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Vol. 297, Issue 2, 540-546, May 2001
Section of Neuropsychopharmacology, Department of Physiology and
Pharmacology, Karolinska Institutet, Stockholm, Sweden (L.L., T.H.S.);
Division of Clinical Pharmacology, Department of Medicine and Care,
University Hospital, Linköping, Sweden (D.Ö., F.B.); and
Neurogenetics Unit, Department of Molecular Medicine, Karolinska
Hospital, Stockholm, Sweden (M.S.)
Central dopaminergic neurons have been suggested to be involved in the
pathophysiology of several psychiatric disorders, including depression,
and appear to be modulated by noradrenergic activity both at the nerve
terminal level and at the somatodendritic level. In recent years
reboxetine, a selective noradrenaline reuptake inhibitor that differs
from tricyclic antidepressants by its low affinity for muscarinic,
cholinergic and
1-adrenergic receptors, has been
introduced clinically. In the present study the effect of reboxetine on
the function of the mesolimbocortical dopamine system was investigated
by means of single cell recording and microdialysis in rats following
administration of reboxetine in doses that appear to yield clinically
relevant plasma concentrations. Reboxetine (0.625-20 mg/kg
intravenously) induced an increase in burst firing, but not in average
firing frequency of dopamine (DA) cells in the ventral tegmental area
(VTA). Moreover, reboxetine (0.15-13.5 mg/kg intraperitoneally) caused
a significantly enhanced DA output in the medial prefrontal cortex,
whereas no effect was observed in the nucleus accumbens. Local
administration of reboxetine (333 µM, 60 min), by means of reversed
microdialysis into these brain regions, caused a significant increase
in DA output in both brain regions. However, local administration of
reboxetine into the VTA (333 µM, 60 min) did not affect DA
availability in these terminal areas. Our results imply that clinical
treatment with reboxetine may result in facilitation of both prefrontal
DA output and the excitability of VTA DA neurons, effects that may
contribute to its antidepressant action, especially on drive and motivation.
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