsy was 200 times higher than that of haloperidol whereas for flunarizine, the minimum dose was 50 times higher than that for haloperidol. Manidipine, flunarizine and haloperidol occupied both dopamine D1 and D2 receptors and D2-receptor occupancy was higher than D1-receptor occupancy. These results suggest that the blockade of dopamine D1 and D2 receptors by drugs and the drug-induced catalepsy are related to the structure (piperazinyl substituent) of the drugs.
马尼地平是一种钙通道阻滞剂,是一种与氟桂利嗪或桂利嗪类似的哌嗪衍生物,已知氟桂利嗪或桂利嗪可诱发帕金森综合征。由于已有报道称马尼地平会使帕金森病患者的帕金森症状恶化,我们评估了用马尼地平处理的小鼠的僵住症,并将其与氟桂利嗪和氟哌啶醇诱发的僵住症进行比较。马尼地平诱发僵住症的最小剂量比氟哌啶醇高200倍,而对于氟桂利嗪,最小剂量比氟哌啶醇高50倍。马尼地平、氟桂利嗪和氟哌啶醇均占据多巴胺D1和D2受体,且D2受体占有率高于D1受体占有率。这些结果表明,药物对多巴胺D1和D2受体的阻断以及药物诱发的僵住症与药物的结构(哌嗪基取代基)有关。