Abstract
Seroquel and the atypical antipsychotic clozapine were compared using a number of biochemical measures in rats which are indicative of potential antipsychotic activity and possible extrapyramidal side effect liability. Both in vitro and in vivo, these compounds are low potency D-2 dopamine (DA) receptor antagonists and are relatively more potent 5-HT2 antagonists than typical antipsychotic drugs. Seroquel also exhibited low affinity for D-1 DA receptors in vitro, but D-1 receptor occupancy was not detectable in vivo. Unlike clozapine, Seroquel lacks appreciable activity at either D-1 DA or muscarinic receptors. Following IP administration, both compounds produce similar elevations in DA metabolite concentrations. Following 1 month of daily administration, at doses which produce large increases in striatal DA metabolite concentrations, both Seroquel and clozapine fail, unlike typical antipsychotics, to increase the number of striatal D-2 receptors, but do decrease the number of 5-HT2 receptors in frontal cortex. ICI 204,636 produces a short-lasting increase in plasma prolactin levels, but these increases are much greater than those that are produced by clozapine. One day after 3 weeks of daily administration, tolerance, to the ability of Seroquel to elevate DA metabolite and plasma PRL concentrations is not observed. These biochemical observations are discussed with regard to the atypical profile of Seroquel in behavioral and electrophysiological studies.
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References
Altar CA, Wasley AM, Neale RF, Stone GA (1986) Typical and atypical antipsychotic occupancy of D-2 and S-2 receptors: an autoradiographic analysis in rat brain. Brain Res Bull 16:517–525
Anderson G, Rebec GV (1988) Clozapine and haloperidol in the amygdaloid complex: differential effects on dopamine transmission with long-term treatment. Biol Psychiatry 23:497–506
Andree TH, Mikuni M, Tong CY, Koeing JI, Meltzer HY (1986) Differential effect of subchronic treatment with various neuroleptic agents on serotonin-2 receptors in rat cerebral cortex. J Neurochem 46:191–197
Anger B, Reichert S, Heimpel H (1987) Clozapine-induced agranulocytosis. Blut 55:63–64
Asper H, Baggiolini M, Burki HR, Launer H, Ruch W, Stille G (1973) Tolerance phenomena with neuroleptics: catalepsy, apomorphine stereotypies and striatal dopamine metabolism in the rat after single and repeated administration of loxapine and haloperidol. Eur J Pharmacol 22:287–294
Casey D (1989) Clozapine: neuroleptic-induced EPS and tardive dyskinesia. Psychopharmacology 99:S47-S53
Chang WH, Yeh EK, Hu WH, Tseng YT, Chung MC, Chang HF (1986) Pre-frontal cortex: possible site of antipsychotic action of haloperidol. Biol Psychiatry 21:422–424
Chiodo LA, Bunney BS (1985) Possible mechanisms by which repeated clozapine administration differentially affects the activity of two sub-populations of mid-brain dopamine neurons. J Neurosci 5:2539–2544
Claghorn J, Honigfeld G, Abuzzahab FS, Wang R, Stienbook A, Tuason V, Klerman G (1987) The risks and benefits of clozapine vs chlorpromazine. J Clin Psychopharmacol 7:377–384
Gerlach J, Koppelhu P, Helweg E, Monrad A (1974) Clozapine and haloperidol in a single blind cross-over trial. Therapeutic and biochemical aspects in the treatment of schizophrenia. Acta Psychiatr Scand 50:410–424
Goldstein JM, Litwin LC, Sutton EB, Malick JB (1993) Seroquel: electrophysiological profile of a potential atypical antipsychotic. Psychopharmacology 112:293–298
Greengrass P, Bremner R (1979) Binding characteristics of3H-prazosin to rat brain alpha-adrenergic receptors. Eur J Pharmacol 55:323–326
Griffith RW, Saameli K (1975) Clozapine and agranulocytosis. Lancet 2:657
Hall MD, Mesticawy S, Emerit MB, Pritchart L, Harmon M, Gozlan H (1985) [3H]8-Hydroxy-2-(di-n-propylamino), tetralin binding to pre- and postsynaptic 5-hydroxytryptamine sites in various regions of the rat brain. J Neurochem 44:1685–1696
Howe JR, Yaksh TL (1986) Characterization of [3H] rauwolsine binding to alpha 2-adrenoceptor sites in the lumbar spinal cord of the cat: comparison to such binding sites in the cat frontal cerebral cortex. Brain Res 368:87–100
Kane JM, Honifeld G, Singer J, Meltzer H (1988) Clozapine in treatment-resistant schizophrenics. Psychopharmacol Bull 24:62–86
Lee T, Tang SW (1984) Loxapine and clozapine decrease serotonin (S2) but do not elevate dopamine (D2) receptor numbers in the rat brain. Psychiatry Res 12:277–285
Leysen JE, Niemegeers CJE, Van Nueten JM, Landuron PM (1982) [3H] Ketanserin (R 41 468), a selective [3H] ligand for serotonin2 receptor binding sites. Binding properties, brain distribution, and functional role. Mol Pharmacol 21:301–314
Lieberman JA, Johns CA, Mikane J, Rai K, Pisciotta AV, Saltz BL, Howard A (1988) Clozapine-induced agranulocytosis: non-cross-reactivity with other psychotropic drugs. J Clin Psychiatry 49:271–277
Maidment NT, Marsden CA (1982) Repeated atypical neuroleptic administration: Effects on central dopamine metabolism monitored by in vivo voltammetry. Eur J Pharmacol 136:141–147
Matsubara S, Meltzer HY (1989) Effects of typical and atypical antipsychotic drugs on 5-HT2 receptor density in rat cerebral cortex. Life Sci 45:1397–1406
Matz R, Rick W, Oh D, Thompson H, Gershon S (1974) Clozapine — a potential antipsychotic agent without extrapyramidal manifestation. Curr Ther Res 16:687–695
Meltzer HY, Matsubara S, Lee JC (1989) Classification of typical and atypical antipsychotic drugs on the basis of dopamine D-1, D-2 and serotonin2 pKi values. J Pharmacol Exp Ther 25:238–246
Migler BM, Warawa EJ, Malick JB (1993) Seroquel: behavioral profile of a potential atypical antipsychotic. Psychopharmacology 112:299–307
Saller CF, Salama AI (1984) Rapid automated analysis of biogenic amines and their metabolites using reverse-phase HPLC with electrochemical detection. J Chromatogr 309:287–298
Saller CF, Salama AI (1985) Alterations in dopamine metabolism after chronic administration of haloperidol. Neuropharmacology 24:123–129
Saller CF, Salama AI (1986a) 3-Methoxytyramine accumulation: effect of typical neuroleptics and various atypical compounds. Naunyn-Schmiedeberg's Arch Pharmacol 334:125–132
Saller CF, Salama AI (1986b) D-1 and D-2 dopamine receptor blockade: interactive effects in vitro and in vivo. J Pharmacol Exp Ther 236:714–720
Saller CF, Pacheco MA, Keith RA, Salama AI (1986) 5-Hydroxytryptamine-2 receptor down-regulation after chronic 5-hydroxytryptamine-2 antagonists. Neurosci Abstr 12:311
Saller CF, Kreamer LD, Adamovage LA, Salama AI (1989) Dopamine receptor occupancy in vivo: measurement using N-ethoxy-2-ethoxy-1,2-dihydroquinoline (EEDQ). Life Sci 45:917–929
Saller CF, Czupryna MJ, Salama AI (1990) 5-HT2 receptor blockade by ICI 169,369 and other 5-HT2 antagonists modulates the effects of D-2 dopamine receptor blockade. J Pharmacol Exp Ther 253:1–9
Scatchard G (1949) The attractions of proteins for small molecules and ions. Ann NY Acad Sci 51:660
Seeman P (1980) Brain dopamine receptors. Pharmacol Rev 32:229–313
Seeman P, Lee T (1975) Antipsychotic drugs: direct correlation between clinical potency and presynaptic action of dopamine neurons. Science 188:1217–1219
Shopsin B, Klein H, Aaronson M, Collora M (1979) Clozapine, chlorpromaxine and placebo in newly hospitalized, acutely schizophrenic patients: a controlled, double-blind comparison. Arch Gen Psychiatry 36:657–664
Stevens RJ (1973) An anatomy of schizophrenia? Arch Gen D (1983) Neuroleptic-induced extrapyramidal reactions: classification, description and diagnosis. Clin Neuropharmacol 6:59
Tarsy D (1983) Neuroleptic-induced extrapyramidal reactions: classification, description and diagnosis. Clin Neuropharmacol 6:59
Westerink BHC (1985) Sequence and significance of dopamine metabolism in the rat brain. Neurochem Int 7:221
White FJ, Wang RY (1983) Differential effects of classical and atypical antipsychotic drugs on A9 and A10 dopamine neurons. Science 221:1054
Wilk S, Stanley M (1978) Clozapine concentrations in brain regions: relationship to dopamine metabolite increase. Eur J Pharmacol 51:101–107
Wilmot CA, Szcepanik AM (1989) Effects of acute and chronic treatments with clozapine and haloperidol on serotonin (5-HT2) and dopamine (D2) receptors in the rat brain. Brain Res 487:288–298
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Saller, C.F., Salama, A.I. Seroquel: biochemical profile of a potential atypical antipsychotic. Psychopharmacology 112, 285–292 (1993). https://doi.org/10.1007/BF02244923
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DOI: https://doi.org/10.1007/BF02244923