Effects of Newer Antipsychotic Drugs on Apomorphine-Induced Climbing Behavior in Mice
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Chlorpromazine equivalence is used to chart the relative potencies of typical antipsychotic agents and is linearly related to the dopamine D2 receptor affinity. With the introduction of newer antipsychotic drugs, the roles of neurotransmitters other than dopamine have been emphasized, and it is difficult to attribute the diverse effects of these drugs to a common mechanism. Recently, several equivalent dose guidelines were published for newer antipsychotic drugs. The present study used the antagonism of apomorphine-induced climbing behavior to investigate the relationship between the clinically determined equivalent doses and behavioral effects measured using an animal model of several newer antipsychotic drugs. The antipsychotic drugs were administered 20 min before an apomorphine injection. After the apomorphine injection, climbing behavior was assessed visually for 20 min. The dose that inhibited 50% of the control group behavior was defined as the half-effective dose (HED) and was calculated from the regression line. The relationship between the HED and the published clinical minimum effective dose (MED) was investigated using linear regression analysis. All the antipsychotic drugs antagonized the apomorphine-induced climbing behavior in a dose-dependent manner. A statistically significant correlation between HED and MED was observed (Spearman’s rho=0.96, p <0.001), and a statistically significant linear relationship was also found (F =76.2, df=1, 4, p =0.001;r 2=0.950). Antipsychotics inhibit apomorphine-induced climbing behavior via D2 antagonism. Therefore, the result suggests that the common mechanism underlying the therapeutic effects of newer antipsychotics is related to dopamine D2 antagonism. However, the equivalent doses used in this study focused mainly on psychotic and behavioral symptoms, so they cannot embrace the multidimensional therapeutic effects of newer antipsychotics. Investigations of the relationship between the equivalent doses focusing on each symptom domain and the effects on diverse neurotransmitter systems would broaden our knowledge on the mechanisms of action in newer antipsychotics.
Abstract
Chlorpromazine equivalence is used to chart the relative potencies of typical antipsychotic agents and is linearly related to the dopamine D2 receptor affinity. With the introduction of newer antipsychotic drugs, the roles of neurotransmitters other than dopamine have been emphasized, and it is difficult to attribute the diverse effects of these drugs to a common mechanism. Recently, several equivalent dose guidelines were published for newer antipsychotic drugs. The present study used the antagonism of apomorphine-induced climbing behavior to investigate the relationship between the clinically determined equivalent doses and behavioral effects measured using an animal model of several newer antipsychotic drugs. The antipsychotic drugs were administered 20 min before an apomorphine injection. After the apomorphine injection, climbing behavior was assessed visually for 20 min. The dose that inhibited 50% of the control group behavior was defined as the half-effective dose (HED) and was calculated from the regression line. The relationship between the HED and the published clinical minimum effective dose (MED) was investigated using linear regression analysis. All the antipsychotic drugs antagonized the apomorphine-induced climbing behavior in a dose-dependent manner. A statistically significant correlation between HED and MED was observed (Spearman’s rho=0.96, p <0.001), and a statistically significant linear relationship was also found (F =76.2, df=1, 4, p =0.001;r 2=0.950). Antipsychotics inhibit apomorphine-induced climbing behavior via D2 antagonism. Therefore, the result suggests that the common mechanism underlying the therapeutic effects of newer antipsychotics is related to dopamine D2 antagonism. However, the equivalent doses used in this study focused mainly on psychotic and behavioral symptoms, so they cannot embrace the multidimensional therapeutic effects of newer antipsychotics. Investigations of the relationship between the equivalent doses focusing on each symptom domain and the effects on diverse neurotransmitter systems would broaden our knowledge on the mechanisms of action in newer antipsychotics.
참고문헌 (37)
- Davis JM, "Dose equivalence of the antipsychotic drugs", pp.65~69
- Rey MJ, "Tisot R. Guidelines for the dosage of neuroleptics. I Chlorpromazine equivalents of orally administered neuroleptics. Int Clin Psychopharmacol 1989", pp.95~104
- Rijcken CA, "Chlorpromazine equivalents versus defined daily doses: how to compare antipsychotic drug doses?", 23, pp.657~659 (2003)
- "Snyder SH. The dopamine hypothesis of schizophrenia focus on the dopamine receptor. Am J Psychiatry 1976"
- Peroutka SJ, "Synder SH. Relationship of neuroleptic drug ef-fects at brain dopamine and hista-mine receptors to clinical potency. Am J Psychiatry 1980", pp.1518~1522
- "Oosthuizen P. The new and evolving pharmacotherapy of schizophrenia. Psychiatr Clin North Am 203", pp.141~163
- Awad AG, "Impact of atypical antipsychotics on quality of life in patients with schizophrenia", 18, pp.877~893 (2004)
- Ganguli R, "Rationale and strategies for switching antipsychotics", 59(Suppl 8), pp.S8~S26 (2002)
- Woods SW, "Chlorpromazine equivalent doses for the newer aty-pical antipsychotics", 64, pp.663~667 (2003)
- Geyer MA, "Animal behavior models of the mecha-nisms underlying antipsychotic atypicality", 27, pp.1071~1079 (2003)
- Berl, "Schwartz JC. Climbing behavior induced by apomorphine in mice a simple test for the study of dopamine receptors in striatum. Psychopharmacology", pp.1~6 (1976)
- Naylor RJ, "Nohria V. Climbing behaviour induced by apomorphine in mice a potential model for the detection of neuroleptic activity. Eur J Pharmacol 1978", pp.39~50
- Research IfLA, "Guide for the Care and Use of Laboratory Animals" (1996), Washington, D.C., National Academy Pres
- Rife WH, "Smith RV. Stereotypic and hypothermic effects of apomorphine and N-n-propylnorapomorphine in mice. Eur J Pharmacol 1979", pp.273~277
- Moore NA, "Axton MS. Production of climbing behaviour in mice requires both D1 and D2 receptor activation. Psychopharmac-ology", pp.263~266 (1988)
- Muller MJ, "Benkert O. Dose-related effects of amisulpride on five dimensions of psy-chopathology in patients with acute exacerbation of schizoph-renia. J Clin Psychopharmacol 202", pp.554~560
- Simpson GM, "et al. Double-blind study of clozapine dose response in chronic schizophrenia. Am J Psychiatry 19", pp.1744~1750
- SCH 39166 in rat brain: selective displace-ment by D1, "D5 antagonists", 19, pp.41~46 (2000)
- Tauscher J, "Equivalent ocupancy of dopamine D1", 161, pp.1620~1625 (2004)
- Meltzer HY, "The role of serotonin in antipsychotic drug action", 21(Suppl 2), pp.106S~115S (1999)
- Kapur S, "A new framework for investigating antipsychotic action in humans: lesons from PET imaging", 3, pp.135~140 (1998)
- Kapur S, "Half a century of antipsychotics and still a central role for dopamine D2 receptors", 27, pp.1081~1090 (2003)
- Farde L, "Central D2-dopa-mine receptor occupancy in schizophrenic patients treated with antipsychotic drugs", pp.71~76, Halldin C
- Nordstrom AL, "et al G. Positron emission tomographic analysis of central D1 and D2 dopamine receptor occupancy in patients treated with clas-sical neuroleptics and clozapine. Relation to extrapyramidal side efects. Arch Gen Psychiatry 1992", pp.538~544, Halldin C
- Nordstrom AL, "D1, D2, and 5-HT2 receptor occupancy in relation to clozapine serum concentration: a PET study of schizophrenic patients", 152, pp.1444~1449 (1995)
- Gefvert O, "D(2) and 5HT(2A) receptor ocupancy of different doses of quetiapine in schizophrenia: a PET study", 11, pp.105~110 (2001)
- iodobenzamide and SPECT predicted the occurrence of EPS in patients treated with atypical antipsychotics and haloperidol, , 2002, 42~49
- Kapur S, "Does fast dissociation from the dopamine D(2) receptor explain the action of atypical antipsychotics?: A new hypothesis", 158, pp.360~369 (2001)
- Suhara T, "Clozapine can induce high dopamine D(2) receptor oc-cupancy in vivo", 160, pp.107~112 (2002)
- Davis JM, "Dose response and dose equivalence of anti-psychotics", 24, pp.192~208 (2004)
- Rigdon GC, "1192U90 in animal tests that predict antipsy-chotic efficacy, anxiolysis, and extrapyramidal side effects", 15, pp.231~242 (1996)
- Perrault G, "Scatton B. Psy-chopharmacological profile of amisulpride: an antipsychotic drug with presynaptic D2", D3 dopamine receptor antagonist acti-vity and limbic selectivity, 1997, pp.280, 73~82
- Nyberg S, "Non-equipotent doses partly explain difer-ences among antipsychotics - implications of PET studies", 148, pp.2~23 (2000)
- Nyberg S, "Farde L. Sug-gested minimal effective dose of risperidone based on PET-measured D2 and 5-HT2A receptor occupancy in schizophrenic patients. Am J Psychiatry 199", pp.869~675, Halldin C
- Kapur S, "et al. 5-HT2 and D2 receptor occupancy of olanzapine in schizophrenia", pp.921~928
- Nordstrom AL, "Farde L. Positron emis-sion tomography finding of a high striatal D2 receptor occu-pancy in olanzapine-treated patients. Arch Gen Psychiatry 198", pp.283~284
- Bressan RA, "et al. Is regionally selective D2", D3 dopamine ocup-ancy sufficient for atypical antipsychotic effect an in vivo qua-, ~
