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Department of Pharmacy, University of Tokyo Hospital, Faculty of
Medicine, University of Tokyo
It is known that catalepsy serves as an experimental animal model
of parkinsonism. In this study, the relationship between in
vivo dopamine D1 and D2 receptor
occupancies and catalepsy was investigated to predict the intensity of
catalepsy induced by drugs that bind to D1 and
D2 receptors nonselectively. 3H-SCH23390 and
3H-raclopride were used for the labeling of D1
and D2 receptors, respectively. The ternary complex model
consisting of agonist or antagonist, receptor, and transducer was
developed, and the dynamic parameters were determined. After
coadministration of SCH23390 and nemonapride, catalepsy was stronger
than sum of the values predicted by single administration of each drug,
and it was intensified synergistically. This finding suggested the
existence of interaction between D1 and D2
receptors, and the necessity for constructing the model including this
interaction. To examine the validity of this model, catalepsy and
in vivo dopamine receptor occupancy were measured after
administration of drugs that induce or have a possibility to induce
parkinsonism (haloperidol, flunarizine, manidipine, oxatomide,
hydroxyzine, meclizine, and homochlorcyclizine). All of the tested
drugs blocked both dopamine D1 and D2
receptors. Intensity of catalepsy was predicted with this dynamic model
and was compared with the observed values.
In contrast with haloperidol, flunarizine, manidipine, and oxatomide
(which induced catalepsy), hydroxyzine, meclizine, and homochlorcyclizine failed to induce catalepsy.
Intensities of catalepsy predicted with this dynamic model considering
the interaction between D1 and D2 receptors
overestimated the observed values, suggesting that these drugs have
catalepsy-reducing properties as well. Because muscarinic acetylcholine
(mACh) receptor antagonists inhibit the induction of catalepsy, the
anticholinergic activities of the drugs were investigated. After
SCH23390, nemonapride and scopolamine were administered simultaneously;
catalepsy and in vivo mACh receptor occupancy were measured
to evaluate quantitatively the anticholinergic activity. Relationship
between mACh receptor occupancy and change in catalepsy was used as the
measure of catalepsy-reducing effects of the drugs.
Measurement of in vivo mACh receptor occupancy revealed a
significant blockade of mACh receptor by all of the tested drugs except
for haloperidol. The predicted values of catalepsy, when corrected for
the mACh receptor-related reduction, approached the observed values.
This finding indicates the possibility that mACh receptor antagonism of
drugs may contribute to the reduction of catalepsy. In conclusion, the
dynamic model considering D1, D2, and mACh
receptor occupancies and synergism between D1 and D2 receptors may be useful for quantitative prediction of
drug-induced catalepsy.
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