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Vol. 280, Issue 1, 73-82, 1997
Synthélabo Recherche, CNS Research Department, Bagneux,
France
Amisulpride, a benzamide derivative, is an antipsychotic drug with a
pharmacological profile distinct from that of classical neuroleptics
such as haloperidol and from that of another benzamide, remoxipride. In
mice, amisulpride antagonized hypothermia induced by apomorphine,
quinpirole or (±) 7-hydroxy-2-(di-n-propylamino)-tetralin, an effect involving D2/D3 receptors, at similar
doses (ED50 ~ 2 mg/kg i.p.), which were much lower than
doses that blocked apomorphine-induced climbing, an effect involving
postsynaptic D2 and D1 receptor activation
(ED50 = 21 mg/kg i.p.). Much higher doses (ED50 = 54 mg/kg i.p.) of amisulpride were needed to block grooming behavior observed after a short period in water, a D1
receptor-mediated behavior. In rats, amisulpride preferentially
inhibited effects produced by low doses of apomorphine (hypomotility
and yawning), related to stimulation of presynaptic
D2/D3 dopamine autoreceptors (ED50 = 0.3 and 0.19 mg/kg i.p.). By contrast, amisulpride antagonized apomorphine-induced hypermotility, a postsynaptic dopamine
receptor-mediated effect, at a much higher dose (ED50 = 30 mg/kg i.p.). Amisulpride (100 mg/kg i.p.) only partially inhibited
apomorphine-induced stereotypies (gnawing) and had no effect on
stereotypies induced by d-amphetamine. However, d-amphetamine-induced
hyperactivity was antagonized by doses of amisulpride as low as 3 mg/kg
i.p., which may indicate selectivity of this drug for limbic
dopaminergic mechanisms. In addition, in contrast to haloperidol or
remoxipride, which produced catalepsy at doses 2 or 3 times higher than
those that antagonized stereotypies induced by apomorphine, amisulpride did not induce catalepsy up to a dose of 100 mg/kg i.p., which occupies
80% of striatal D2 receptors. This pharmacological profile of amisulpride, characterized by a preferential blockade of effects involving presynaptic mechanisms and limbic structures, may explain the
clinical efficacy of this drug against both negative and positive symptoms of schizophrenia and its low propensity to produce
extrapyramidal side effects.
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