Chakos M H, Shirakawa O, Lieberman J, Lee H, Bilder R, Tamminga C A
University of North Carolina at Chapel Hill, Neurosciences Hospital 27599-7160, USA.
Biol Psychiatry. 1998 Oct 15;44(8):675-84. doi: 10.1016/s0006-3223(98)00029-8.
Striatal enlargement with chronic neuroleptic treatment in schizophrenic patients has been reported by several investigators. Longitudinal magnetic resonance imaging studies of patients suggest that changes in striatal volume may be caused by treatment with antipsychotic medication.
We have examined the effects of chronic neuroleptic treatment on postmortem striatal volume in the laboratory rat and have examined the relationship between striatal volume and vacuous chewing movements (VCMs). Autoradiographs of 50 rats treated with haloperidol (1.5 mg/kg/day) or drug free for varying durations of time (1-12 months) were utilized in this analysis.
Chronic treatment with neuroleptics (1 month or greater) was associated with larger striatal volumes. The increase in striatal volume was present at 1 month of treatment and was sustained to 12 months of treatment. Rats that developed the high-VCM syndrome had larger striatal volumes than both drug-free and low-VCM rats, while low-VCM rats had larger striatal volumes than drug-free rats.
These data suggest that chronic neuroleptic treatment is the cause of striatal enlargement in the laboratory rat, and that this enlargement is most prominent in rats that have the high-VCM syndrome.
几位研究者报告了精神分裂症患者长期使用抗精神病药物治疗后纹状体增大的情况。对患者的纵向磁共振成像研究表明,纹状体体积的变化可能是由抗精神病药物治疗引起的。
我们在实验大鼠中研究了长期使用抗精神病药物治疗对死后纹状体体积的影响,并研究了纹状体体积与空嚼运动(VCMs)之间的关系。本分析使用了50只接受氟哌啶醇(1.5毫克/千克/天)治疗或未用药不同时长(1至12个月)的大鼠的放射自显影片。
长期使用抗精神病药物治疗(1个月或更长时间)与更大的纹状体体积相关。纹状体体积在治疗1个月时增加,并持续至治疗12个月。出现高VCM综合征的大鼠比未用药和低VCM大鼠的纹状体体积更大,而低VCM大鼠比未用药大鼠的纹状体体积更大。
这些数据表明,长期使用抗精神病药物治疗是实验大鼠纹状体增大的原因,并且这种增大在患有高VCM综合征的大鼠中最为明显。