The affinities of olanzapine, clozapine, haloperidol, and four potenti
al antipsychotics were compared on binding to the neuronal receptors o
f a number of neurotransmitters. In both rat tissues and cell fines tr
ansfected with human receptors olanzapine had high affinity for dopami
ne D-1, D-2, D-4, serotonin (5HT)(2A), 5HT(2C), 5HT(3), alpha(1)-adren
ergic, histamine H-1, and five muscarinic receptor subtypes. Olanzapin
e had lower affinity for alpha(2)-adrenergic receptors and relatively
low affinity for 5HT(1) subtypes, GABA(A), beta-adrenergic receptors,
and benzodiazepine binding sites. The receptor binding affinities for
olanzapine teas quite similar in tissues from rat and human brain. The
binding profile of olanzapine was comparable to the atypical antipsyc
hotic clozapine, while the binding profiles for haloperidol, resperido
ne, remoxipride, Org 5222, and seroquel were substantially different f
rom that of clozapine. The receptor binding profile of olanzapine is c
onsistent with the antidopaminergic, antiserotonergic, and antimuscari
nic activity observed in animal models and predicts atypical antipsych
otic activity in man.