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利培酮对中枢5-羟色胺能神经传递的调节:潜在机制及作用意义。

Modulation of central serotonergic neurotransmission by risperidone: underlying mechanism(s) and significance of action.

作者信息

Hertel P, Lindblom N, Nomikos G G, Svensson T H

机构信息

Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 1998 Jul;22(5):815-34. doi: 10.1016/s0278-5846(98)00042-6.

DOI:10.1016/s0278-5846(98)00042-6
PMID:9723122
Abstract
  1. The effects of risperidone on brain 5-hydroxytryptamine (5-HT) neuronal activity were investigated using microdialysis in the frontal cortex (FC) or the dorsal raphe nucleus (DRN) as well as single cell recording in the DRN. 2. Systemic administration of risperidone (0.6 and 2.0 mg/kg, s.c.) dose-dependently increased 5-HT output in both the FC and the DRN. 3. Local cortical administration of both risperidone or idazoxan enhanced the 5-HT efflux in the FC, whereas local raphe administration of risperidone but not idazoxan increased the output of 5-HT in the DRN. 4. Systemic administration of risperidone (200 micrograms/kg, i.v.) or the selective alpha 1 adrenoceptor antagonist prazosin (400 micrograms/kg, i.v.) decreased, whereas selective alpha 2 adrenoceptor antagonist idazoxan (20 micrograms/kg, i.v.) increased the 5-HT cell firing in the DRN. 5. Pretreatment with the selective 5-HT1A receptor antagonist WAY 100,635 (5.0 micrograms/kg, i.v.) effectively antagonized the inhibition of 5-HT cells induced by risperidone, but failed to prevent the prazosin-induced decrease in 5-HT cell firing in the DRN. 6. The inhibitory effect of risperidone on 5-HT cell firing in the DRN was significantly attenuated in rats pretreated with the 5-HT depletor PCPA (p-chlorophenylalanine; 300 mg/kg/day i.p. for 3 consecutive days) in comparison with drug naive animals. 7. Consequently, the risperidone-induced increase in 5-HT output in the FC may be related to its alpha 2 adrenoceptor antagonistic action, an effect probably executed at the nerve terminal level, whereas the reduction in 5-HT cell firing by risperidone appears to be associated with increased availability of 5-HT in the somatodendritic region of the neurones leading to an enhanced 5-HT1A autoreceptor activation and, in turn, to inhibition of cell firing.
摘要
  1. 采用微透析技术研究利培酮对额叶皮质(FC)或中缝背核(DRN)脑5-羟色胺(5-HT)神经元活动的影响,并在DRN进行单细胞记录。2. 利培酮(0.6和2.0mg/kg,皮下注射)全身给药剂量依赖性地增加了FC和DRN中的5-HT输出。3. 利培酮或咪唑克生局部皮质给药均增强了FC中的5-HT流出,而利培酮局部中缝给药而非咪唑克生增加了DRN中5-HT的输出。4. 利培酮(200微克/千克,静脉注射)或选择性α1肾上腺素能受体拮抗剂哌唑嗪(400微克/千克,静脉注射)全身给药可降低DRN中5-HT细胞放电,而选择性α2肾上腺素能受体拮抗剂咪唑克生(20微克/千克,静脉注射)可增加DRN中5-HT细胞放电。5. 选择性5-HT1A受体拮抗剂WAY 100,635(5.0微克/千克,静脉注射)预处理可有效拮抗利培酮诱导的5-HT细胞抑制,但未能阻止哌唑嗪诱导的DRN中5-HT细胞放电减少。6. 与未用药动物相比,用5-HT耗竭剂对氯苯丙氨酸(PCPA;300mg/kg/天,腹腔注射,连续3天)预处理的大鼠中,利培酮对DRN中5-HT细胞放电的抑制作用明显减弱。7. 因此,利培酮诱导的FC中5-HT输出增加可能与其α2肾上腺素能受体拮抗作用有关,这种作用可能在神经末梢水平发挥,而利培酮导致的5-HT细胞放电减少似乎与神经元胞体树突区域5-HT可用性增加有关,从而导致5-HT1A自身受体激活增强,进而抑制细胞放电。

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Modulation of central serotonergic neurotransmission by risperidone: underlying mechanism(s) and significance of action.利培酮对中枢5-羟色胺能神经传递的调节:潜在机制及作用意义。
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