Goudie A J, Smith J A, Taylor A, Taylor M A, Tricklebank M D
Psychology Department, Liverpool University, UK.
Behav Pharmacol. 1998 Dec;9(8):699-710. doi: 10.1097/00008877-199812000-00006.
The interoceptive stimulus induced by clozapine (5 mg/kg, i.p.) has been characterized in an operant drug discrimination procedure in the rat using a wide range of receptor subtype-selective agonists and antagonists. Only the muscarinic receptor antagonist scopolamine generalized fully to clozapine (>80%). Partial generalization (defined here as 40% maximal generalization) was seen with the D1 receptor antagonist SCH 23390 (43% maximal generalization), the alpha1-adrenoceptor antagonist prazosin (67%) and the alpha2-adrenoceptor antagonist methoxyidazoxan (42%). All other specific agents tested induced <25% maximal generalization, including the alpha2-adrenoceptor antagonist yohimbine (24%), the histamine H1 receptor antagonist mepyramine (21%), the D2 antagonist typical neuroleptic haloperidol (23%), the D4 receptor antagonist L-745,870 (14%), the 5-hydroxytryptamine-1A (5-HT1A) receptor agonist S-14506 (8%), the 5-HT2A receptor antagonists ketanserin (0%) and M100907 (12%), the 5-HT2B/2C receptor antagonists SB 200646A (8%) and SDZ SER 082 (6%), and the 5-HT3 receptor antagonist ondansetron (0%). The clozapine discriminative stimulus was not blocked by the dopamine D1 receptor antagonist SCH 23390, or by the 5-HT1A receptor antagonist WAY 100635, when given concomitantly with clozapine. Although the results suggest that muscarinic antagonism plays a major role in the clozapine cue, the results have to be considered in the light of the full generalization to clozapine seen with various antipsychotic agents which have very low affinity for muscarinic receptors, including zotepine, quetiapine, JL13 and PNU 96415 (a finding replicated in rats from the same breeding colony as those which generalized to scopolamine). Thus, generalization to clozapine for antipsychotics with multiple affinities but with low muscarinic affinity is probably mediated by additive or perhaps supra-additive actions at other receptors, although extensive studies with various combinations of drug mixtures are required to validate this hypothesis.
在大鼠的操作性药物辨别程序中,使用了多种受体亚型选择性激动剂和拮抗剂,对氯氮平(5毫克/千克,腹腔注射)诱导的内感受性刺激进行了表征。只有毒蕈碱受体拮抗剂东莨菪碱能完全与氯氮平产生交叉反应(>80%)。D1受体拮抗剂SCH 23390(最大交叉反应率为43%)、α1肾上腺素能受体拮抗剂哌唑嗪(67%)和α2肾上腺素能受体拮抗剂甲氧咪唑克生(42%)出现了部分交叉反应(此处定义为最大交叉反应率的40%)。所有其他测试的特异性药物诱导的最大交叉反应率均<25%,包括α2肾上腺素能受体拮抗剂育亨宾(24%)、组胺H1受体拮抗剂美吡拉敏(21%)、D2拮抗剂典型抗精神病药物氟哌啶醇(23%)、D4受体拮抗剂L-745,870(14%)、5-羟色胺-1A(5-HT1A)受体激动剂S-14506(8%)、5-HT2A受体拮抗剂酮色林(0%)和M100907(12%)、5-HT2B/2C受体拮抗剂SB 200646A(8%)和SDZ SER 082(6%)以及5-HT3受体拮抗剂昂丹司琼(0%)。当与氯氮平同时给药时,多巴胺D1受体拮抗剂SCH 23390或5-HT1A受体拮抗剂WAY 100635均不能阻断氯氮平的辨别性刺激。虽然结果表明毒蕈碱拮抗作用在氯氮平线索中起主要作用,但鉴于各种对毒蕈碱受体亲和力很低的抗精神病药物(包括佐替平、喹硫平、JL13和PNU 96415)能完全与氯氮平产生交叉反应(在与对东莨菪碱产生交叉反应的大鼠来自同一繁殖群体的大鼠中重复了这一发现),这些结果必须从这一角度来考虑。因此,对于具有多种亲和力但毒蕈碱亲和力较低的抗精神病药物来说,与氯氮平的交叉反应可能是由其他受体上的相加或可能的超相加作用介导的,尽管需要用各种药物混合物组合进行广泛研究来验证这一假设。