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在从长期可卡因或可卡因加多巴胺拮抗剂给药中撤药后,对多巴胺受体拮抗剂的僵住反应的改变。

Modification of cataleptic responses to dopamine receptor antagonists after withdrawal from chronic cocaine or cocaine plus dopamine antagonist administration.

作者信息

Ushijima I, Mizuki Y, Suetsugi M, Akimoto T, Yamada M

机构信息

Department of Neuropsychiatry, Yamaguchi University School of Medicine, Japan.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 1998 May;22(4):709-21. doi: 10.1016/s0278-5846(98)00034-7.

Abstract
  1. In mice pretreated chronically with cocaine (indirect dopamine agonist: 10 mg/kg, s.c. on alternating days for 15 days), haloperidol (dopamine D2 antagonist: 0.3 mg/kg i.p.) exerted an enhanced cataleptic response, but SCH23390 (dopamine D1 antagonist: 0.3 mg/kg i.p.) produced an attenuated response at 24 h, which converted to a supernormal response, when it was administered 15-60 days after withdrawal from cocaine. 2. A challenge dose of SCH23390 exhibited enhanced catalepsy when given 15 days, but not at 24 h, after the last pretreatment dose of SCH23390 (0.1-1.0 mg/kg s.c.). In contrast, haloperidol catalepsy was not affected by the SCH23390 pretreatment. 3. However, in animals chronically pretreated with haloperidol (0.1-1.0 mg/kg s.c.), a challenge dose of SCH23390 as well as haloperidol exhibited attenuated cataleptic effects at 24 h and normal cataleptic responses at 15 days after the last dose of the pretreatment regimen. 4. Challenge doses of haloperidol or SCH23390 given to mice 24 h after chronic cocaine pretreatment produced enhanced and attenuated cataleptic responses, respectively; however, these responses were no longer produced when haloperidol or SCH23390 was given to mice pretreated chronically with a combination of cocaine and either haloperidol or SCH23390. 5. The enhanced catalepsy produced by a challenge dose of SCH23390 (15-60 days after chronic cocaine) was further potentiated when it was administered to animals that had been pretreated chronically with a combination of SCH23390 and cocaine, but was antagonized in animals pretreated chronically with haloperidol and cocaine. In contrast, the degree of enhanced cataleptic responses produced by a challenge dose of haloperidol 30-60 days after pretreatment chronically with a combination of cocaine + SCH23390 was similar to that seen after chronic cocaine alone. However, this enhanced response was antagonized in animals that had been pretreated chronically with the combination of cocaine + haloperidol. 6. The results suggest that the coadministration of SCH23390 with cocaine was able to block indirectly dopamine D2 receptor inhibition (subsensitivity) induced during the early withdrawal period from chronic cocaine, despite the fact that by itself SCH23390 did not have an effect on haloperidol catalepsy. Accordingly, the stimulatory effects of dopamine D2 receptors by a single administration of cocaine may be mediated mainly by an indirect stimulation of dopamine D2 receptor function via its D1 receptor stimulating action. 7. The coadministration of SCH23390 with cocaine rather aggravate the subsensitive effect of dopamine D1 receptors (increased SCH23390 catalepsy) produced during long-term withdrawal period from chronic cocaine, but did not affect that of the dopamine D2 receptor. On the other hand, the coadministration of haloperidol with cocaine normalized both D1 and D2 receptor subsensitive effect. 8. These result suggest that a single administration of SCH23390 or haloperidol after long-term withdrawal periods from chronic cocaine may not be effective as antipsychotic drugs because of further aggravation of suppressive behaviors. These results also provide evidence that D2 receptor antagonists may be more effective as antipsychotic drugs than dopamine D1 receptor antagonist, since the coadministration of haloperidol with cocaine normalized the abnormal behaviors seen during early and long-term withdrawal periods from chronic cocaine.
摘要
  1. 对长期用可卡因预处理的小鼠(间接多巴胺激动剂:10毫克/千克,皮下注射,隔天一次,共15天),氟哌啶醇(多巴胺D2拮抗剂:0.3毫克/千克,腹腔注射)产生增强的僵住反应,但SCH23390(多巴胺D1拮抗剂:0.3毫克/千克,腹腔注射)在撤药后24小时产生减弱的反应,而在撤药15 - 60天后给药则产生超常反应。2. 在最后一次给予SCH23390(0.1 - 1.0毫克/千克,皮下注射)预处理剂量15天后给予挑战剂量的SCH23390时出现增强的僵住症,而在24小时时未出现。相反,氟哌啶醇诱导的僵住症不受SCH23390预处理的影响。3. 然而,在用氟哌啶醇(0.1 - 1.0毫克/千克,皮下注射)长期预处理的动物中,挑战剂量的SCH23390以及氟哌啶醇在最后一次预处理给药后24小时产生减弱的僵住效应,在15天时产生正常的僵住反应。4. 在慢性可卡因预处理后24小时给予小鼠氟哌啶醇或SCH23390的挑战剂量分别产生增强和减弱的僵住反应;然而,当将氟哌啶醇或SCH23390给予用可卡因与氟哌啶醇或SCH23390联合长期预处理的小鼠时,不再产生这些反应。5. 挑战剂量的SCH23390(慢性可卡因处理后15 - 60天)产生的增强僵住症,在给予用SCH23390和可卡因联合长期预处理的动物时进一步增强,但在用氟哌啶醇和可卡因长期预处理的动物中受到拮抗。相反,在用可卡因 + SCH23390联合长期预处理后30 - 60天给予挑战剂量的氟哌啶醇产生的增强僵住反应程度与单独慢性可卡因处理后相似。然而,在用可卡因 + 氟哌啶醇联合长期预处理的动物中这种增强反应受到拮抗。6. 结果表明,尽管SCH23390本身对氟哌啶醇诱导的僵住症无影响,但SCH23390与可卡因共同给药能够间接阻断慢性可卡因早期撤药期间诱导的多巴胺D2受体抑制(敏感性降低)。因此,单次给予可卡因对多巴胺D2受体的刺激作用可能主要通过其对D1受体的刺激作用间接刺激多巴胺D2受体功能来介导。7. SCH23390与可卡因共同给药反而加重慢性可卡因长期撤药期间产生的多巴胺D1受体敏感性降低效应(增强SCH23390诱导的僵住症),但不影响多巴胺D2受体的敏感性降低效应。另一方面,氟哌啶醇与可卡因共同给药使D1和D2受体的敏感性降低效应均恢复正常。8. 这些结果表明,在从慢性可卡因长期撤药后单次给予SCH23390或氟哌啶醇作为抗精神病药物可能无效,因为会进一步加重抑制行为。这些结果还提供了证据,表明D2受体拮抗剂作为抗精神病药物可能比多巴胺D1受体拮抗剂更有效,因为氟哌啶醇与可卡因共同给药使慢性可卡因早期和长期撤药期间出现异常行为恢复正常。

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