Karcz-Kubicha M, Jessa M, Nazar M, Plaznik A, Hartmann S, Parsons C G, Danysz W
Department of Pharmacology, Merz & Co., Frankfurt am Main, Germany.
Neuropharmacology. 1997 Oct;36(10):1355-67. doi: 10.1016/s0028-3908(97)00130-5.
On the basis of animal models, anxiety was one of the first suggested clinical applications of partial agonists of the glycineB site coupled to the NMDA receptor. It is not certain, however, whether these findings can be extended to full glycineB antagonists and what is the relation between intrinsic activity (degree of NMDA receptor antagonism) and anxiolytic effect. In the present study several NMDA receptor antagonists, including several glycineB antagonists/partial agonists, were tested for anxiolytic activity in the Vogel conflict test and the elevated plus-maze. Additionally, the intrinsic activities of the glycineB partial agonists used [ACPC, (R,+)-HA-966 and D-cycloserine] were compared in patch-clamp experiments in cultured neurones. In the plus-maze the most striking increase in the time spent in open arms (index of anxiolytic effect) was seen after diazepam and D-cycloserine (at doses that did not change locomotion). Also reliable (dose-dependent), although weaker, anxiolytic activity was produced by the uncompetitive NMDA receptor antagonist (+)MK-801 and the competitive antagonist CGP 39551. Modest anxiolytic-like effect in the plus-maze was also observed after the glycineB antagonist L-701,324 and the partial agonist (+,R)-HA-966. Uncompetitive antagonists memantine and amantadine, the glycineB partial agonist ACPC (up to 600 mg/kg) or the full antagonists MRZ 2/570, MRZ 2/571 and MRZ 2/576 had no effect. In the Vogel conflict test neither memantine, nor any of the full glycineB antagonists tested (L-701,324 and MRZ 2/576), showed anxiolytic activity. Patch-clamp studies revealed that the intrinsic activity of (+,R)-HA-966, D-cycloserine and ACPC was 13, 57 and 92%, respectively, as compared to that of glycine itself (100%). In conclusion, for the agents tested there is no clear relation between the levels of intrinsic activity, i.e. degree of NMDA receptor inhibition, and anxiolytic activity. Moreover, L-701,324 and MRZ-type glycineB full antagonists do not exchibit anxiolytic activity in the elevated plus-maze and Vogel conflict test.
基于动物模型,焦虑是甘氨酸B位点与N-甲基-D-天冬氨酸(NMDA)受体偶联的部分激动剂最早被提出的临床应用之一。然而,这些发现是否能扩展到完全的甘氨酸B拮抗剂,以及内在活性(NMDA受体拮抗程度)与抗焦虑作用之间的关系尚不确定。在本研究中,几种NMDA受体拮抗剂,包括几种甘氨酸B拮抗剂/部分激动剂,在Vogel冲突试验和高架十字迷宫中进行了抗焦虑活性测试。此外,在培养神经元的膜片钳实验中比较了所使用的甘氨酸B部分激动剂[ACPC、(R,+)-HA-966和D-环丝氨酸]的内在活性。在十字迷宫中,地西泮和D-环丝氨酸(在不改变运动的剂量下)给药后,在开放臂停留时间(抗焦虑作用指标)的增加最为显著。非竞争性NMDA受体拮抗剂(+)MK-801和竞争性拮抗剂CGP 39551也产生了可靠的(剂量依赖性的)、尽管较弱的抗焦虑活性。甘氨酸B拮抗剂L-701,324和部分激动剂(+,R)-HA-966给药后,在十字迷宫中也观察到了适度的抗焦虑样效应。非竞争性拮抗剂美金刚和金刚烷胺、甘氨酸B部分激动剂ACPC(高达600mg/kg)或完全拮抗剂MRZ 2/570、MRZ 2/571和MRZ 2/576均无作用。在Vogel冲突试验中,美金刚以及所测试的任何一种完全的甘氨酸B拮抗剂(L-701,324和MRZ 2/576)均未显示出抗焦虑活性。膜片钳研究表明,与甘氨酸本身(100%)相比,(+,R)-HA-966、D-环丝氨酸和ACPC的内在活性分别为13%、57%和92%。总之,对于所测试的药物,内在活性水平,即NMDA受体抑制程度,与抗焦虑活性之间没有明确的关系。此外,L-701,324和MRZ型甘氨酸B完全拮抗剂在高架十字迷宫和Vogel冲突试验中均未表现出抗焦虑活性。