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新型非典型抗精神病药物奥氮平与ICI 204,636在行为反应方面与氯氮平的比较:对选择性“D1样”多巴胺受体激动剂A 68930和选择性“D2样”激动剂RU 24213的反应

Comparison of the new atypical antipsychotics olanzapine and ICI 204,636 with clozapine on behavioural responses to the selective "D1-like" dopamine receptor agonist A 68930 and selective "D2-like" agonist RU 24213.

作者信息

Deveney A M, Waddington J L

机构信息

Department of Clinical Pharmacology, Royal College of Surgeons in Ireland, Dublin.

出版信息

Psychopharmacology (Berl). 1996 Mar;124(1-2):40-9. doi: 10.1007/BF02245604.

Abstract

The effects of the putative atypical antipsychotics olanzapine and ICI 204,636 on behavioural responses to the selective "D2-like" dopamine receptor agonist RU 24213 and to the selective "D1-like" agonist A 68930 were compared with those of the prototype atypical antipsychotic clozapine, the selective D1-like antagonist SCH 23390 and the selective D2-like antagonist YM 09151-2. Olanzapine (0.4-2.0 mg/kg) and ICI 204,636 (4.0-36.0 mg/kg), like clozapine (4.0-36.0 mg/kg) and SCH 23390 (0.01-1.0 mg/kg), effected at best modest reduction in typical sniffing and locomotor responses and, with the exception of ICI 204,636, released episodes of atypical myoclonic jerking to RU 24213 (12.5 mg/kg); a high dose of olanzapine (10.0 mg/kg), like YM 09151-2 (0.005-0.5 mg/kg), blocked all responsivity to RU 24213. Conversely, olanzapine (0.4-2.0 mg/kg) and ICI 204,636 (4.0-36.0 mg/kg), like clozapine (4.0-12.0 mg/kg) and SCH 23390 (0.01-0.1 mg/kg), readily blocked typical grooming responses to A 68930 (0.5 mg/kg); YM 09151-2 failed to block grooming and exerted more variable effects. Olanzapine and, to a lesser extent, ICI 204,636 share with clozapine a preferential action to attenuate D1-mediated function; given their lack of selective affinity for D1-like receptors, this common effect may be exerted at an alternative level of synaptic function. The action of olanzapine and particularly ICI 204,636 to release additional episodes of atypical vacuous chewing to A 68930 indicates some deviation from a wholly clozapine-like profile, the clinical significance of which remains to be specified.

摘要

将假定的非典型抗精神病药物奥氮平和ICI 204,636对选择性“D2样”多巴胺受体激动剂RU 24213以及对选择性“D1样”激动剂A 68930的行为反应的影响,与原型非典型抗精神病药物氯氮平、选择性D1样拮抗剂SCH 23390和选择性D2样拮抗剂YM 09151-2的影响进行了比较。奥氮平(0.4 - 2.0毫克/千克)和ICI 204,636(4.0 - 36.0毫克/千克),与氯氮平(4.0 - 36.0毫克/千克)和SCH 23390(0.01 - 1.0毫克/千克)一样时,对典型的嗅探和运动反应最多只能产生适度的降低,并且除ICI 204,636外,能引发对RU 24213(12.5毫克/千克)的非典型肌阵挛性抽搐发作;高剂量的奥氮平(10.0毫克/千克),与YM 09151-2(0.005 - 0.5毫克/千克)一样,可阻断对RU 24213的所有反应性。相反,奥氮平(0.4 - 2.0毫克/千克)和ICI 204,636(4.0 - 36.0毫克/千克),与氯氮平(4.0 - 12.0毫克/千克)和SCH 23390(0.01 - 0.1毫克/千克)一样,可以轻易阻断对A 68930(0.5毫克/千克)的典型梳理反应;YM 09151-2未能阻断梳理反应且作用更具变异性。奥氮平以及程度稍轻的ICI 204,636与氯氮平有共同的优先作用,即减弱D1介导的功能;鉴于它们对D1样受体缺乏选择性亲和力,这种共同作用可能在突触功能的另一个层面发挥。奥氮平尤其是ICI 204,636对A 68930引发额外的非典型无意义咀嚼发作的作用表明与完全类似氯氮平的情况存在一些偏差,其临床意义仍有待明确。

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