Sasaki T, Kennedy J L, Nobrega J N
Neurogenetics Research Section, Clarke Institute of Psychiatry, Toronto, Ontario, Canada.
Behav Brain Res. 1998 Feb;90(2):125-32. doi: 10.1016/s0166-4328(97)00092-2.
Localized alterations in brain D1 receptors have been suggested to play a role in the development of vacuous chewing movements (VCMs) in rodents after long-term neuroleptic treatment. In the present study [3H]SCH 23390 binding to D1 receptors in basal ganglia and other brain regions was examined in rats showing high or low VCM levels after 21 weeks of treatment with haloperidol decanoate (HAL). D1 binding was significantly decreased in the caudate-putamen of HAL-treated rats, compared with vehicle-treated controls (- 18%, P < 0.001). However, this decrease occurred equally in treated rats showing high or low levels of VCMs. No changes were observed in any other brain region examined, including various subdivisions of the substantia nigra pars reticulata. D1/D2 binding ratios were significantly decreased in HAL-treated as compared to vehicle controls in all regions examined, with the exception of the olfactory tubercle. However, no differences in D1/D2 ratios between high VCM and low VCM subgroups were detected. Correlations between frequency of VCMs and D1 binding, D2 binding or D1/D2 binding ratios across brain regions were generally modest (< 0.5). These results confirm the ability of long-term haloperidol to induce selective decreases in D1 binding in specific brain areas, but fail to provide evidence for a possible role of altered D1 receptor binding in the development of oral dyskinetic syndromes after long-term neuroleptic treatment.
长期使用抗精神病药物治疗后,啮齿动物大脑D1受体的局部改变被认为在空嚼运动(VCMs)的发展中起作用。在本研究中,用癸酸氟哌啶醇(HAL)治疗21周后,对表现出高或低VCM水平的大鼠,检测了基底神经节和其他脑区中[3H]SCH 23390与D1受体的结合情况。与用赋形剂处理的对照组相比,HAL处理的大鼠尾状核-壳核中的D1结合显著降低(-18%,P<0.001)。然而,这种降低在表现出高或低VCM水平的处理大鼠中同样发生。在所检查的任何其他脑区,包括黑质网状部的各个亚区,均未观察到变化。与赋形剂对照组相比,在所有检查区域中,HAL处理组的D1/D2结合比率均显著降低,但嗅结节除外。然而,在高VCM和低VCM亚组之间未检测到D1/D2比率的差异。跨脑区的VCM频率与D1结合、D2结合或D1/D2结合比率之间的相关性通常较弱(<0.5)。这些结果证实了长期使用氟哌啶醇能够在特定脑区诱导D1结合的选择性降低,但未能提供证据证明长期使用抗精神病药物治疗后,D1受体结合改变在口腔运动障碍综合征发展中可能起的作用。