Natolino F, Zanotti A, Contarino A, Lipartiti M, Giusti P
Fidia Research Laboratories, Abano Terme, Italy.
Naunyn Schmiedebergs Arch Pharmacol. 1996 Nov;354(5):612-7. doi: 10.1007/BF00170836.
Development of tolerance and dependence has been reported to occur upon chronic administration of traditional benzodiazepines (BZDs). We compared the effect of chronic treatment with abecarnil, a beta-carboline derivative with high affinity for central BDZ receptors, and diazepam, the BDZ prototype, in mice. After acute administration, abecarnil was as potent and effective as diazepam in protecting from bicuculline-induced convulsion. The time-course analysis of two peak equieffective doses of abecarnil (1.9 mg/kg p.o.) and diazepam (2.7 mg/kg p.o.) showed a similar duration of action. The anticonvulsant potency of diazepam was reduced in mice given chronic diazepam (25 mg/kg p.o., 2 times a day for 17 days). No tolerance to abecarnil was apparent when the drug was administered for the same period using a comparable dose (20 mg/kg p.o.). Severe symptoms of precipitated withdrawal were observed upon administration of the BDZ partial inverse agonist Ro 15-3505 in mice treated chronically with diazepam but not abecarnil. In mice made tolerant to diazepam, maximum [3H]-flumazenil binding sites were reduced in both cerebral cortex (-50%) and cerebellum (-55.2%). No changes in [3H]-flumazenil binding were measured in chronic abecarnil-treated mice. These data indicate that abecarnil possesses a very low tolerance/dependence liability and does not affect BZD receptor density after chronic administration.
据报道,长期服用传统苯二氮䓬类药物(BZDs)会产生耐受性和依赖性。我们比较了长期给予阿贝卡尼(一种对中枢苯二氮䓬受体具有高亲和力的β-咔啉衍生物)和地西泮(苯二氮䓬类药物原型)对小鼠的影响。急性给药后,阿贝卡尼在预防荷包牡丹碱诱导的惊厥方面与地西泮具有相同的效力和效果。对阿贝卡尼(1.9毫克/千克口服)和地西泮(2.7毫克/千克口服)两个峰值等效剂量的时程分析显示,它们的作用持续时间相似。长期给予地西泮(25毫克/千克口服,每天2次,共17天)的小鼠,地西泮的抗惊厥效力降低。当使用可比剂量(20毫克/千克口服)在相同时间段给予阿贝卡尼时,未观察到对其产生耐受性。在长期用阿贝卡尼治疗的小鼠中未测量到[3H]-氟马西尼结合的变化。这些数据表明,阿贝卡尼具有非常低的耐受性/依赖性倾向,并且在长期给药后不影响苯二氮䓬受体密度。