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  • 1
    ISSN: 1432-2072
    Keywords: Antipsychotics ; S(+)Aporphines ; Clozapine ; Dopamine ; ICI-204,636
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Dopamine (DA), injected unilaterally into rat forebrain after pretreatment with a monoamine oxidase inhibitor, equipotently induced locomotor arousal when placed in the nucleus accumbens septi (a limbic site) and contralateral deviation of the head when placed in the corpus striatum (an extrapyramidal target); testing was done with an ED50 dose of DA (16 µg). Systemic injections (IP) of the representative typical neuroleptic haloperidol showed high potency and minorstriatal selectivity against the behavioral effects of intracerebral DA [accumbens ID50=0.090, striatum=0.027 mg/kg (0.24 and 0.072 µmol/kg); ID50 ratio=3.3, favoring striatum]. The atypical antipsychotic agent clozapine was less potent against DA in both brain regions but, paradoxically, showed ever greater striatal selectivity [ID50=12 and 1.4 mg/kg (37 and 4.2 µmol/kg); ratio=8.8, favoring striatum], while its analog, the piperazinyl-dibenzothiazepine ICI-204,636 showed intermediate potency and the lowest striatal selectivity of these three neuroleptic agents [ID50=1.8 and 0.88 mg/kg (4.1 and 2.0 µmol/kg); ratio=2.1]. In striking contrast, the S(+) isomers of N-n-propylnorapomorphine, its orally active 10,11-methylenedioxy prodrug derivative, and its 11-monohydroxy analog all induced potent antagonism oflimbic DA but had little effect on extrapyramidal injections of DA except at high systemic doses [ID50, accumbens=0.18–0.52, striatal=10–15 mg/kg (0.50–1.6 and 29–42 µmol/kg); regional ID50 ratios=18–69, favoring accumbens]. The S(+)aporphines showed limbic potency similar to that of haloperidol and 25–73 times greater than that of clozapine. The S(+)11-OH-aporphine was 2.7–3.1 times more potent (on a molar dose basis) than the other aporphines against DA in accumbens, and 0.5, 8 and 73 times as potent as haloperidol, ICI-204,636 and clozapine. The significantly dissimilar slopes of dose-effect functions for the two groups of agents suggest that different actions may mediate the limbic effects of the aporphines and the neuroleptics tested. ICI-204-636 appears to be pharmacologically similar to clozapine, but 2.1 times more potents versus limbic-DA. The S(+)N-n-propylnoraporphines are potent and regionally highly selectivelimbic DA antagonists and S(+)-11-hydroxy-N-n-propylnoraporphine is orally active. These and other aporphine analogs are proposed for development as potential atypical antipsychotic agents with a low risk of extrapyramidal neurological side effects, and the present methods are proposed for predicting relative limbic versus extrapyramidal antidopaminergic activity.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2072
    Keywords: Antipsychotics ; S(+)Aporphines ; Fluphenazine ; Dopamine ; Receptors ; Stereotypy ; Supersensitivity ; Tardive dyskinesia ; Tolerance
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Rats were pretreated for 2 weeks with similarly effective doses of the typical neuroleptic fluphenazine (FPZ) or the experimental weak partial D2 agonists S(+)N-n-propylnorapomorphine (NPA) and S(+)11-hydroxy-N-n-propylnoraporphine (11-OH-NPa). Spontaneous and dopamine (DA) agonist (apomorphine; APO) stimulated stereotyped behaviors or locomotion, and interactions with APO were evaluated over the following 2 weeks. While FPZ induced marked supersensitivity in APO stereotypy, (+)NPA showed no significant change, and (+)11-OH-NPa produced only a small, transient increase in response; NPA also lacked a supersensitizing effect on locomotor arousal induced by APO. The time-course of stereotyped responses to APO following pretreatment with FLZ included a marked increase following FPZ that became maximal at day 5 and normalized by day 9; there was a parallel reduction of acute antistereotypy efficacy of FPZ. (+)11-OH-NPa had similar, but much lesser and shorter-lived effects. Spontaneous locomotion was markedly depressed following FPZ, recovered in 1 week, exceeded controls at day 9, and returned to baseline by day 11; (+)11-OH-NPa, again, had similar but smaller effects. Acute effects of FPZ to reduce spontaneous or APO-induced locomotion were greater after FPZ pretreatment and normalized within a week; (+)11-OH-NPa had a similar but smaller effect. Locomotor arousal by APO was altered inconsistently in the week after pretreatment with FPZ or (+)11-OH-NPa. Thus, FPZ appeared to induce tolerance and supersensitivity in central DA systems, most clearly seen following a several-day period to eliminate the drug. In contrast, the S(+)aporphines had negligible, or minor and transient, effects of a similar kind. These findings support proposals of S(+)aporphines or other D2 partial agonists as potential atypical antipsychotic agents with low risk of inducing long-term adaptive changes in DA receptor sensitivity associated with typical neuroleptic agents.
    Type of Medium: Electronic Resource
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