Gao X M, Sakai K, Tamminga C A
Maryland Psychiatric Research Center, University of Maryland School of Medicine, Baltimore, USA.
Neuropsychopharmacology. 1998 Nov;19(5):428-33. doi: 10.1016/S0893-133X(98)00039-6.
Chronic haloperidol treatment typically produces late-onset, purposeless oral chewing movements in laboratory rats with a prevalence of 40 to 60%. Chronic clozapine does not produce these movements. Based on the phenomenologic and pharmacologic similarities between these rat chewing movements and human tardive dyskinesia (TD), the animal movements are often used as a model of tardive dyskinesia (TD). Here we report results of the association of oral chewing movements in rats with chronic administration of two new antipsychotic drugs, olanzapine and sertindole. Because each of these antipsychotic drugs has a very low incidence of acute Parkinsonism in human studies, they are candidates for showing a low tardive dyskinesia risk. Neither new drug produced a significant incidence of haloperidol-like chewing in rats, nor did movement ratings after their chronic administration differ from placebo; whereas, haloperidol produced a 60% prevalence of purposeless chewing and a prevalence significantly increased from placebo. This low rate of oral dyskinesias in rats is consistent with several of the preclinical characteristics of the drugs and correlates with their low acute motor side effects in clinical trials. We propose, although have not yet tested in humans, that these animal results will predict low TD liability of these drugs.
长期给予氟哌啶醇通常会使实验大鼠出现迟发性、无目的的口腔咀嚼动作,发生率为40%至60%。长期给予氯氮平则不会出现这些动作。基于这些大鼠咀嚼动作与人类迟发性运动障碍(TD)在现象学和药理学上的相似性,这些动物动作常被用作迟发性运动障碍(TD)的模型。在此,我们报告了长期给予两种新型抗精神病药物奥氮平和舍吲哚后大鼠口腔咀嚼动作的相关结果。由于在人体研究中,每种抗精神病药物的急性帕金森综合征发生率都很低,因此它们被认为发生迟发性运动障碍风险较低。两种新药在大鼠中均未产生显著发生率的类似氟哌啶醇的咀嚼动作,长期给药后的运动评分与安慰剂组也无差异;而氟哌啶醇导致无目的咀嚼的发生率为60%,且发生率较安慰剂组显著增加。大鼠中这种低发生率的口腔运动障碍与药物的一些临床前特征一致,并与它们在临床试验中较低的急性运动副作用相关。我们提出,尽管尚未在人体中进行测试,但这些动物实验结果将预示这些药物发生TD的可能性较低。