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Vol. 288, Issue 2, 643-652, February 1999
Program in Neurosciences (V.P.B., M.A.G.) and Department of Psychiatry (V.L.-M., M.A.G.), University of California at San Diego, La Jolla, California; and Nervous System Research, Novartis Pharma AG, Basel, Switzerland (M.T., H.C.N.)
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Abstract |
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Noncompetitive N-methyl-D-aspartate (NMDA) receptor antagonists such as phencyclidine are psychotomimetics and disrupt prepulse inhibition (PPI), a measure of sensorimotor gating that is deficient in schizophrenia. Systemically administered competitive NMDA receptor antagonists do not disrupt PPI in rats, leading to speculation that these compounds might have use as neuroprotective agents without the risk of psychotomimetic side effects. The effects on sensorimotor gating and locomotor activity of competitive NMDA receptor antagonists that either penetrate (SDZ 220-581 and SDZ EAB-515) or poorly penetrate [SDZ EAA-494 (D-CPPene)] the blood-brain barrier were compared. Rats were treated with either SDZ 220-581 (0, 2.5, or 5.0 mg/kg) or SDZ EAB-515 (0, 3.0, 10.0, or 30.0 mg/kg) and tested for PPI and locomotor activity. Different rats were tested for PPI after either systemic (0, 0.5, 1.0, or 5.0 mg/kg) or intra-amygdala (0 or 1.0 µg/µl) administration of D-CPPene. Finally, rats were pretreated with clozapine (0 or 5.0 mg/kg) or haloperidol (0 or 0.1 mg/kg), together with SDZ 220-581 (0 or 2.5 mg/kg), and tested. SDZ 220-581 and SDZ EAB-515 decreased PPI without affecting startle magnitude. Reduced PPI was noted after central but not systemic administration of D-CPPene. The gating deficits produced by SDZ 220-581 were blocked by clozapine or haloperidol. Movement pattern analysis indicated that locomotor activity was increased by SDZ 220-581 and SDZ EAB-515 in a phencyclidine-like manner. These results indicate that competitive NMDA receptor antagonists, if they gain sufficient access to the brain, produce a behavioral profile that resembles that of the psychotomimetic noncompetitive antagonists.
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Introduction |
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N-Methyl-D-aspartate
(NMDA) receptor stimulation is considered a critical event in several
pathological conditions, including ischemia-induced neurotoxicity
(Choi, 1990
) and epilepsy (Meldrum, 1988
). The development of
clinically viable NMDA receptor antagonists (NMDA-RAs) has therefore
been of great interest (Rogawski, 1993
). A major factor compromising
the therapeutic use of NMDA-RAs is their psychotomimetic profile;
noncompetitive NMDA-RAs such as phencyclidine (PCP) produce in healthy
humans a psychosis that closely resembles schizophrenic symptomatology
(Javitt and Zukin, 1991
). Preclinical behavioral studies, however, have
indicated a possible functional dissociation between the noncompetitive NMDA-RAs, which bind to a site inside the cation channel, and the
competitive NMDA-RAs, which reversibly bind to the glutamate recognition site outside the channel (Watkins, 1994
). For example, noncompetitive and competitive NMDA-RAs do not substitute for each
other in drug discrimination paradigms (Gold and Balster, 1993
; Wiley
and Balster, 1994
).
One paradigm with particular relevance for the sensory disturbances
associated with drug-induced psychotic states and in which striking
differences have been observed between noncompetitive and competitive
NMDA-RAs is prepulse inhibition (PPI). PPI refers to the normal
inhibition of a startle response when a weak stimulus immediately
precedes a startling stimulus and is thought to provide an operational
measure of sensorimotor gating, one of the processes by which an
organism filters information from its surroundings (Geyer et al.,
1990
). Deficits in PPI are observed in schizophrenic patients (Braff et
al., 1992
) and in rats or healthy humans treated with noncompetitive
NMDA-RAs such as PCP, dizocilpine, or ketamine (Mansbach and Geyer,
1989
; Geyer et al., 1990
; Karper et al., 1994
). In contrast, multiple
studies demonstrate that competitive NMDA-RAs either do not alter PPI
(Mansbach, 1991
; Wedzony et al., 1994
; McCloskey et al., 1995
) or
decrease PPI only as an artifact of severe startle reactivity
depression (Furuya and Ogura, 1997
), leading to the suggestion that
these compounds may be neuroprotective agents devoid of psychotomimetic
or abuse (vide supra) potential. Some recent reports, however, indicate
that the competitive antagonists d-2-amino-5- or
d-2-amino-7-phosphonopentanoic acid (AP-5 and AP-7,
respectively) decrease PPI (Reijmers et al., 1995
; Kretschmer and Koch,
1997
; Wan and Swerdlow, 1997
) and generalize to the PCP discriminative
stimulus (Tricklebank et al., 1987
) when administered intracerebrally.
In the present study, we sought to examine systematically the
possibility that the putative inability of competitive NMDA-RAs to
disrupt PPI reflects poor penetration into the brain (Tricklebank et
al., 1987
, 1989
) rather than a veritable difference between the
competitive and (psychotomimetic) noncompetitive NMDA-RAs. Two novel
competitive NMDA-RAs (SDZ 220-581 and SDZ EAB-515) have been
synthesized recently, with a hydrophobic moiety permitting superior
absorption into the central nervous system (CNS) and with an excellent
neuroprotective profile in vivo (Urwyler et al., 1996a
,b
). These
compounds were tested for their ability to disrupt PPI and elicit
hyperactivity, another cardinal feature of the behavioral profile of
the noncompetitive NMDA-RAs in rats. In addition, the classic
competitive antagonist D-CPPene (SDZ EAA-494; Lowe et al.,
1994
) was tested for its ability to alter PPI after either systemic or
intracerebral administration.
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Materials and Methods |
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Animals
A total of 186 male Sprague-Dawley rats (Harlan Laboratories, San Diego, CA), weighing 300 to 400 g, were used in the present study. Animals were housed in pairs in clear plastic cages located inside a temperature- and humidity-controlled animal colony and were maintained on a reversed day/night cycle (lights on from 7:00 PM to 7:00 AM). Food (Harlan Teklad, Madison, WI) and water were available continuously, except during behavioral testing, which occurred between 9:00 AM and 5:00 PM. On arrival in the colony, all animals were handled gently by the experimenter for 1 to 2 min every 3 to 4 days to minimize stress during behavioral testing. Animal facilities were AAALAC approved; protocols were in accordance with the "Guiding Principles in the Care and Use of Animals" (provided by the American Physiological Society) and the guidelines of the National Institutes of Health.
Drugs
The following drugs were used: SDZ 220-581 (0, 2.5, or 5.0 mg/kg), SDZ EAB-515 (0, 3.0, 10.0, or 30.0 mg/kg), SDZ EAA-494 (D-CPPene; 0, 0.5, 1.0, or 5.0 mg/kg), clozapine (0 or 5.0 mg/kg), and haloperidol (0 or 0.1 mg/kg). All drugs except haloperidol were synthesized by Novartis Pharma AG (Basel, Switzerland). Haloperidol was obtained from Sigma Chemical Co. (St. Louis, MO). All of the NMDA-RAs were dissolved in saline. Clozapine was dissolved initially in 0.1 N hydrochloric acid and isotonic saline and then titrated to a final pH of 6.0 with 0.1 N NaOH. Haloperidol was diluted with saline from a stock solution of 5 mg/ml. All doses were calculated as the salt. Injection volume was 1 ml/kg for all drugs.
Surgical Procedure
Rats were anesthetized with sodium pentobarbital (50 mg/ml;
Abbott Labs, North Chicago, IL) and treated with 0.1 ml of methyl atropine bromide (0.5 mg/ml; Sigma Chemical) to minimize respiratory distress from the anesthetic agent. Bilateral stainless steel cannulas
(23 gauge) were fixed to the skull using light-curable dental cement
(Henry Schein, Port Washington, NY) and skull screws (Small Parts,
Miami Lakes, FL). Coordinates, based on the atlas of Paxinos and Watson
(1986)
, were as follows: AP,
2.6 mm from bregma; LM, ±4.9 mm from
bregma; DV,
5.4 mm from skull surface. Wire stylets were placed
inside the cannulas to prevent occlusion. Postoperative health checks
and gentle handling were performed daily after surgery.
Intracerebral Infusion Procedure
On the test day, stylets were removed, cannulas were cleaned with a dental broach, and stainless steel injectors (30 gauge) were lowered through the cannulas so that the injector tip was positioned in the amygdala, 3 mm below the cannulas. Polyethylene tubing connected the injectors to 10-µl Hamilton syringes, which were mounted on a microdrive pump (Harvard Apparatus, South Natick, MA). The infusion bolus (1 µl) was delivered at a constant rate over 93 s, with a subsequent 60-s diffusion period to allow for absorption into the tissue before the removal of injectors. Immediately after the infusions, stylets were replaced, and the animals were placed into startle chambers.
Startle Apparatus
All testing occurred within San Diego Instruments (San Diego,
CA) startle boxes, which consisted of clear nonrestrictive Plexiglas cylinders resting on a platform inside of a ventilated and illuminated chamber. A high-frequency loudspeaker inside the chamber produced both
a continuous background noise of 65 db as well as the various acoustic
stimuli. As described previously (Mansbach et al., 1988
), the whole
body startle response of the animal caused vibrations of the Plexiglas
cylinder, which were then converted into analog signals by a
piezoelectric unit attached to the platform. These signals were
digitized and stored by a microcomputer and interface unit. Weekly
calibrations were performed on the chambers to ensure the accuracy of
the sound levels and measurements. Sound levels were measured as
described previously (Mansbach et al., 1988
) using the db (A) scale.
Startle Testing
One week after arrival, all rats underwent a brief startle
session to create matched treatment groups. In this session and the
subsequent test session, the background noise (65 db) was presented
alone for 5 min and then continued throughout the remainder of the
session. A total of 20 trials were presented in a pseudorandom order:
17 presentations of a 40-ms 120-db broadband burst and 3 trials in
which a 77-db burst preceded the 120-db burst by 100 ms. Treatment
groups were established using the mean startle response to the 120-db
Pulse-Alone trial so that all groups had comparable baseline startle
reactivity. At 1 to 2 days after the baseline session, drug testing
began. The test session used in all of the experiments except the
intra-amygdala infusion study contained six different trial types: a
Pulse-Alone trial in which a 40-ms, 120-db broadband burst was
presented; four Prepulse + Pulse trials in which 20-ms noises that were
either 2, 4, 8, or 16 db above the background noise were presented 100 ms before the onset of the 120-db pulse; and a No Stimulus trial, which
included only the background noise. All trial types were presented
several times in a pseudorandom order for a total of 70 trials. In
addition, several Pulse-Alone trials, which were not included in the
calculation of PPI values, were presented at the beginning of the test
session to achieve a relatively stable level of startle reactivity for the remainder of the session (based on the observation that the most
rapid habituation of the startle reflex occurs within the first few
presentations of the startling stimulus; Geyer et al., 1990
). An
average of 15 s (ranging from 9 to 21 s) separated
consecutive trials. For the study of the amygdala, the same testing
parameters were used, except that prepulse intensities were 3, 6, or 12 db above background noise. This session was used because it has been found previously to detect decreases in PPI produced by intracranial microinfusion of the noncompetitive NMDA-RA dizocilpine (Bakshi and
Geyer, 1998
).
Locomotor Activity Apparatus
Unless otherwise specified, the experimental chamber, computer,
data reduction and analyses, pattern description, and pattern analyses
were identical with those described previously (Flicker and Geyer,
1982
; Geyer et al., 1986
). Briefly, each behavior pattern monitor (BPM)
consisted of a 30.5- × 61.0- × 38.0-cm black Plexiglas box with a
stainless steel floor and a wall touch plate located 15 cm above the
floor. Infrared photobeams were arranged in a grid pattern along the
bottom of the walls, enabling the localization of the position of each
animal with a resolution of 3.8 cm. Rearings were detected when the
animals contacted the wall touch plate with their forepaws, making a
connection between the floor and the touch plate. Each chamber was also
equipped with seven wall holes (three per side wall, one on the back
wall) and three floor holes, each 2.5 cm in diameter and each
containing an infrared photobeam. Every 55 ms, a microprocessor system
checked the status of all beams (broken or unbroken) and recorded and
stored this information.
Locomotor Activity Testing
Six measures of locomotor activity were obtained from the BPM:
crossings, rearings, holepokes, time in center, spatial CV, and spatial
d (see below). The pattern of photobeam interruptions was
used to calculate the x, y position of the animal
and to thereby assign the rat to one of the eight square sectors and
one of nine unequally sized regions into which the BPM was divided by
the photobeams (compare with Flicker and Geyer, 1982
). Crossings were defined as the total number of entries into any sector and used to
assess the amount of horizontal locomotion. Rearings, as explained above, consisted of the animal standing on its hindlegs and touching the wall with its forepaws. Holepokes were detected as the interruption of an infrared photobeam located within any hole. The time in center
referred to the total amount of time that the animal spent in the
center regions of the BPM. Rearings, holepokes, and the time in center
are conventionally used as measures of investigatory behavior.
Detailed characterization of the pattern of locomotor activity was
obtained through calculation of spatial CV and spatial d.
The spatial distribution and sequential patterns of locomotor activity
were also examined graphically. Based on the x, y
position data, a variable-speed plot program displayed the successive
positions of the animal by the movement of a cursor inside a
two-dimensional reconstruction of the chamber on a video terminal.
Together with visual observations, this method provided a comprehensive
description of the pattern of movements for each animal. The degree of
redundancy in these spatial patterns and the frequency of transitions
between any of the nine regions of the BPM were calculated to determine the coefficient of variation (spatial CV), which measured the distribution of these transition frequencies, as detailed elsewhere (Geyer, 1982
; Geyer et al., 1986
). Thus, as the animal repeated certain
transitions preferentially, the spatial CV increased, whereas a more
random pattern of transitions produced a lower spatial CV. The spatial
CV therefore reflected the extent to which an animal exhibited a
preferred or rigid pattern of locomotor activity.
Analysis of the average geometrical structure of movement patterns was
performed by calculating the spatial scaling component, d.
This measure was based conceptually on fractal geometry, describing the
relative smoothness or roughness of the locomotor path (Paulus and
Geyer, 1991
). Briefly, the length of the entire locomotor path taken by
an individual rat through the BPM was calculated from the raw data
using several different spatial resolutions. The rate with which the
calculated path length changed as a function of spatial resolution was
obtained by least-squares fitting procedures. The fitted coefficient of
the exponent of that function corresponds to d. Values for
d increase when the locomotor path is rough (many directional changes per path length) and decrease when the path is
smooth (fewer directional changes).
Data Analysis
The startle response to the 120-db burst was recorded for each
Pulse-Alone and Prepulse + Pulse trial. Two measures were calculated from these data for each animal. First, the amount of PPI was calculated as a percentage score for each Prepulse + Pulse trial type:
% PPI = 100
{[(startle response for Prepulse + Pulse
trial)/(startle response for Pulse-Alone trial)] × 100}. Second,
startle magnitude was calculated as the average response to all of the
Pulse-Alone trials. PPI data were analyzed with either two-factor
(treatment and trial type) or three-factor analysis of variance (ANOVA)
with pretreatment and treatment as between-subject factors and trial type (prepulse intensity) as a repeated measure. Startle magnitude data
were analyzed with one-factor (treatment) or two-factor (pretreatment and treatment) ANOVA. For analysis of locomotor activity, separate one-way ANOVAs were carried out for each of the activity indices (crossings, holepokes, rearings, spatial CV, spatial d, and
time in center) with treatment as a between-subject factor. Posthoc analyses were carried out using Tukey's test. The
level was set at
.05.
Histology
On completion of startle testing, cannulated animals were deeply anesthetized with sodium pentobarbital and perfused transcardially with isotonic saline followed by 10% formalin (Fisher Scientific, Pittsburgh, PA). Brains were removed, stored in formalin, and then sectioned into 60-µm slices using a freezing-stage sliding microtome (Leica Instruments, Deerfield, IL). Slices were mounted onto gelatin-coated slides, stained with Cresyl violet, and examined under a microscope to verify the placement of injector tips. During this analysis, the experimenter remained blind to the pharmacological treatment as well as the behavioral data. The data from animals that were determined to possess injector placements outside of the amygdala were excluded from statistical analyses.
Experimental Design
PPI Testing. Three startle studies were conducted using separate groups of rats. In the first, the effects of SDZ 220-581 and SDZ EAB-515 were assessed. Rats were given s.c. injections of either saline vehicle or 2.5 or 5.0 mg/kg SDZ 220-581 30 min before entering startle chambers. A separate group of animals was given the highest dose 75 min before testing to compare the relative efficacies of short versus long pretest injection intervals. One week later, all animals were retested with SDZ EAB-515. Each treatment group for this second experiment contained two animals from each of the previous (SDZ 220-581) treatment groups, so that all the previous treatments were equally represented in each of the new groups. In this experiment, rats received either saline or 3.0, 10.0, or 30 mg/kg SDZ EAB-515 s.c. 30 min before testing.
In the second startle study, three experiments were conducted. Initially, two separate sets of experimentally naive rats were used to test the effects of systemic D-CPPene (SDZ EAA-494) administration. In the first experiment of this study, rats were treated with either saline vehicle or one of several D-CPPene doses (0.5, 1.0, or 5.0 mg/kg s.c.) and placed into startle chambers 10 min later. A separate experiment was conducted using naive animals and the same protocol as the first D-CPPene experiment, except that the pretest injection interval was 60 min. This longer period was used to increase the time for absorption of the compound into the CNS. The third experiment examined the ability of D-CPPene to disrupt PPI after direct intracranial microinfusion. The amygdala was chosen as the central target for this experiment because previous work has shown this region to mediate disruptions in PPI produced by competitive and noncompetitive NMDA-RAs (Bakshi and Geyer, 1998Locomotor Activity Testing
Rats from the first startle study (see study 1 of PPI testing) were placed into BPMs immediately after the startle session for assessment of locomotor activity. Thus, two locomotor activity experiments were conducted: first, examining the effects of SDZ 220-581, and, second, examining the effects of SDZ EAB-515. The duration of the prelocomotor activity startle session was 30 min. For both experiments, animals were placed gently by the experimenter into the front left quadrant of the BPM, and behavior was measured for a total of 30 min.
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Results |
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Startle Testing
Study 1: Effects of SDZ 220-581 and SDZ EAB-515.
Figure
1A illustrates the effects of SDZ 220-581 on PPI. As can be seen from the graph, SDZ 220-581 produced a robust
and dose-dependent reduction in PPI. ANOVA revealed a main effect of
treatment [F(3,28) = 29.97, P < .001]. Subsequent analyses indicated that at the 4- and 8-db prepulse
intensities, both doses reduced PPI (P < .01, P < .05). At the highest prepulse intensity, however, only the 5.0 mg/kg dose decreased PPI (P < .01). It should be noted that this graded drug effect on PPI with
increasing prepulse intensity is characteristic of several compounds,
including the noncompetitive NMDA-RA PCP (Mansbach and Geyer, 1989
;
Bakshi et al., 1994
). The high dose of SDZ 220-581 was very effective
in disrupting sensorimotor gating, nearly abolishing PPI at the two middle prepulse intensities. Moreover, no apparent difference in
efficacy was observed between the short (30 min) and long (75 min)
pretest injection intervals, suggesting that a relatively short amount
of time is sufficient for SDZ 220-581 to achieve bioactivity. In
contrast to the marked effects on PPI, startle magnitude was left
unaffected by SDZ 220-581 treatment [F(3,28) = 0.54, NS], indicating that the ability of this compound to disrupt PPI
cannot be attributed simply to changes in baseline startle reactivity
(Table 1).
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Study 2: Effects of D-CPPene. The effects of the classic competitive NMDA-RA D-CPPene (SDZ EAA-494) on PPI are depicted in Fig. 2, A-C. In contrast to the previous two compounds, D-CPPene treatment had no effect on PPI with either a short (10 min, Fig. 2A), or long (60 min, Fig. 2B) pretest injection interval. No main effect of drug treatment on PPI was observed in either experiment [F(3,20) = 0.10, NS, short pretest injection interval; F(3,28) = 1.93, NS, long pretest injection interval]. A tendency to decrease startle magnitude was seen, particularly in the second experiment of this study (Table 1); however, this trend did not reach statistical significance for either the short [F(3,20) = 1.94, NS] or long [F(3,28) = 2.33, NS] pretest injection interval.
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Study 3: Effects of Antipsychotics on SDZ 220-581.
The ability
of various antipsychotic drugs to prevent the SDZ 220-581-induced
deficit in PPI is shown in Fig. 4. A main
effect of SDZ 220-581 treatment was revealed by ANOVA
[F(1,76) = 71.69, P < .001],
replicating the findings of study 1. In addition, a significant main
effect of pretreatment was also seen [F(2,76) = 4.37, P < .02]. Subsequent separate three-way (with
pretreatment, treatment, and prepulse intensity as factors) ANOVAs
indicated that this effect was due to a main effect of haloperidol
[F(1,52) = 8.95, P < .005] but
not clozapine [F(1,48) = 2.83, NS] pretreatment. Although the pretreatment × treatment interaction did not reach statistical significance [F(2,76) = 1.64, NS], post
hoc analyses were deemed justifiable because of the large main effects
as well as a strong a priori hypothesis that antipsychotic
administration would block NMDA-RA-induced deficits in PPI (Bakshi et
al., 1994
; Swerdlow et al., 1996
). Thus, subsequent analyses indicated
that animals treated with SDZ 220-581 had markedly lower levels of PPI
at the 2-db (P < .05), 4-db (P < .01), and 8-db (P < .01) prepulse intensities
than vehicle-treated controls. Because no drug effects were seen for
the 16-db prepulse intensity, these data are not shown. Examination of
the graph demonstrates the tendency of haloperidol to increase PPI at
the 8-db prepulse intensities. This trend, however, was not
statistically significant in the post hoc analyses. Most importantly,
animals that received either clozapine (P < .05)
or haloperidol (P < .05) before receiving SDZ
220-581 had significantly higher levels of PPI at the 8-db prepulse
intensity than animals that received only SDZ 220-581 (Fig. 4). This
effect was also seen at the 4-db prepulse intensity (for haloperidol,
P < .05). These findings indicate that either clozapine, an atypical antipsychotic, or haloperidol, a traditional antipsychotic, can prevent the disruption of PPI produced by a competitive NMDA-RA. ANOVA of startle magnitude data revealed neither a
significant main effect of pretreatment [F(2,76) = 2.12, NS] nor a pretreatment × treatment interaction
[F(2,76) = 0.79, NS] but did indicate a main effect of
treatment [F(1,76) = 20.15, P < .001]. Although post hoc analyses failed to confirm reliable differences, examination of the mean startle values indicates that SDZ
220-581 tended to increase startle magnitude and that this trend was
not affected by antipsychotic pretreatment (Table 1).
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Locomotor Activity Testing.
As illustrated in Table
2, the amount of activity induced by SDZ
220-581 and SDZ EAB-515 was significantly above control, as measured by
the number of crossings [SDZ 220-581: F(3,27) = 12.49, P < .01; SDZ EAB-515: F(3,27) = 10.38, P < .001]. Measures of investigation
(rearings and holepokes) were significantly decreased by SDZ
220-581[holepokes: F(3,27) = 17.69, P < .01; rearings: F(3,27) = 59.71, P < .01]. Rearings were also attenuated by SDZ EAB-515 [F(3,27) = 5.19, P < .01]. In contrast, SDZ EAB-515 produced a biphasic effect on
holepoking, with a significant increase at the 3.0 mg/kg dose and a
decrease at the highest dose tested (30.0 mg/kg)
[F(3,27) = 5.93, P < .01].
Furthermore, SDZ 220-581-treated animals spent significantly less time
in the center of the chamber than did controls [F(3,27) = 4.78, P < .01]. The same was true for animals
treated with SDZ EAB-515 [F(3,27) = 4.24, P < .05] (Table 2). Both SDZ 220-581 and SDZ
EAB-515 produced characteristic patterns of locomotion in which the
animals rarely moved away from the walls. Figure
5 shows the typical pattern of locomotion exhibited by animals treated with vehicle, SDZ 220-581, or SDZ EAB-515.
Control animals typically exhibited a preference for one area of the
chamber, the "home" area, from which they made excursions to
various parts of the BPM and back, following progressively more fixed
routes over time (Geyer et al., 1986
). Both SDZ 220-581 and SDZ EAB-515
disrupted this structure and produced abnormally repetitive patterns of
locomotion. For example, 5.0 mg/kg SDZ 220-581 and 30.0 mg/kg SDZ
EAB-515 produced very prominent patterns of stereotyped or
perseverative ambulation, as displayed in Fig. 5. Computer
reconstructions of the ambulatory pattern revealed that in most
animals, the pattern consisted of circling the perimeter. ANOVA was
applied to the spatial measures of the coefficient of variation
(spatial CV) to quantify these differences in ambulation patterns; the
effects of the compounds on the spatial CV are illustrated in Table 2.
Both SDZ 220-581 and SDZ EAB-515 produced significant increases in the
spatial CV, which reflect the repetitive patterns of locomotion induced
by these drugs [SDZ 220-581: F(3,27) = 3.93, P < .05; SDZ EAB-515: F(3,26) = 8.99, P < .001].
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Discussion |
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The primary findings of this work are that newly synthesized competitive NMDA-RAs SDZ 220-581 and SDZ EAB-515, which were designed to rapidly cross the blood-brain barrier, cause robust and reliable decreases in PPI without affecting baseline startle reactivity. In contrast, the classic competitive NMDA-RA D-CPPene failed in two separate studies to disrupt PPI when administered systemically, despite a tendency to decrease startle magnitude. Direct intracerebral (intra-amygdala) application of the same compound, however, produced a significant deficit in PPI that was independent of changes in startle magnitude. The disruption in PPI produced by SDZ 220-581 was blocked by both the typical and atypical antipsychotic agents, haloperidol and clozapine, respectively. Finally, SDZ 220-581 and SDZ EAB-515 also increased motor activity. Taken together, these findings indicate that if they gain rapid and sufficient access to the brain, competitive NMDA-RAs are capable of causing profound behavioral deficits similar to those seen after administration of the psychotomimetic noncompetitive NMDA-RA PCP.
Behavioral Effects of Systemically Administered NMDA-RAs.
To
date, several studies have indicated consistently that competitive
NMDA-RAs do not disrupt PPI, even at doses that significantly decrease
startle magnitude (Mansbach, 1991
; Wedzony et al., 1994
, McCloskey et
al., 1995
). Our results with s.c. administered D-CPPene are
consistent with these findings; D-CPPene had no effect on PPI in the present study, regardless of the pretest injection interval
or the tendency to decrease startle magnitude. This lack of efficacy
contrasts markedly with the pattern of effects on PPI that is produced
by noncompetitive channel-blocking NMDA-RAs such as phencyclidine,
dizocilpine, or ketamine (Mansbach and Geyer, 1989
; Geyer et al., 1990
;
Mansbach and Geyer, 1991
; Bakshi et al., 1994
): these compounds
induce a dose-dependent and robust decrease in PPI that can be
independent of startle magnitude effects (Bakshi et al., 1994
).
Centrally Acting Competitive NMDA-RAs Disrupt Sensorimotor Gating:
Implications for Psychotomimetic Potential.
To the best of our
knowledge, this is the first report of disrupted PPI after the systemic
administration of competitive NMDA-RAs in which deficient PPI was not
simply an artifact of severely decreased basal startle reactivity
(Furuya and Ogura, 1997
). Both SDZ 220-581 and SDZ EAB-515 produced a
profound deficit in sensorimotor gating, nearly abolishing PPI at
almost every prepulse intensity without affecting startle magnitude.
Interestingly, the classic and highly selective competitive NMDA-RA
D-CPPene (SDZ EAA-494) had no effect on PPI when
administered systemically but did disrupt PPI when infused directly
into the amygdala. Future studies examining the effects of CPPene
infusion into other brain regions will aid in determining the
anatomical specificity of the intracerebral CPPene effect. Our finding
is consistent with three previous reports that have shown that another,
less potent competitive NMDA-RA, AP-5 (Watkins, 1994
; Urwyler et al.,
1996a
), also can disrupt PPI after intracerebral administration
(Reijmers et al., 1995
; Kretschmer and Koch, 1997
; Wan and Swerdlow,
1997
). Taken together, these findings indicate that if competitive
NMDA-RAs gain access to the CNS, they produce marked deficits in
sensorimotor gating. Interestingly, AP-7 has been found to generalize
to the PCP discriminative stimulus when delivered into brain ventricles
(Tricklebank et al., 1987
). The present results thus provide compelling
evidence for the hypothesis that the previously reported inability of
competitive NMDA-RAs to disrupt PPI was simply an artifact of poor
penetration into the brain. Given that the PPI paradigm is thought to
provide a model for the disturbances in sensorimotor gating that are
seen in schizophrenia (Geyer et al., 1990
) and that the deficits in PPI
induced by SDZ 220-581 were sensitive to the antipsychotics clozapine
and haloperidol, the present results indicate that competitive NMDA-RAs
might be hampered by the same considerations that compromise the
clinical use of the noncompetitive NMDA channel blockers such as PCP,
which disrupts PPI and produces psychosis in humans (Mansbach and
Geyer, 1989
; Javitt and Zukin, 1991
).
Effects of Centrally Acting Competitive NMDA-RAs on Patterns of
Locomotor Activity.
The effects of SDZ 220-581 and SDZ EAB-515 on
locomotor activity were generally similar to those seen previously with
PCP and related noncompetitive NMDA-RAs (Tricklebank et al., 1989
; Lehmann-Masten and Geyer, 1991
). The administration of either competitive NMDA-RA caused increases in crossings and decreases in
rearings; both of these effects have been observed with PCP-like compounds. In addition, a pattern of activity consistent with decreased
exploratory behavior was noted with SDZ 220-581 and SDZ EAB-515: both
drugs decreased holepokes as well as the time spent in the center of
the chamber. The induction of certain stereotyped or perseverative
behaviors might, through behavioral competition, account for this
decrease in investigatory behavior. Specifically, both SDZ 220-581- and
SDZ EAB-515-treated animals frequented the walls of the BPM in a
perseverative manner, as reflected by the increase in the spatial CV
measure, which is similarly increased by PCP and other channel-blocking
NMDA-RAs (Lehmann-Masten and Geyer, 1991
). Although this pattern of
increased in locomotor activity, decreased investigatory responses, and
increased perseverative patterns of ambulation is very similar to the
profile of effects seen with PCP-like noncompetitive NMDA-RAs, it
is important to note that certain subtle effects that differentiate
SDZ 220-581 and SDZ EAB-515 from PCP were also observed. Specifically,
the spatial d measure, which essentially gives an
estimate of the smoothness of the animal's path (low d
indicates smoothness), is known to be altered in a biphasic fashion by
PCP-like noncompetitive antagonists, with low doses decreasing
d and high doses increasing d
(Lehmann-Masten and Geyer, 1991
). This measure was dose-dependently decreased by either SDZ 220-581 or SDZ EAB-515 in the present dose
ranges. It will be of interest to determine in future studies whether
even higher doses of these compounds will increase d and thereby mimic the pattern of effects produced by PCP on this measure.
Development of NMDA Receptor Ligands Lacking Effects on
Sensorimotor Gating.
The objective in designing the new
competitive NMDA-RAs SDZ EAB-515 and SDZ 220-581 was to create
compounds that were less polar and had higher affinity for the
glutamate recognition site than the older competitive NMDA-RAs such as
AP-5 (Urwyler et al., 1996a
). Ironically, it appears from the present
study that the same structural modifications that are thought to impart
a superior blood-brain barrier penetration and neuroprotective profile
to these compounds may also impart a greater potential for eliciting psychotic symptoms. Although these compounds have not yet been tested
clinically, it has been reported in one study that in epileptic patients, D-CPPene can produce cognitive impairments
(Sveinbjornsdottir et al., 1993
). Thus, either compounds that block the
cation channel (PCP) or antagonize the glutamate recognition site (SDZ
220-581, SDZ EAB-515) of the NMDA receptor complex disrupt sensorimotor gating. It has been suggested that low affinity blockade of the NMDA
channel (with compounds such as memantine) will not produce psychotomimetic effects (Grant et al., 1996
); it may be that low affinity compounds are less likely to be psychotomimetic because they
do not achieve rapid and sufficient brain concentrations to fully block
the receptor. Interestingly, antagonists for the glycine modulatory
site on the outside of the NMDA receptor complex have been found to
actually improve deficient sensorimotor gating in rats (Bristow et al.,
1995
), a finding that is consistent with earlier suggestions that this
site may be a good target for the development of novel neuroprotective
and antipsychotic drugs (Iversen and Kemp, 1994
). Nevertheless, a
recent report suggests that when administered intracerebrally, this
type of NMDA-RA can also disrupt PPI under certain conditions
(Kretschmer and Koch, 1997
). It remains to be seen whether a meaningful
separation between the likely therapeutic benefits of blocking the NMDA
receptor and psychotomimetic liability can be achieved in compounds
having selectivity for the potentially numerous subtypes of the
receptor that have been recently identified (Moriyoshi et al., 1991
;
Monyer et al., 1992
).
| |
Acknowledgments |
|---|
We extend gratitude to Darlene Giracello and Elizabeth Lutz for their excellent technical assistance.
| |
Footnotes |
|---|
Accepted for publication September 1, 1998.
Received for publication March 18, 1998.
1 This work was supported in part by Grant R37-MH42228 from the National Institute of Mental Health and Grant R02-DA02925 from the National Institute on Drug Abuse. V.P.B. was supported by Grant F31-MH11636 from the National Institute of Mental Health. M.A.G. was supported by a Research Scientist Award (K05-MH01223) from the National Institute of Mental Health and holds an equity position with San Diego Instruments.
Send reprint requests to: Dr. Mark A. Geyer, Department of Psychiatry, 0804, University of California at San Diego, La Jolla, CA 92093-0804. E-mail: mgeyer{at}ucsd.edu
| |
Abbreviations |
|---|
NMDA, N-methyl-D-aspartate; BPM, behavior pattern monitor; PPI , prepulse inhibition; ANOVA, analysis of variance; NMDA-RA, N-methyl-D-aspartate receptor antagonist; PCP, phencyclidine; ANOVA, analysis of variance; AP-5, d-2-amino-5-phosphonopentanoic acid; D-CPPene, SDZ EAA-494; AP-7, d-2-amino-7-phosphonopentanoic acid; CNS, central nervous system.
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