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氯氮平与氟哌啶醇长期治疗对比:对大鼠尾状核壳核中电诱发多巴胺外流有不同影响,但对伏隔核无此影响。

Chronic clozapine versus chronic haloperidol treatment: differential effects on electrically evoked dopamine efflux in the rat caudate putamen, but not in the nucleus accumbens.

作者信息

Feasey-Truger K J, Alzheimer C, ten Bruggencate G

机构信息

Institute of Physiology, University of Munich, Germany.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 1996 Dec;354(6):725-30. doi: 10.1007/BF00166898.

DOI:10.1007/BF00166898
PMID:8971732
Abstract

Fast cyclic voltammetry at carbon-fibre micro-electrodes was used to investigate the effects of chronic clozapine or haloperidol administration on electrically evoked dopamine efflux in the nucleus accumbens and caudate putamen of the anaesthetized rat. Stimulation trains were delivered to the median forebrain bundle (60 pulses, 350 microns duration) every 5 min, and the evoked dopamine efflux measured as a function of a) the applied stimulus intensity (range 0.2 mA-1.0 mA), and b) the applied stimulus frequency (range 10 Hz-250 Hz). Chronic administration of either clozapine (20 mg/kg x 21 days, p.o.) or haloperidol (1 mg/kg x 21 days, p.o.) significantly reduced electrically evoked dopamine efflux in the nucleus accumbens over the range of stimulus intensities and frequencies tested. The reduction in evoked dopamine efflux observed in the nucleus accumbens of clozapine- and haloperidol-treated rats showed no statistically significant difference. In contrast, only chronic haloperidol treatment significantly reduced evoked dopamine efflux in the caudate putamen. These findings demonstrate that chronic treatment with either the atypical neuroleptic, clozapine, or the typical neuroleptic, haloperidol, produce long-term changes in mesolimbic dopamine function; actions which may underlie their antipsychotic efficacy. They also provide further evidence that the sparing action of clozapine on nigrostriatal dopamine activity may underlie the lower incidence of extrapyramidal side effects associated with its long-term administration.

摘要

采用碳纤维微电极快速循环伏安法,研究长期给予氯氮平或氟哌啶醇对麻醉大鼠伏隔核和尾状壳核中电刺激诱发的多巴胺释放的影响。每隔5分钟向正中前脑束施加刺激串(60个脉冲,持续时间350微米),并测量诱发的多巴胺释放量与以下因素的关系:a)施加的刺激强度(范围为0.2毫安至1.0毫安),以及b)施加的刺激频率(范围为10赫兹至250赫兹)。长期给予氯氮平(20毫克/千克×21天,口服)或氟哌啶醇(1毫克/千克×21天,口服),在测试的刺激强度和频率范围内,均显著降低了伏隔核中电刺激诱发的多巴胺释放。在氯氮平和氟哌啶醇治疗的大鼠伏隔核中观察到的诱发多巴胺释放减少,无统计学显著差异。相比之下,只有长期给予氟哌啶醇显著降低了尾状壳核中诱发的多巴胺释放。这些发现表明,长期使用非典型抗精神病药物氯氮平或典型抗精神病药物氟哌啶醇治疗,会导致中脑边缘多巴胺功能发生长期变化;这些作用可能是其抗精神病疗效的基础。它们还进一步证明,氯氮平对黑质纹状体多巴胺活性的保留作用,可能是其长期给药相关锥体外系副作用发生率较低的原因。

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本文引用的文献

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Dopamine autoreceptor sensitivity is unchanged in rat nucleus accumbens after chronic haloperidol treatment: an in vivo and in vitro voltammetric study.
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Chronic clozapine selectively decreases prefrontal cortex dopamine as shown by simultaneous cortical, accumbens, and striatal microdialysis in freely moving rats.慢性氯氮平可选择性降低前额叶皮质多巴胺水平,自由活动大鼠的皮质、伏隔核和纹状体同步微透析结果表明了这一点。
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