Clozapine and N-desmethylclozapine are potent 5-HT1C receptor antagonists

Eur J Pharmacol. 1993 Apr 15;245(2):179-82. doi: 10.1016/0922-4106(93)90126-t.

Abstract

The effects of the atypical antipsychotic drug, clozapine, and its two major metabolites in man, N-desmethylclozapine and clozapine N-oxide, on 5-HT1C receptor mediated phosphoinositide hydrolysis were studied in rat choroid plexus. Clozapine and N-desmethylclozapine antagonized 5-HT-stimulated phosphoinositide hydrolysis with IC50 values of 110 and 29.4 nM, respectively. Clozapine N-oxide was less potent. None of the compounds stimulated phosphoinositide hydrolysis per se. The Ki values for [3H]mesulergine displacement in choroid plexus were in accordance with phosphoinositide hydrolysis data. In conclusion, this study demonstrates that clozapine and one of its major metabolites in man, N-desmethylclozapine, are potent 5-HT1C receptor antagonists. These properties of clozapine and N-desmethylclozapine should be considered when the atypical effects of clozapine are evaluated in vivo.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Choroid Plexus / drug effects
  • Choroid Plexus / metabolism
  • Clozapine / analogs & derivatives*
  • Clozapine / pharmacology
  • In Vitro Techniques
  • Male
  • Methysergide / pharmacology
  • Phosphatidylinositols / metabolism
  • Radioligand Assay
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Dopamine D1 / drug effects
  • Receptors, Dopamine D1 / metabolism
  • Receptors, Dopamine D2 / drug effects
  • Receptors, Dopamine D2 / metabolism
  • Serotonin Antagonists*

Substances

  • Phosphatidylinositols
  • Receptors, Dopamine D1
  • Receptors, Dopamine D2
  • Serotonin Antagonists
  • norclozapine
  • Clozapine
  • clozapine N-oxide
  • Methysergide