Abstract
The aim of the present study was to investigate the relationship between effects on muscle tone and D2 receptor occupancy of two typical antipsychotic drugs, raclopride and chlorpromazine, and the atypical drug, clozapine. Increased muscle tone (i.e., muscle rigidity), was measured as increases in tonic electromyographic (EMG) activity of the antagonistic muscles of the rat hind limb. D2 dopamine receptor occupancy was assessed in the striatum and substantia nigra, areas involved in the regulation of muscle tone. Raclopride and chlorpromazine produced dose-dependent increases in EMG activity associated with D2 occupancy of 68%–80% in the striatum and 67%–76% in the nigra. No significant increases in EMG were observed with clozapine which showed low D2 occupancy. The results are consistent with those from human studies showing extrapyramidal side effects were associated with striatal D2 occupancy of >70%.
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References
Ayd FJ . (1961): A survey of drug-induced extrapyramidal reactions. JAMA 175: 1054–1060
Barnes DE, Robinson B, Csernansky JG, Bellows EP . (1990): Sensitisation versus tolerance to haloperidol-induced catalepsy: Multiple determinants. Pharmacol Biochem Behav 36: 883–887
Casey DE . (1989): Clozapine: Neuroleptic induced extrapyramidal side effects and tardive dyskinesia. Psychopharmacology 99(Suppl.):S47–S53
Creese I, Burt DR, Snyder SH . (1976): Dopamine receptor binding predicts clinical and pharmacological potencies of antischizophrenic drugs. Science 192: 481–483
Crocker AD . (1995): A new view of the role of dopamine receptors in the regulation of muscle tone. Clin Exp Pharmacol Physiol 22: 846–850
Crocker AD . (1997): The regulation of motor control: An evaluation of the role of dopamine receptors in the substantia nigra. Rev Neurosciences 8: 55–76
Double KL, Crocker AD . (1993): Quantitative electromyographic changes following modification of central dopaminergic transmission. Brain Res 604: 342–344
Double KL, Crocker AD . (1995): Dopamine receptors in the substantia nigra are involved in the regulation of muscle tone. Proc Natl Acad Sci USA 92: 1669–1673
Ellenbroek B, Klockgether T, Turski L, Schwarz M . (1986): Distinct sites of functional interaction between dopamine, acetylcholine and γ-aminobutyrate within the neostriatum: An electromyographic study in rats. Neuroscience 17: 79–88
Farde L, Wiesel F-A, Jansson P, Uppfeldt G, Wahlen A, Sedvall G . (1988): An open label trial of raclopride in acute schizophrenia: Confirmation of D2 receptor occupancy by PET. Psychopharmacology 94: 1–7
Farde L, Nördström A-L . (1992a): PET analysis indicates atypical central dopamine receptor occupancy in clozapine-treated patients. Br J Psychiatry 160 (Suppl 17): 30–33
Farde L, Nördström A-L, Wiesel F-A, Pauli S, Halldin C, Sedvall G . (1992b): Positron emission tomographic analysis of central D1 and D2 dopamine receptor occupancy in patients treated with classical neuroleptics and clozapine. Arch Gen Psychiatry 49: 538–544
Farde L, Nördström A-L, Wiesel F-A, Pauli S, Halldin C, Sedvall G . (1992c): Positron emission tomographic analysis of central D1 and D2 dopamine receptor occupancy in patients treated with classical neuroleptics and clozapine: Relation to extrapyramidal side effects. Arch Gen Psychiatry 49: 538–544
Hacksell U, Jackson DM, Mohell N . (1995): Does the dopamine receptor subtype selectivity of antipsychotic agents provide useful leads for the development of novel therapeutic agents? Pharmacol Toxicol 76: 320–324
Hemsley KM, Crocker AD . (1996): Increases in muscle tone are related to occupancy of striatal and nigral dopamine D2 receptors by antipsychotic drugs. Proc Aust Soc Clin Exp Pharmacol Toxicol 3: 81
Hemsley KM, Crocker AD . (1997): The effects of chlorpromazine and fluphenazine on muscle tone and dopamine D2 receptor occupancy in the striatum and substantia nigra. Proc Aust Soc Clin Exp Pharmacol Toxicol 4: 20
Hemsley KM, Crocker AD . (1998): The effects of an irreversible dopamine receptor antagonist, N-ethoxycarbonyl-2-ethoxy-1,2-dihydroquinoline (EEDQ), on the regulation of muscle tone in the rat: The role of the substantia nigra. Neurosci Lett 251: 77–80
Hoge SK, Appelbaum P, Lawlor T, Beck JC, Litman R, Greer A, Gutheil TG, Kaplan E . (1990): A prospective multicenter study of patients’ refusal of antipsychotic drugs. J Clin Psychiatry 55: 29–35
Kane J, Honingfeld G, Singer J, Meltzer H . (1988): Clozapine for the treatment of drug resistant schizophrenia. Arch Gen Psychiatry 45: 789–796
Köhler C, Hall H, Ogren S-O, Gowell I . (1985): Specific in vitro and in vivo binding of [3H]-raclopride. A potent substituted benzamide drug with high affinity for dopamine D2 receptors in the rat brain. Biochem Pharmacol 34: 2251–2259
Leysen JE, Janssen PMF, Schotte A, Lutten WHML, Megens AAHP . (1993): Interaction of antipsychotic drugs with neurotransmitter receptor sites in vitro and in vivo in relation to pharmacological and clinical effects: Role of 5HT2 receptors. Psychopharmacology 112: S40–S54
McCreadie RG . (1992): A double-blind comparison of raclopride and haloperidol in the acute phase of schizophrenia. Acta Psychiatr Scand 86: 391–398
Meltzer HY, Matsubara S, Lee J-C . (1989): Classification of typical and atypical antipsychotic drugs on the basis of dopamine D2 and D2 and serotonin2 pKi values. J Pharmacol Exp Ther 251: 238–246
Nördstrom A-L, Farde L, Wiesel FA, Forslund K, Pauli S, Halldin C, Uppfeldt G,. (1993): Central D2-dopamine receptor occupancy in relation to antipsychotic drug effects: A double-blind PET study of schizophrenic patients. Biol Psychiatry 33: 227–235
Nyberg S, Nördstrom A-L, Halldin C, Farde L . (1995): Positron emission tomography studies on D2 dopamine receptor occupancy and plasma antipsychotic drug levels in man. Int Clin Psychopharmacology 10 (Suppl 3): 81–85
Robertson GS, Fibiger HC . (1992): Neuroleptics increase c-fos expression in the forebrain: Contrasting effects of haloperidol and clozapine. Neuroscience 46: 315–328
Scherer J, Tatsch K, Schwarz J, Oertel WH, Konjarczyk M, Albus M . (1994): D2-dopamine receptor occupancy differs between patients with and without extrapyramidal side effects. Acta Psychiatr Scand 90: 266–268
Schotte A, Janssen P, Megens AA, Leysen J . (1993): Occupancy of central neurotransmitter receptors by risperidone, clozapine and haloperidol, measured ex vivo by quantitative autoradiography. Brain Res 632: 191–202
Seeman P, Lee T, Wong M, Wong K . (1976): Antipsychotic doses and neuroleptic/dopamine receptors. Nature 261: 717–718
Stockmeier C, DiCarlo J, Zhang Y, Thompson P, Meltzer H . (1993): Characterization of typical and atypical antipsychotic drugs based on in vivo occupancy studies of serotonin2 and dopamine 2 receptors. J Pharmacol Exp Ther 266: 1374–1384
Sumiyoshi T, Kido H, Sakamoto H, Urasaki K, Suzuki K, Yamaguchi N, Mori H, Shiba K, Yokogawa K, Ichimura F . (1993): Time course of dopamine D2 and serotonin 5HT2 receptor occupancy rates by haloperidol and clozapine in vivo. Jpn J Psychiatry Neurology 47: 131–137
Sumiyoshi T, Suzuki K, Sakamoto H, Yamaguchi N, Mori H, Shiba K, Yokogawa K . (1995): Atypicality of several antipsychotics on the basis of in vivo dopamine-D2 and serotonin-5HT2 receptor occupancy. Neuropsychopharmacology 12: 57–64
Acknowledgements
The authors thank Dr. Ian Crosbie and Ms. Juliette Neve at the Victorian College of Pharmacy, Monash University, for the generous gift of clozapine and Astra (Sweden) for raclopride. KMH is a recipient of an NH&MRC Dora Lush Biomedical Postgraduate scholarship. The financial assistance of the NHMRC and Flinders Medical Centre Foundation is gratefully acknowledged.
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Hemsley, K., Crocker, A. Raclopride and Chlorpromazine, but not Clozapine, Increase Muscle Rigidity in the Rat: Relationship with D2 Dopamine Receptor Occupancy. Neuropsychopharmacol 21, 101–109 (1999). https://doi.org/10.1016/S0893-133X(99)00010-X
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DOI: https://doi.org/10.1016/S0893-133X(99)00010-X
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