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Vol. 290, Issue 2, 716-724, August 1999
Department of Psychiatry, University of California at San Diego, San Diego, California (M.A.G., N.R.S., V.L.-M.); and Knoll AG, General Pharmacology and Central Nervous System Research, Ludwigshafen, Germany (H.-J.T., M.T., G.G.)
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Abstract |
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LU-111995 is a novel antipsychotic drug in clinical development. It has a clozapine-like receptor profile and affinities for dopamine D4 and 5-hydroxytryptamine2A receptors. The effects of LU-111995 were examined in three models of disrupted prepulse inhibition (PPI) in rats. The first model tested the hypothesis that LU-111995 would normalize the deficit in PPI exhibited by rats treated with the dopamine agonist apomorphine. LU-111995 significantly reduced the effect of apomorphine on PPI but also slightly increased PPI by itself. Thus, the increases in PPI were not specific to the animals treated with apomorphine but reflected an effect of LU-111995 on PPI. LU-111995 also attenuated the apomorphine-induced increase in startle reactivity. The second model tested the hypothesis that LU-111995 would normalize the deficit in PPI exhibited by rats treated with the psychotomimetic phencyclidine (PCP). LU-111995 significantly blocked the PCP-induced increase in startle reactivity but did not alter the PPI-disruptive effects of PCP. The third model tested the hypothesis that LU-111995 would normalize the deficit in PPI exhibited by isolation-reared rats tested as adults. Isolation rearing of rats produced deficits in PPI. LU-111995 reversed the isolation rearing-induced deficit in PPI without having any significant effect on PPI in socially reared rats. In summary, LU-111995 exhibits potential antipsychotic-like activity in two models of disrupted PPI. It remains to be elucidated whether its effects on PPI can be attributed to a blockade of single dopamine and 5-hydroxytryptamine receptor subtypes, especially D4 and 5-hydroxytryptamine2A, or a combination of both.
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Introduction |
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LU-111995
(Knoll AG, Ludwigshafen, Germany) is a candidate antipsychotic,
chemically distinct from clozapine but with a similar mixed receptor
profile. In radioligand binding studies, it displayed the highest
affinities for human dopamine (DA) D4,
human 5-hydroxytryptamine [serotonin;
(5-HT2A)] receptors, followed by
histamine H1 and
1-adrenergic receptors. Like clozapine,
LU-111995 had a higher affinity for D4 and
5-HT2A receptors than for
D2 receptors but did not bind to muscarinic
receptors. LU-111995 did not induce catalepsy, increase plasma
prolactin, or increase DA release in the rat brain, all features that
suggest low D2 receptor occupancy (data on file,
Knoll AG; Steiner et al., 1998
). In preliminary clinical studies,
LU-111995 exhibited antipsychotic effects (Steiner et al., 1998
). It is
unknown whether its therapeutic effect is mediated by antagonism at
D4 or 5-HT2A receptors, or
a combination of both.
The present study explored the effects of LU-111995 in three rodent
models relevant to schizophrenia: 1) apomorphine-induced deficits in
prepulse inhibition (PPI) of startle, 2) phencyclidine (PCP)-induced
PPI deficits, and 3) isolation rearing-induced PPI deficits. PPI is a
multimodal, cross-species phenomenon used as an operational measure of
sensorimotor gating (Ison and Hoffman, 1983
; Braff and Geyer, 1990
).
Sensory overstimulation and accompanying cognitive fragmentation may be
features of schizophrenia (McGhie and Chapman, 1961
). Deficits in
sensorimotor gating, as assessed by PPI, are observed in schizophrenic
patients (Braff et al., 1978
, 1992
; Grillon et al., 1992
; Bolino et
al., 1994
) and in nonmedicated schizotypal subjects (Cadenhead et al.,
1993
); some evidence indicates that antipsychotics reverse PPI deficits
in schizophrenic patients (Weike et al., 1996
).
In rats, PPI is reduced by direct (apomorphine) and indirect
(amphetamine) DA agonists (Mansbach et al., 1988
; Peng et al., 1990
);
these effects are reversed by DA D2-like receptor
antagonists (Mansbach et al., 1988
; Swerdlow et al., 1991
). The
apomorphine disruption of PPI is also reversed by the atypical
antipsychotic clozapine (Swerdlow et al., 1991
; Swerdlow and Geyer,
1993
) and the putative atypical antipsychotic quetiapine (Swerdlow et
al., 1994
). The putative D4 antagonists
L-745,870, U-101,387 and CP-293,019 also restore PPI in
apomorphine-treated rats (Mansbach et al., 1998
; Zorn et al., 1996
),
although Bristow et al. (1997)
reported that the
D4 antagonist L-745,870 failed to reverse the
apomorphine effects on PPI. Corbin and Heffner (1997)
recently reported
that among four "selective" D4 antagonists,
two potently reversed the apomorphine effect, whereas two others were
ineffective. The present study examined whether the atypical
antipsychotic LU-111995, with its high D4
affinity, reverses apomorphine effects on PPI.
In rats, PPI is reduced by the psychotomimetic noncompetitive
N-methyl-D-aspartate (NMDA)
antagonists PCP and dizocilpine (Mansbach and Geyer, 1989
). PCP is a
powerful psychotogen that in healthy humans causes symptoms that
resemble both the positive and negative symptomatology of
schizophrenia, and acutely exacerbates existing behavioral and
cognitive impairments in schizophrenic patients (Lahti et al., 1995
;
Malhotra et al., 1996
). Unlike the effects of DA agonists on PPI, those
of PCP or dizocilpine are not reversed by high-potency typical
antipsychotics such as haloperidol (Geyer et al., 1990
; Keith et al.,
1991
), but are reversed by atypical antipsychotics such as clozapine
(Bakshi et al., 1994
), olanzapine (Bakshi and Geyer, 1995
), and
quetiapine (Swerdlow et al., 1996
), and by the putative antipsychotic
and 5-HT2A antagonist M100907 (Varty et al.,
1999
). Hence, the PCP-induced disruption of PPI might be useful for
identifying compounds with atypical antipsychotic potential. Therefore,
an additional aim of this study was to test LU-111995 on the
PCP-induced disruption of PPI.
Although pharmacological approaches that alter PPI help to identify
relevant neural substrates, they do not assess environmental or
developmental contributions to PPI deficits. Because schizophrenia appears to be in part a neurodevelopmental disorder (e.g., Weinberger, 1987
), it is important to incorporate the developmental perspective into animal models of sensorimotor-gating deficits in schizophrenia. One such approach is isolation rearing of rats (Geyer et al., 1993
).
Rats reared in single housing from weaning through adulthood exhibit
deficient PPI compared with socially reared counterparts (Geyer et al.,
1993
; Wilkinson et al., 1994
; Bristow et al., 1995
; Varty and Higgins,
1995
). Multiple neurochemical (e.g., altered DA and serotonin levels
within limbic regions) and behavioral (e.g., hyperactivity and
hypersensitivity to DA and serotonin agonists) abnormalities are
produced by isolation rearing in rats (Bakshi et al., 1996
; Hall et
al., 1998
). Isolation rearing-induced deficits in PPI are reversed by
treatment with either typical or atypical antipsychotics (Geyer et al.,
1993
; Varty and Higgins, 1995
; Bakshi et al., 1998
), including the
putative antipsychotic and 5-HT2A antagonist
M100907 (Geyer et al., 1998
). The present studies examined the effect
of LU-111995 on isolation-induced PPI deficits in rats.
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Materials and Methods |
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Animals
Apomorphine and PCP Test Paradigms. Experimentally naive male Sprague-Dawley rats (Harlan, San Diego, CA) weighing 300 to 400 g were used. Rats were housed two per cage on a reversed 12-h light/dark cycle (lights off 7:00 AM-7:00 PM) in a temperature- and light-controlled animal facility. Rats had free access to standard laboratory diet (Harlan Teklad) and filtered water.
Isolation Rearing Test Paradigm. Male Sprague-Dawley rats weighing 35 to 49 g were obtained at 20 to 21 days of age (Harlan, San Diego, CA). Rats were separated randomly into two groups and housed for the entire study in the same temperature- and light-controlled animal room on a reversed light/dark cycle. Isolation-reared rats were housed individually in plastic cages (44 × 24 × 21 cm high), whereas socially reared rats were housed in groups of two or three rats per cage in the same size cages. All rats could hear, see, and smell other rats. Food (Harlan Teklad) and water were freely available throughout the study. Neither group was handled except during behavioral testing, which occurred between 9:00 AM and 5:00 PM. Experiments were carried out after 8 weeks of isolated or social rearing. Health checks were conducted daily via visual inspection.
Startle Apparatus
Four SR-LAB (San Diego Instruments, San Diego, CA) test stations
were used to elicit and monitor startle responses. Each lighted and
ventilated chamber contained a stabilimeter comprised of an 8.2-cm-diameter Plexiglas cylinder mounted on a Plexiglas base, as
described previously (Geyer and Swerdlow, 1998
). A speaker mounted 24 cm above the rat provided the background noise, prepulse stimuli, and
startle stimuli, which were controlled by the SR-LAB system. Startle
responses were transduced by a piezoelectric accelerometer mounted
below the cylinder, digitized (0-4095), rectified, and recorded as 100 1-ms readings, starting at the onset of each startle stimulus. The
average of these 100 readings was used as the dependent measure.
Calibration procedures were performed periodically to ensure consistent
levels of loudspeaker performance and stabilimeter sensitivity. Sound
levels were measured as described previously (Mansbach et al., 1988
;
Geyer and Swerdlow, 1998
) using the db(A) scale with a calibrated Quest
Sound Level Meter.
Drugs
Apomorphine hydrochloride (Sigma Chemical Co., St. Louis, MO) was dissolved in a 0.1% ascorbic acid vehicle. PCP hydrochloride (Research Biochemicals, Natick, MA) was dissolved in 0.9% saline. Injections of either saline, vehicle, apomorphine, or PCP were administered at 1.0 ml/kg volume by the s.c. route. With the exception of experiment 3, LU-111995 [(+)-(1S,5R,6S)-exo-3-[2-[6-(4-fluorophenyl)-3-azabicyclo[3.2.0]heptane-3-yl]-ethyl]-1H,3H-quinazoline2,4-dione fumarate] (Knoll AG, Ludwigshafen, Germany) was dissolved in acidified distilled water and kept at body temperature before injection. Injections of either vehicle or LU-111995 were administered at 1.0 ml/kg volume for doses up to 3.0 mg/kg (free base) and 2.0 ml/kg for the 10.0 mg/kg (free base) dose i.p.. In experiment 3, LU-111995 was dissolved in an aqueous solution of tartaric acid and administered i.p., at a dose of 10.0 mg/kg (free base) in a 3.0 ml/kg volume.
Baseline Matching Procedure
Within each experiment, with the exception of the isolation rearing study, all rats were tested initially in a brief test session to define matched groups. The baseline test session consisted of 15 trials in which the response to a 40-ms burst of 120 db[A] noise was measured, interspersed with five prepulse + pulse trials (prepulses 12 db above background noise level). The average response of each rat to the 120-db noise bursts across the 15 trials was used to define groups matched for both the mean and range. Matching was done separately for each stabilimeter chamber, each rat being retested in the same chamber.
PPI Test Procedures
Apomorphine and PCP Test Sessions.
Rats were placed into the
startle apparatus and allowed a 5-min acclimation period, which
included the administration of 65-db background noise. In both the
apomorphine and PCP test paradigms, the startle session consisted of
two components, both using 120-db startle pulses (40 ms in duration).
Within each component, three or four different intensities of acoustic
prepulse stimuli (3, 6, and 12 or 1, 2, 3, or 4 db above background)
were used, each prepulse being 20 ms in duration. The first component
tested 3-, 6-, and 12-db prepulses to match the range of intensities
typically used in studies testing antipsychotic-induced reversals of
experimentally disrupted PPI. The two higher prepulse intensities are
generally the most reliable for demonstrations of disruptions in PPI
produced by apomorphine or PCP (Geyer et al., 1990
; Bakshi and Geyer,
1995
). Lower prepulse intensities were investigated in the second
component of the session to determine whether the putative
antipsychotic LU-111995 might improve PPI by itself, as does clozapine
(Swerdlow and Geyer, 1993
). The first component began with four
pulse-alone trials preceding a pseudorandom sequence of trials in which
the rats received pulse alone (16 trials), prepulse + pulse (10 trials at each prepulse intensity), or no-stimulus trials between each stimulus trial. The initial component ended with four pulse-alone trials. Habituation was defined as the first pulse-alone responses (block 1), the average of the next pulse-alone trials divided into two
equal blocks (blocks 2 and 3), and the last pulse-alone responses
(block 4). The second component consisted of pulse alone (eight trials)
and prepulse + pulse trials (five trials at each prepulse intensity)
presented in a pseudorandom sequence as well as no-stimulus trials
between each stimulus trial. The time from onset of the prepulse to
onset of the pulse was always 100 ms. Because no appreciable group
differences were observed on the no-stimulus trials, these data are not
reported. In all experiments, the variable interval between trials
averaged 7.5 s, including the no-stimulus trials. Thus, the
intervals between startle trials averaged 15 s.
Isolation Rearing Test Session.
The test session utilized in
the isolation rearing experiment was nearly identical with the first
component of the session described above and included: 1) pulse-alone
trials in which a 40-ms, 120-db broadband noise burst was presented; 2)
prepulse + pulse trials in which the onset of a 20-ms broadband noise
preceded the onset of the 120-db pulse by 100 ms (prepulse intensities that were 3, 6, and 12 db above the background noise were used); and 3)
no-stimulus trials in which no stimuli were presented. The pulse-alone
trials were presented 14 times; each of the prepulse + pulse trials was
presented 10 times; the no-stimulus trials were presented 8 times. All
trials were presented in a pseudorandom order, with an average of
15 s separating consecutive trials. Four pulse-alone trials were
presented at the beginning and the end of the test session (for a total
of 60 trials), but were not used in the calculation of PPI values. A
background noise of 65 db was presented for 5 min after the rats were
placed in the startle chambers (the acclimation period) and continued
throughout the entire session. Habituation was defined as the first
pulse-alone responses (block 1), the average of the next pulse-alone
trials divided into two equal blocks (blocks 2 and 3), and the last
pulse-alone responses (block 4). This test session has been used
previously to detect restorations of PPI by quetiapine and olanzapine
in PCP-treated rats (Bakshi and Geyer, 1995
; Swerdlow et al., 1996
) and
was therefore thought to be optimally suited for the present studies.
Finally, at the end of the session, 50 air puffs (15 psi, 10 s
apart) were delivered through an opening in the Plexiglas cylinder onto
the rats' backs to assess the effects of isolation rearing on tactile
startle habituation. Because no significant effects of isolation
rearing on tactile startle habituation were found in the experiment,
these data are not reported.
Statistical Analyses
For each pulse-alone and prepulse + pulse trial, the startle
response to the 120-db burst was recorded. Two measures were then
calculated from these data for each rat. 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 in each experiment by using
three- or four-way ANOVA, with drug treatment and/or housing as
between-subject factors and block (first and second halves of the test
session), prepulse intensity, and apomorphine or housing (in
experiments 1-3 and 5) as repeated measures. Separate three-factor
(drug treatment, housing, block) ANOVAs were performed on startle
magnitude (i.e., pulse-alone) values to assess the affects on baseline
startle reactivity. Habituation was assessed by the evaluation of
pulse-alone values over time (blocks 1, 2, 3, and 4). The average
startle magnitude of either block 2 or block 3, or the combination of
both was used in the calculation of %PPI. Where appropriate, specific
comparisons were made using Tukey's or the Newman-Keuls test. ANOVAs
were performed with BMDP7D or BMDP2V software (Dixon, 1992
). The
criterion for significance was set at p < .05.
Experimental Designs
Experiments 1 to 3: Apomorphine and LU-111995. Experiment 1 examined startle responding and PPI in rats pretreated with either vehicle or low doses of LU-111995 (0.3, 1.0, and 3.0 mg/kg) and treated 30 min later with either vehicle or 0.5 mg/kg apomorphine. Animals were then placed directly into the startle test chambers. This study tested the hypothesis that the D4/5-HT2A antagonist LU-111995 would normalize the deficit in PPI exhibited by apomorphine-treated rats. Each rat was tested twice at an interval of 1 week. Half the rats in each group received s.c. injections of vehicle or apomorphine in the first test, with each rat receiving the opposite treatment in the second test 1 week later. Each rat received the same pretreatment before each test. Thus, pretreatment was a between-subject factor and treatment was a within-subject factor. Experiments 2 and 3 were run in the same manner as experiment 1 with the exception that a higher dose of LU-111995 (10 mg/kg) was used. In experiment 3, the dose of LU-111995 was 10 mg/kg, and two doses of apomorphine (0, 0.1, and 0.5 mg/kg) were examined over a 3-week period.
Experiment 4: PCP and LU-111995. Experiment 4 examined startle responding and PPI in rats pretreated with either vehicle or LU-111995 (10 mg/kg) and treated 20 min later with either saline or 1.5 mg/kg PCP. After a 10-min waiting period, the animals were placed into the startle chambers for the start of the session. This study tested the hypothesis that the D4/5-HT2A antagonist, LU-111995, would normalize the deficit in PPI exhibited by PCP-treated rats. Each rat was tested once to avoid any carryover effects of PCP.
Experiment 5: LU-111995 and Isolation Rearing. Experiment 5 compared 26 isolation-reared rats with 30 socially reared rats by using measures of startle responding. All rats were tested after 8 weeks of the appropriate housing. This study tested the hypothesis that LU-111995 would normalize the deficit in PPI exhibited by isolation-reared rats. Each rat was tested twice in the startle session. Half the rats in each housing group received i.p. injections of vehicle or 10.0 mg/kg LU-111995 30 min before the first test, with each rat receiving the opposite treatment in the second test 1 week later.
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Results |
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Experiment 1: 0.5 mg/kg Apomorphine and 0.3, 1.0, or 3.0 mg/kg
LU-111995.
As shown in Fig. 1A,
LU-111995 (0.3, 1.0, or 3.0 mg/kg) had no effect on startle reactivity
(F3,28 = 1.4, N.S.), and there was no
interaction with block (F9,84 = 1.0, N.S.). There was a main effect of apomorphine treatment to elevate
startle reactivity (F1,28 = 34.2, p < .01) and there was a significant block × treatment interaction (F3,84 = 3.8, p < .02; Fig. 1A, top). Rats pretreated with LU-111995
exhibited a significant decrease in this apomorphine effect (block × drug × pretreatment interaction:
F8,84 = 2.1, p < .05;
Fig. 1A, bottom).
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Experiment 2: 0.5 mg/kg Apomorphine and 10 mg/kg LU-111995.
As
in experiment 1, rats administered apomorphine showed an increase in
startle magnitude when compared with controls
(F1,14 = 7.54, p < .02; Fig. 2A, top). The 10.0 mg/kg dose
of LU-111995 failed to alter startle by itself
(F1,14 = .92, N.S.) and had no effect
on the apomorphine-induced increase in startle reactivity (F1,14 = .01, N.S.; Fig. 2A, bottom).
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Experiment 3: 0.1 or 0.5 mg/kg Apomorphine and 10 mg/kg
LU-111995.
In experiment 3, the effects of two doses of
apomorphine (0.1 and 0.5 mg/kg) were assessed. Apomorphine-treated rats
again showed an increase in startle magnitude
(F2,76 = 12.1, p < .01), with a treatment by block interaction
(F6,228 = 2.4, p < .05; Fig. 3A, top). Rats were pretreated
with either vehicle or a 10.0 mg/kg dose of LU-111995, which yielded a
significant main effect of pretreatment
(F1,38 = 6.5, p < .05). As in experiment 1, the high dose of LU-111995 prevented the
apomorphine-induced increase in startle reactivity (Fig. 3A, bottom)
(block by pretreatment by treatment interaction
F6,228 = 2.2, p < .05).
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Experiment 4: 1.5 mg/kg PCP and 3 or 10 mg/kg LU-111995.
As
illustrated in Fig. 4A, rats treated with
either 3.0 or 10.0 mg/kg LU-111995 did not differ significantly from
their corresponding controls in either startle reactivity or
habituation (F2,66 = 2.2, N.S. and
F6,198 = <1.0, N.S. respectively).
PCP-treated rats (1.5 mg/kg) exhibited a significant increase in
startle response as indicated by a significant main effect
(F1,66 = 5.2, p < .05) and a significant block × treatment interaction
(F3,198 = 3.4, p < .05). When pretreated with the high dose of LU-111995, rats administered PCP failed to show PCP-induced increased startle at blocks
2, 3, and 4 (Tukey's post hoc p < .05).
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Experiment 5: 10 mg/kg LU-111995 and Isolation Rearing.
As
depicted in Fig. 5A, there was no main
housing effect on startle reactivity
(F1,54 = 1.5, N.S.). In contrast,
isolation-reared rats tended to show less habituation of startle than
did socially reared rats (housing × block interaction
F3,162 = 2.4, p = .07). LU-111995 (10.0 mg/kg) significantly decreased startle reactivity in both the socially reared and isolation-reared rats, especially in
the early part of the session (Fig. 5A; main effect treatment F1,54 = 24.7, p < .01; treatment × block interaction
F3,162 = 4.4, p < .01).
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Discussion |
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The present studies revealed that the putative antipsychotic LU-111995 was somewhat effective in reversing the deficit in PPI produced by apomorphine, ineffective in altering PPI deficits produced by PCP, and was effective in reversing the deficits in PPI produced by isolation rearing in rats. Thus, LU-111995 exhibited a profile of activity in rat models of the sensorimotor gating deficits in schizophrenia that resembled that of typical antipsychotic drugs.
By itself, LU-111995 had inconsistent effects on startle
reactivity and PPI. Startle reactivity was reduced slightly by
LU-111995 only by the highest dose tested and only in the initial trial block in one of the several experiments (Fig. 5A). The lower doses of
LU-111995 also failed to have any significant effects on PPI, even in
the second component of the test sessions in which weak prepulses were
used to maximize the likelihood of detecting LU-111995-induced increases in PPI. By contrast, the highest dose of LU-111995 (10 mg/kg)
increased PPI in the first component of the session in two of the four
relevant experiments, although it still had no similar effects in the
second component of the session. This PPI-increasing effect of
LU-111995 is similar to that produced by the atypical antipsychotic
clozapine (Swerdlow and Geyer, 1993
). Whereas other typical and
atypical compounds have produced trends toward similar effects in
Sprague-Dawley rats, such increases in normal levels of PPI in rats are
generally small and unreliable (Mansbach et al., 1988
; Swerdlow et al.,
1991
).
The first three experiments assessed the effects of LU-111995 in the dopaminergic model in which PPI is disrupted by the direct DA agonist apomorphine. The highest dose of LU-111995 (10 mg/kg) significantly reduced the effect of apomorphine on PPI elicited by both 6- and 12-db prepulses in experiment 3, but did not have such clear effects in experiment 2. It is important to reiterate, however, that this dose of LU-111995 also slightly, but significantly, increased PPI by itself in both experiments 2 and 3. Hence, although the results are consistent with an LU-111995-induced reversal of the effects of apomorphine, the increases in PPI produced by LU-111995 were not specific to the rats treated with apomorphine. In addition to the consistent disruption of PPI produced by apomorphine in these experiments, apomorphine also increased startle reactivity. In experiments 1 and 3, but not in experiment 2, LU-111995 attenuated this effect of apomorphine. Thus, LU-111995 tended to reverse both behavioral effects of apomorphine, but did not do so consistently.
Experiment 4 assessed the ability of 3 or 10 mg/kg LU-111995 to block
the effects of the noncompetitive NMDA antagonist and psychotomimetic
PCP on startle reactivity and PPI in rats. We found that 10 but not 3 mg/kg LU-111995 significantly blocked the startle reactivity-increasing
effect of PCP (although having little effect by itself in control
rats), but did not block the PPI-disruptive effects of PCP. Hence, it
appears that the drug was biologically active at 10 mg/kg but did not
mimic the antagonistic effects of clozapine, olanzapine, quetiapine,
and M100907 on NMDA antagonist-induced disruptions of PPI (Bakshi et
al., 1994
; Bakshi and Geyer, 1995
; Swerdlow et al., 1996
; Varty et al.,
1999
). Insofar as all of these compounds exhibit antagonist actions at
5-HT2A receptors, it remains unclear why
LU-111995, which is also an antagonist at 5-HT2A
receptors (Steiner et al., 1998
), did not similarly reduce the
PPI-disruptive effects of PCP. Given that other mixed
5-HT2 antagonists, such as ketanserin and
risperidone, fail to mimic the effects of the selective
5-HT2A antagonist M100907 in this paradigm
(Bakshi et al., 1994
; Varty et al., 1999
), it appears that complex
interactions may influence the effects of multireceptor antagonists in
the PCP model of the sensorimotor gating deficits in schizophrenia.
Overall, with the possible exception of experiment 2, the effects of 10 mg/kg LU-111995 in these pharmacological models of deficient PPI are
most similar to those of typical antipsychotics, which are consistently
effective in blocking the effects of DA agonists such as apomorphine
and typically ineffective in blocking the effects of noncompetitive
NMDA antagonists such as PCP (Geyer et al., 1990
; Bakshi et al., 1994
).
It remains unclear which receptor mediates this effect. In the case of
LU-111995, both receptor binding and pharmacological data indicate that
DA D2 receptors are unlikely to be responsible.
First, LU-111995 binds to D4 and 5-HT2A receptors with
Ki values of 3.1 and 3.3 nM,
respectively, whereas the Ki at the DA
D2 receptor is 105 nM (Steiner et al., 1998
).
Even at very high doses (76-100 mg/kg orally), no signs of
D2 receptor blockade, such as catalepsy,
increased plasma prolactin levels (Steiner et al., 1998
), or
D2 receptor-mediated increases in DA turnover
were detected (data on file, Knoll AG). Two hours after oral
administration of 100 mg/kg LU-111995, D2
receptor occupancy was determined as 30 to 40% (data on file, Knoll
AG). Unfortunately, there is no established parameter, known so far, which is linked specifically to D4 receptor
activation or blockade in vivo. However, it is concluded by analogy
from 5-HT2A antagonism in vivo
(IC50 values of 1 and 6 mg/kg orally for
inhibition of mescaline-induced scratching and L-5-HTP syndrome; data
on file, Knoll AG) and equal binding affinity to
5-HT2A and D4 receptors in
vitro (Steiner et al., 1998
), that the drug blocks
D4 receptors after an oral dose of 10 mg/kg.
The final experiment yielded several important findings regarding
isolation rearing-induced deficits in PPI and their reversal by
LU-111995. First, it was found that isolation rearing of rats leads to
deficits in PPI in adulthood, corroborating the findings of previous
studies (Geyer et al., 1993
; Wilkinson et al., 1994
; Bristow et al.,
1995
; Varty and Higgins, 1995
). Second, treatment with 10 mg/kg of
LU-111995 reversed the isolation-rearing-induced deficit in PPI without
having any significant effect on PPI in socially reared rats. These
results confirm and extend previous reports of the reversibility of
isolation rearing-induced deficits in PPI by candidate antipsychotics
(Varty and Higgins, 1995
; Bakshi et al., 1998
; Geyer et al., 1998
).
Moreover, the reversals of PPI deficits achieved by LU-111995 were
dissociable from increases in baseline levels of PPI, suggesting that
these drugs did not normalize the PPI deficits because of a generalized
improvement in PPI but rather because of a selective effect in the
isolation-reared rats.
The reversal of the isolation-induced deficit in PPI by LU-111995 was found in the context of a slight, but significant decrease in startle reactivity produced by LU-111995. Nevertheless, socially reared rats treated with LU-111995 exhibited normal levels of PPI on a percentage basis, indicating that the decrease in startle magnitudes did not interfere with the demonstration of PPI.
The neuropharmacological substrates by which LU-111995 is able to
reverse isolation rearing-induced deficits in PPI remain unclear.
Convergent neurochemical studies implicate mesolimbic hyperdopaminergia
as the putative mechanism for some behavioral effects of isolation
rearing (Hall et al., 1998
). Indeed, it has been shown previously that
the D2/D3 DA antagonist,
raclopride, blocks the disruption in PPI produced by isolation rearing
(Geyer et al., 1993
). The affinity of antipsychotics for DA receptors (Moore et al., 1993
) raises the possibility that DA receptor antagonism might mediate the ability of these drugs to reverse isolation rearing-induced deficits in PPI. Isolation rearing, however, produces changes in serotonergic and noradrenergic transmission as well (Bakshi
et al., 1996
; Hall et al., 1998
). Hence, it is possible that effects at
serotonin and norepinephrine receptors may also contribute to the
ability of these compounds to normalize the isolation rearing-induced
disruption in sensorimotor gating. In particular,
5-HT2A antagonism is a candidate mechanism given
that the selective 5-HT2A antagonist M100907 also
reverses the PPI deficits produced by isolation rearing (Geyer et al.,
1998
). Finally, it was reported recently that a selective antagonist
for the glycine site on the NMDA receptor complex reversed the deficit
in PPI produced by isolation rearing (Bristow et al., 1995
). Thus,
glutamatergic mechanisms, particularly involving NMDA receptors, may
also play a role in some of the behavioral effects of isolation rearing.
The present findings indicate that isolation rearing-induced deficits
in PPI are reversible by the novel compound LU-111995. LU-111995 was
found to be ineffective in the PCP model, marginally effective in the
apomorphine model, and clearly effective in the isolation-rearing
model. The reasons for this unique profile of effects of LU-111995
remain to be determined. The isolation rearing model of deficient PPI
appears to be sensitive to clinically efficacious typical and atypical
antipsychotic drugs such as haloperidol, olanzapine, quetiapine, and
clozapine (Geyer et al., 1993
; Varty and Higgins, 1995
; Bakshi et al.,
1998
) and might therefore provide a useful method for identifying
potential novel antipsychotic drugs.
| |
Acknowledgments |
|---|
We thank Elizabeth Lutz, Darlene Giracello, and Beth Gregersen-Coates for their excellent technical assistance and Dr. Geoff Varty for his comments on the manuscript.
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Footnotes |
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Accepted for publication April 11, 1999.
Received for publication December 18, 1998.
1 This work was supported by National Institute of Mental Health Grant MH52885 and by Knoll Pharma. M.A.G. was supported by Research Scientist Award MH01223 from the National Institute of Mental Health, and holds an equity position with San Diego Instruments. N.R.S. was supported by National Institute of Mental Health Grant MH01436.
Send reprint requests to: Dr. Mark A. Geyer, Ph.D., Department of Psychiatry, University of California at San Diego, 9500 Gilman Dr., 0804, La Jolla, CA 92093-0804. E-mail: mgeyer{at}ucsd.edu
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Abbreviations |
|---|
DA, dopamine; PPI, prepulse inhibition; 5-HT2A, 5-hydroxytryptamine (serotonin); PCP, phencyclidine; NMDA, N-methyl-D-aspartate.
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References |
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