Pappert E J, Goetz C G, Stebbins G T, Belden M, Carvey P M
Rush-Presbyterian-St. Luke's Medical Center, Department of Neurological Sciences, Chicago, IL 60612, USA.
Eur J Pharmacol. 1998 Apr 17;347(1):51-6. doi: 10.1016/s0014-2999(98)00086-7.
In guinea pigs, myoclonus can be induced by 5-hydroxytryptamine (5-HT, serotonin) precursors and synthetic 5-HT receptor agonists, yet the receptor subtype specificity of this behavior is not fully delineated. Guinea pigs were pre-treated with carbidopa (50 mg) followed by one of eight 5-HT antagonists: (-)-N-tert-butyl-3-[4-(2-methoxyphenyl) piperazin-1-yl]-2-phenyl propionamide ((-)-WAY 100135) (5-HT1A), N-[2-[4-(2-methoxyphenyl)-1-piperazinyl]-ethyl]-N-(2-pyridyl)-cy clohexancarboxamide (WAY 100635) (5-HT1A), methiothepin mesylate (5-HT1/2), mesulergine hydrochloride (5-HT2A/2C), N[4-methoxy-3-(4-methyl-L-piperazinyl)phenyl]-2'-methyl-4'-(5-methyl-1,2 ,4-oxadizol-3-yl) (GR 127935) (5-HT1D), trans-4-[(3Z)3-(2-dimethylaminoethyl)oxyimino-3(2-fluorop hen yl) propen-1-yl]phenol, hemifumarate (SR 46349) (5-HT2), ondansetron hydrochloride (5-HT3), and [1-[2-[methylsulphonyl)amino]ethyl]-4-piperidinyl]methyl-5-fluoro-2-meth oxy-1H-indole-3-carboxylate (GR 125487) (5-HT4). Thirty minutes later, they received 5-hydroxytryptophan (5-HTP) (75 mg/kg, sc) and myoclonic jumping rates were assessed every 10 min for 200 min by a blinded observer. Repeated measures analysis of variance of drug-induced antagonism of 5-HTP-induced myoclonus revealed a significant effect for the 5-HT receptor antagonists methiothepin mesylate, GR127935, and mesulergine hydrochloride compared to placebo, and each of these drugs inhibited 5-HTP-induced myoclonus in a dose-dependent fashion. Based on the receptor profiles of the three effective antagonists, 5-HTP-induced myoclonus is influenced by the 5-HT1/2 receptor systems. The absence of a significant change with any other receptor subtype antagonist suggests that myoclonus is not related to diffuse activation of central serotonergic mechanisms.
在豚鼠中,5-羟色胺(5-HT,血清素)前体和合成的5-HT受体激动剂可诱发肌阵挛,但这种行为的受体亚型特异性尚未完全明确。给豚鼠预先注射卡比多巴(50毫克),随后注射以下八种5-HT拮抗剂之一:(-)-N-叔丁基-3-[4-(2-甲氧基苯基)哌嗪-1-基]-2-苯基丙酰胺((-)-WAY 100135)(5-HT1A)、N-[2-[4-(2-甲氧基苯基)-1-哌嗪基]乙基]-N-(2-吡啶基)环己烷甲酰胺(WAY 100635)(5-HT1A)、甲硫哒嗪甲磺酸盐(5-HT1/2)、甲磺酸麦角乙脲(5-HT2A/2C)、N-[4-甲氧基-3-(4-甲基-L-哌嗪基)苯基]-2'-甲基-4'-(5-甲基-1,2,4-恶二唑-3-基)(GR 127935)(5-HT1D)、反式-4-[(3Z)-3-(2-二甲氨基乙基)氧基亚氨基-3-(2-氟苯基)丙烯-1-基]苯酚半富马酸盐(SR 46349)(5-HT2)、盐酸昂丹司琼(5-HT3)以及[1-[2-[(甲基磺酰基)氨基]乙基]-4-哌啶基]甲基-5-氟-2-甲氧基-1H-吲哚-3-羧酸盐(GR 125487)(5-HT4)。30分钟后,给它们注射5-羟色氨酸(5-HTP)(75毫克/千克,皮下注射),由一位不知情的观察者每10分钟评估一次肌阵挛跳跃率,持续200分钟。对药物诱导的5-HTP诱发肌阵挛拮抗作用进行重复测量方差分析发现,与安慰剂相比,5-HT受体拮抗剂甲硫哒嗪甲磺酸盐、GR127935和甲磺酸麦角乙脲有显著作用,且每种药物均以剂量依赖方式抑制5-HTP诱发的肌阵挛。基于三种有效拮抗剂的受体谱,5-HTP诱发的肌阵挛受5-HT1/2受体系统影响。其他受体亚型拮抗剂未引起显著变化,这表明肌阵挛与中枢血清素能机制的弥漫性激活无关。