S. Morisset et al., Atypical neuroleptics enhance histamine turnover in brain via 5-hydroxytryptamine(2A) receptor blockade, J PHARM EXP, 288(2), 1999, pp. 590-596
Citations number
41
Categorie Soggetti
Pharmacology & Toxicology
Journal title
JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS
Clozapine and olanzapine behave as weak H-3-receptor antagonists in vitro w
ith K-i values around 1 and 50 mu M, respectively. Despite these modest app
arent affinities, both compounds given orally to mice, nearly doubled stead
y-state tele-methylhistamine levels in brain, with ED50 values as low as 1
and 3 mg/kg, respectively, an effect comparable to those of potent H-3-rece
ptor antagonists. This effect corresponded to an enhancement of histamine t
urnover rate from 45 to 73 ng/g/h as measured in the case of olanzapine usi
ng the pargyline test. Other antipsychotics displaying, such as clozapine a
nd olanzapine, high 5-hydroxytryptamine (5-HT)(2A) receptor antagonist pote
ncy, i.e., risperidone, thioridazine, seroquel, and iloperidone, also enhan
ced markedly tele-methylhistamine levels. This effect was 1) additive with
that of a pure H-3-receptor antagonist, ciproxifan, 2) mimicked by a 5-HT2A
receptor antagonist, ketanserin, 3) reversed by a 5-HT2A receptor agonist,
DOI, 4) not shared by antipsychotics with low affinity for the 5-HT2A rece
ptor, i.e., haloperidol, sulpiride, raclopride, or remoxipride that, on the
contrary, tended to reduce tele-methylhistamine levels. We conclude that i
n contrast to "typical" antipsychotics, "atypical" antipsychotics stimulate
histamine neuron activity via blockade of the 5-HT2A receptor in vivo. Thi
s effect does not appear to account for their reduced extrapyramidal side-e
ffects but may underlie their pro-cognitive properties.