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一种选择性5-羟色胺再摄取抑制剂与5-羟色胺1A和5-羟色胺1B受体拮抗剂联合使用对大鼠额叶皮质细胞外5-羟色胺的体内影响。

Effect of a selective 5-HT reuptake inhibitor in combination with 5-HT1A and 5-HT1B receptor antagonists on extracellular 5-HT in rat frontal cortex in vivo.

作者信息

Sharp T, Umbers V, Gartside S E

机构信息

University of Oxford Department of Clinical Pharmacology, Radcliffe Infirmary.

出版信息

Br J Pharmacol. 1997 Jul;121(5):941-6. doi: 10.1038/sj.bjp.0701235.

Abstract
  1. Selective 5-hydroxytryptamine (5-HT; serotonin) reuptake inhibitors (SSRIs) cause a greater increase in extracellular 5-HT in the forebrain when the somatodendritic 5-HT1A autoreceptor is blocked. Here, we investigated whether blockade of the terminal 5-HT1B autoreceptor influences a selective 5-HT reuptake inhibitor in the same way, and whether there is an additional effect of blocking both the 5-HT1A and 5-HT1B autoreceptors. 2. Extracellular 5-HT was measured in frontal cortex of the anaesthetized rat by use of brain microdialysis. In vivo extracellular recordings of 5-HT neuronal activity in the dorsal raphe nucleus (DRN) were also carried out. 3. The selective 5-HT reuptake inhibitor, paroxetine (0.8 mg kg-1, i.v.), increased extracellular 5-HT about 2 fold in rats pretreated with the 5-HT1A receptor antagonist, WAY100635. When administered alone neither paroxetine (0.8 mg kg-1, i.v.) nor WAY100635 (0.1 mg kg-1, i.v.) altered extracellular 5-HT levels. 4. Paroxetine (0.8 mg kg-1, i.v.) did not increase 5-HT in rats pretreated with the 5-HT1B/D receptor antagonist, GR127935 (1 mg kg-1, i.v.). GR127935 (1 and 5 mg kg-1, i.v.) had no effect on extracellular 5-HT when administered alone. 5. Interestingly, paroxetine (0.8 mg kg-1, i.v.) caused the greatest increase in 5-HT (up to 5 fold) when GR127935 (1 or 5 mg kg-1, i.v.) was administered in combination with WAY100635 (0.1 mg kg-1, i.v.). Administration of GR127935 (5 mg kg-1, i.v.) plus WAY100635 (0.1 mg kg-1, i.v.) without paroxetine, had no effect on extracellular 5-HT in the frontal cortex. 6. Despite the lack of effect of GR127935 on 5-HT under basal conditions, when 5-HT output was elevated about 3 fold (by adding 1 microM paroxetine to the perfusion medium), the drug caused a dose-related (1 and 5 mg kg-1, i.v.) increase in 5-HT. 7. By itself, GR127935 slightly but significantly decreased 5-HT cell firing in the DRN at higher doses (2.0-5.0 mg kg-1, i.v.), but did not prevent the inhibition of 5-HT cell firing induced by paroxetine. 8. In summary, our results suggest that selective 5-HT reuptake inhibitors may cause a large increase in 5-HT in the frontal cortex when 5-HT autoreceptors on both the somatodendrites (5-HT1A) and nerve terminals (5-HT1B) are blocked. This increase is greater than when either set of autoreceptors are blocked separately. The failure of a 5-HT1B receptor antagonist alone to enhance the effect of the selective 5-HT reuptake inhibitor in our experiments may be related to a lack of tone on the terminal 5-HT1B autoreceptor due to a continued inhibition of 5-HT cell firing. These results are discussed in relation to the use of 5-HT autoreceptor antagonists to augment the antidepressant effect of selective 5-HT reuptake inhibitors.
摘要
  1. 当躯体树突状5-羟色胺1A(5-HT1A)自身受体被阻断时,选择性5-羟色胺(5-HT;血清素)再摄取抑制剂(SSRIs)会使前脑细胞外5-HT有更大程度的增加。在此,我们研究了阻断终末5-HT1B自身受体是否会以同样的方式影响选择性5-HT再摄取抑制剂,以及同时阻断5-HT1A和5-HT1B自身受体是否会产生额外的效应。2. 通过脑微透析法测量麻醉大鼠额叶皮质中的细胞外5-HT。还对中缝背核(DRN)中5-HT神经元活动进行了体内细胞外记录。3. 选择性5-HT再摄取抑制剂帕罗西汀(0.8 mg·kg-1,静脉注射)在经5-HT1A受体拮抗剂WAY100635预处理的大鼠中使细胞外5-HT增加约2倍。单独给予帕罗西汀(0.8 mg·kg-1,静脉注射)或WAY100635(0.1 mg·kg-1,静脉注射)均未改变细胞外5-HT水平。4. 帕罗西汀(0.8 mg·kg-1,静脉注射)在经5-HT1B/D受体拮抗剂GR127935(1 mg·kg-1,静脉注射)预处理的大鼠中未增加5-HT。单独给予GR127935(1和5 mg·kg-1,静脉注射)对细胞外5-HT无影响。5. 有趣的是,当GR127935(1或5 mg·kg-1,静脉注射)与WAY100635(0.1 mg·kg-1,静脉注射)联合使用时,帕罗西汀(0.8 mg·kg-1,静脉注射)使5-HT增加最多(高达5倍)。在无帕罗西汀的情况下给予GR127935(5 mg·kg-1,静脉注射)加WAY100635(0.1 mg·kg-1,静脉注射)对额叶皮质中的细胞外5-HT无影响。6. 尽管在基础条件下GR127935对5-HT无影响,但当5-HT输出升高约3倍(通过向灌注介质中添加1 μM帕罗西汀)时,该药物使5-HT产生剂量相关的增加(1和5 mg·kg-1,静脉注射)。7. 单独使用时,GR127935在较高剂量(2.0 - 5.0 mg·kg-1,静脉注射)时轻微但显著降低DRN中5-HT细胞的放电,但未阻止帕罗西汀诱导的5-HT细胞放电抑制。8. 总之,我们的结果表明,当躯体树突(5-HT1A)和神经终末(5-HT1B)上的5-HT自身受体均被阻断时,选择性5-HT再摄取抑制剂可能会使额叶皮质中的5-HT大幅增加。这种增加大于单独阻断任何一组自身受体时的情况。在我们的实验中,单独使用5-HT1B受体拮抗剂未能增强选择性5-HT再摄取抑制剂的作用,这可能与由于5-HT细胞放电持续受到抑制导致终末5-HT1B自身受体缺乏张力有关。本文结合使用5-HT自身受体拮抗剂增强选择性5-HT再摄取抑制剂的抗抑郁作用对这些结果进行了讨论。

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