Differential alteration of striatal D-1 and D-2 receptors induced by the long-term administration of haloperidol, sulpiride or clozapine to rats.

P Jenner, N M Rupniak, C D Marsden
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引用次数: 28

Abstract

Rats received haloperidol, sulpiride, or clozapine in their daily drinking water for up to 1 year in clinically equivalent doses. After 12 months' drug intake, and while drug administration continued, striatal dopamine function was assessed. Haloperidol induced D-2 receptor hypersensitivity as shown by enhanced apomorphine-induced stereotypy, elevated Bmax for specific 3H-spiperone and 3H-NPA binding, and an increase in striatal acetylcholine content. D-1 receptor sites appeared unaffected, since dopamine-stimulated adenylate cyclase and specific 3H-piflutixol binding were not altered. In contrast, neither sulpiride nor clozapine enhanced apomorphine-induced stereotypy or increased Bmax for 3H-spiperone binding. Sulpiride, but not clozapine, increased Bmax for 3H-NPA binding; clozapine, but not sulpiride, elevated striatal acetyl choline concentrations. In general, both sulpiride and clozapine enhanced D-1 function as assessed by dopamine-stimulated adenylate cyclase or 3H-piflutixol binding. On acute administration sulpiride and clozapine appear to act at D-2 sites, but continuous chronic administration of these compounds does not result in the development of striatal D-2 receptor hypersensitivity. The absence of change in D-2 function during chronic treatment, coupled with an ability to enhance D-1 function, may contribute to the low incidence of tardive dyskinesia produced by these drugs in man.

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氟哌啶醇、舒必利和氯氮平对大鼠纹状体D-1和D-2受体的差异改变。
大鼠每天饮用氟哌啶醇、舒必利或氯氮平,以临床等效剂量服用长达1年。服药12个月后,在继续用药期间,评估纹状体多巴胺功能。氟哌啶醇诱导D-2受体超敏,表现为阿吗啡诱导的刻板印象增强,特异性3H-spiperone和3H-NPA结合的Bmax升高,纹状体乙酰胆碱含量增加。D-1受体位点没有受到影响,因为多巴胺刺激的腺苷酸环化酶和特异性3h -吡氟替醇结合没有改变。相比之下,舒必利和氯氮平都没有增强阿吗啡诱导的刻板印象或增加3H-spiperone结合的Bmax。舒必利增加了3H-NPA结合的Bmax,而氯氮平没有;氯氮平升高纹状体乙酰胆碱浓度,而非舒必利。一般来说,通过多巴胺刺激的腺苷酸环化酶或3h -吡替醇结合来评估,舒必利和氯氮平都能增强D-1功能。急性给药时,磺胺吡啶和氯氮平似乎作用于D-2位点,但持续慢性给药这些化合物不会导致纹状体D-2受体过敏的发展。在慢性治疗期间,D-2功能没有改变,加上增强D-1功能的能力,可能有助于这些药物在男性中引起的迟发性运动障碍的低发病率。
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Tardive dyskinesia: reversible and irreversible. Receptor-binding profiles of neuroleptics. Pathophysiological mechanisms underlying tardive dyskinesia. Chemical and structural changes in the brain in patients with movement disorder. Medical treatment of dystonia.
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