Institut de Recherches Servier, Centre de Recherches de Croissy,
Psychopharmacology Department, 125, Chemin de Ronde,
78290-Croissy-sur-Seine, Paris, France
S 16924 antagonized locomotion provoked by dizocilpine and
cocaine, reduced conditioned avoidance responses and blocked climbing elicited by apomorphine, models predictive of control of the positive symptoms of schizophrenia: its median inhibitory dose
(ID)50 was 0.96 mg/kg, s.c. vs. 1.91 for
clozapine and 0.05 for haloperidol. Rotation elicited in unilateral,
substantia nigra-lesioned rats by the D1 agonist, SKF
38393, and by the D2 agonist, quinpirole, was blocked
equipotently by S 16924 (0.8 and 1.7) and clozapine (0.6 and 2.0),
whereas haloperidol preferentially blocked quinpirole (0.02)
vs. SKF 38393 (1.8). S 16924 more potently inhibited the head-twitches elicited by 1-(2,5-dimethoxy-4-iodophenyl)-2-aminopropane (DOI) and the locomotion provoked by phencyclidine than it
inhibited the locomotion elicited by amphetamine
(ID50s = 0.15 and 0.02 vs. 2.4). Clozapine
showed a similar preference (0.04 and 0.07 vs. 8.6), but not
haloperidol (0.07 and 0.08 vs. 0.04). The discriminative stimulus (DS) properties of DOI were also blocked by S 16924 (ID50 = 0.17) and clozapine (0.05) but not by haloperidol
(>0.16). S 16924 fully (100%) generalized [effective dose
(ED)50 = 0.7] to a clozapine DS and clozapine (0.23) fully
generalized to a S 16924 DS whereas haloperidol (
0.08) only partially
generalized (
50%) to their DS in each case. Power spectra analysis
of electroencephalograms from frontal cortex showed that both S 16924 (2.0) and clozapine (5.0) reinforced frequencies in the 7 to 8 Hz range
whereas haloperidol (0.5) preferentially reinforced frequencies in the
10 to 14 Hz range. In a model of perturbation of cognitive-attentional
function, significant latent inhibition was obtained with S 16924 (0.08) and clozapine (0.16), but not haloperidol (0.0063 and 0.04):
higher doses of S 16924 (2.5), clozapine (5.0) and haloperidol (0.1) all blocked disruption of latent inhibition by amphetamine (1.5). Catalepsy was provoked by haloperidol (0.04-0.63) but not by S 16924 (
80.0) or clozapine (
80.0). Further, S 16924 (ID50 = 3.2) and clozapine (5.5) inhibited induction of catalepsy by
haloperidol. This action of S 16924 was abolished by the
5-HT1A receptor antagonist, WAY 100,635 (0.16), which less
markedly attenuated the anticataleptic action of clozapine. Further,
although gnawing elicited by methylphenidate was inhibited by S 16924 (ID50 = 8.4), clozapine (19.6) and haloperidol (0.04), only
the action of S 16924 was blocked by WAY 100,635 (0.16). Haloperidol
potently (0.01-0.16, ~24-fold) increased prolactin levels whereas
they were less markedly affected by S 16924 (2.5-40.0, 4-fold) and
clozapine (10.0-40.0, 3-fold). Clozapine displayed high affinity at
cloned, human, muscarinic (M1) and native, histamine (H1) receptors (Kis = 4.6 and
5.4 nM, respectively), whereas S 16924 (>1000 and 158) and haloperidol
(>1000 and 453) displayed low affinity. In conclusion, S 16924 displays a profile of activity in diverse models of potential
antipsychotic and extrapyramidal properties similar to that of
clozapine and different to that of haloperidol. In particular,
reflecting its partial agonist actions at 5-HT1A receptors,
S 16924 inhibits rather than induces catalepsy in rats. However, in
contrast to clozapine, S 16924 displays only low affinity for
muscarinic and histaminic receptors.
 |
Introduction |
In
the companion paper, it was shown that the novel benzodioxopyrrolidine,
S 16924, possesses a pattern of interaction at multiple monoaminergic
receptors similar to that of the atypical antipsychotic, clozapine and
different to that of the neuroleptic, haloperidol, in particular as
concerns its more pronounced affinity at D4,
alpha-1 adrenergic, 5-HT2A and
5-HT2C vs. D2 receptors. In
addition, S 16924 possesses more potent partial agonist properties at
5-HT1A receptors than clozapine, although haloperidol has
negligible affinity for these sites. Correspondingly, via activation of
5-HT1A autoreceptors, S 16924 diminishes the activity of
cerebral serotonergic pathways and selectively facilitates dopaminergic
transmission in mesocortical as compared to mesolimbic and
nigrostriatal pathways. This potent interaction of S 16924 with
5-HT1A receptors is of particular interest in light of the
important role of pre- and postsynaptic 5-HT1A receptors in
the control of mood and cognition, and their high concentration in the
FCX, hippocampus, septum and other corticolimbic regions (Schreiber and
De Vry, 1993
). Further, recent studies have shown alterations in the
density of 5-HT1A receptors in the FCX of schizophrenic
patients (Burnet et al., 1996
; Gurevich and Joyce, 1997
).
Certain studies have suggested that 5-HT1A agonists may
potentiate the antipsychotic properties of dopaminergic antagonists
(Evenden, 1992
; see "Discussion"). Further, the selective
facilitation of frontocortical as compared to subcortical dopaminergic
transmission by S 16924 (companion paper) may contribute to a reduction
of the "hypofrontality" which is implicated in deficit
symptomatology (Knable and Weinberger, 1997
). In addition, activation
of 5-HT1A receptors has been associated with both
anxiolytic and antidepressive properties, which may be of adjunctive
use in the (long-term) management of schizophrenic patients (Schreiber
and De Vry, 1993
). As concerns extrapyramidal symptoms, studies in
rodents have indicated that stimulation of 5-HT1A receptors
inhibits the induction of catalepsy by haloperidol and other
neuroleptics (Andersen and Kilpatrick, 1996
; Invernizzi et
al., 1988
). In light of these observations, the aim of our present
studies was to evaluate the activity of S 16924 in several, functional
paradigms suggestive of the control of positive and deficit-cognitive
symptoms of schizophrenia, as compared to the induction of
extrapyramidal and other side-effects. The models used and their
conceptual bases are outlined below.
As concerns the positive symptoms of schizophrenia, these have been
attributed to an overactivity of mesolimbic dopaminergic pathways and,
correspondingly, blockade of postsynaptic D2 receptors in
limbic structures is associated with their moderation (Kahn and Davis,
1995
). In line with this reasoning, in several experimental models,
antipsychotic (antipositive) activity is correlated with dopamine
D2 receptor antagonist properties at mesolimbic
D2 receptors: for example, blockade of the locomotor
activity elicited by the DA-reuptake inhibitors/releasers and
psychostimulants, amphetamine and cocaine, and by the open channel
blocker at N-methyl-D-aspartate receptors, dizocilpine,
which indirectly activates mesolimbic dopaminergic transmission (Delfs
et al., 1990
; Jackson et al., 1994
; Narayanan
et al., 1996
; Svensson et al., 1995
). Antagonism of stereotyped climbing elicited by the direct dopaminergic agonist, apomorphine, in mice and a reduction of CARs in rats, have also proven
robust and reproducible models sensitive to D2 receptor antagonists for the prediction of therapeutic efficacy against positive
symptoms (Kahn and Davis, 1995
; Wirsching et al., 1995
).
There are currently no straightforward approaches for the prediction of
activity against negative-cognitive symptoms. However, they appear to
involve a "hypofrontality" of the prefrontal and FCX and a
deficient mesocortical dopaminergic input to this region (Goldberg and
Gold, 1995
; Knable and Weinberger, 1997
). In contrast to haloperidol
and in analogy to dopamine, S 16924 reinforces frontocortical
dopaminergic transmission (vide supra). Further, based on
these findings and the fact that negative symptoms are more effectively
managed by clozapine, than haloperidol, several complementary
strategies may be defined. First, the influence of drugs upon EEG power
spectra from the FCX (Shvaloff et al., 1988
) may be
characterized. Second, in an approach which integrates internal cues
from various corticolimbic and other regions, drug discrimination
procedures may be used (Carey and Bergman, 1997
; Nielsen, 1988
).
Herein, thus, rats were trained to recognize the DS properties of
clozapine or S 16924. Third, in contrast to amphetamine, which elicits
principally the positive symptoms of schizophrenia, PCP reproduces both
positive and negative symptoms (Gorelick and Balster, 1995
; Steinpreis,
1996
). Further, in distinction to haloperidol, and reflecting its more
potent antagonist actions at 5-HT2A vs. D2 receptors (Brunello et al., 1995
; Roth and
Meltzer, 1995
), clozapine preferentially blocks the locomotion provoked
by PCP as compared to amphetamine (Maurel-Remy et al., 1995a
and b
). Thus, the relative potency of S 16924 in blocking PCP- as
compared to amphetamine-evoked locomotion was determined. In addition, the antagonism of HTW elicited by the hallucinogen and serotonergic agonist, DOI, was examined since this behavior is also mediated via
activation of 5-HT2A receptors, probably in the FCX
(Willins and Meltzer, 1997
; Schreiber et al., 1995
). Fourth,
a facilitation of cognitive-attentional function would likely
contribute to an improvement in negative symptoms inasmuch as
schizophrenics display a compromised processing (filtering) of sensory
information (Gray et al., 1995
; Weiner and Feldon, 1997
).
This inability to ignore irrelevant input may be modelled by a latent
inhibition (LI) paradigm whereby pre-exposure to a stimulus loses its
capacity to control behavior (Gray et al., 1995
; Weiner and
Feldon, 1997
).
Regarding side-effects, neuroleptics elicit an extrapyramidal
motor syndrome by interruption of activity at striatal D2
(or D1) receptors (Josselin et al., 1997
; Keks,
1996
; Millan et al., 1995a
). Drug propensity to induce
dystonias and Parkinson-like symptoms is reflected by the induction of
catalepsy in rats (Hoffman and Donavan, 1995
). Further, the
hyperprolactinaemia and associated endocrinological problems evoked by
neuroleptics is due to blockade of tonically-active D2
receptors on adenohypophyseal lactotrophs (Cunningham-Owens, 1996
;
Millan et al., 1995a
). Thus, we determined the ability of S
16924 to elicit catalepsy and PRL secretion in rats. The activity of S
16924 was also evaluated in a further model reflecting activity at
striatal populations of D2 receptors: inhibition of the
stereotyped gnawing elicited by the DA uptake inhibitor/releaser,
methylphenidate (Kleven et al., 1996
; Millan et
al., 1995b
). Finally, the marked activity of clozapine
but not
haloperidol
at muscarinic and histaminic receptors results in
pronounced autonomic, cardiovascular and other side-effects (Cunningham-Owens, 1996
; Zorn et al., 1994
). Thus, the
affinity of S 16924 was measured at these receptor types. As in the
companion paper, the actions of S 16924 were compared throughout to
those of clozapine and haloperidol.
 |
Methods |
Animals.
Male Wistar rats (220-240 g body weight,
Iffa-Credo, L'Arbresle, France) and CD1 (ICR) BR mice
(22-25 g, Charles River, Saint-Aubin-les-Elbeuf, France) were
used. The animals were housed in sawdust-lined cages with, unless
specified, free access to food and water. Laboratory temperature was
21 ± 1°C and humidity 60 ± 5%. There was a 12 hr/12 hr
light-dark cycle with lights on at 7:30.
Influence on PRL levels.
PRL levels were determined in
systemic plasma using a radioimmunoassay and a specific antibody
against rat PRL (Amersham, Buckingham, England) as described previously
(Millan et al., 1995a
). Data were analyzed by ANOVA followed
by Dunnett's test. Drug potency was expressed in terms of the minimal
effective dose (P < .05 to vehicle) derived from Dunnett's test.
Inhibition of rotation elicited by quinpirole and SKF 38393.
The procedure employed was described in detail previously (Millan
et al., 1995b
). Briefly, rats anesthetized with
pentobarbital (45 mg/kg, i.p.) were placed in a stereotaxic apparatus
and the left substantia nigra pars compacta injected over 4 min with
4.0 µl of 6-hydroxydopamine (2 µg/µl). After 3 wk recovery, rats
showing a pronounced contralateral turning response to apomorphine
(0.04 mg/kg, s.c.) were selected for further study. Separate groups of
rats were trained either with quinpirole (0.02 mg/kg, s.c.) or with SKF
38393 (0.63 mg/kg, s.c.). Rotation was recorded over 20 to 50 min and
45 to 60 min after administration of quinpirole and SKF 38393, respectively. Rotation was monitored automatically using a
harness coupled to a microcomputer (Rotacount 8, Columbus Instruments,
OH). An alternate design (ABACADA...) was used such that, in every
other session, rats received vehicle rather than a test drug prior to
quinpirole or SKF 38393. Rotation was expressed as a percentage of the
mean of the (A) sessions preceding and after drug treatment. Drugs were
given 25 min before quinpirole or SKF 38393. Data were analyzed by a
paired Student's test and ID50s (95% CLs) calculated to
estimate drug potency.
Inhibition of apomorphine-induced climbing.
As previously
(Millan et al., 1995b
), mice were administered drug or
vehicle and placed individually in upturned, steel cylinders (14 cm
diam., 14 cm h.) with walls of vertical bars (2 mm diam., 1 cm apart).
Thirty min later, they received injections with apomorphine (0.75 mg/kg, s.c.) and replaced in the cylinders. Each animal was observed
for climbing behavior (total score: 0 to 4) at 10 and 20 min after the
injection of apomorphine. Data (percentages of animals with a
total
summed for 10 and 20 min
climbing score of <2) were analyzed
by Fisher's exact probability test and effective dose
(ED)50s (95% CLs) calculated to estimate drug potency.
Inhibition of spontaneous amphetamine-, cocaine-, dizocilpine-
and PCP-induced locomotion in rats.
The procedure used was
essentially as described previously by Maurel-Remy et al.
(1995b)
. Rats were administered drug or vehicle and placed in
individual transparent polycarbonate cages (45 × 30 × 20 cm). Thirty min later, they received injections with amphetamine (2.5 mg/kg, i.p.), cocaine (20 mg/kg, i.p.), dizocilpine (0.16 mg/kg, s.c.)
or PCP (20.0 mg/kg, s.c.) and the cages placed in activity chambers
(Lablinc System, Coulbourn, Lehigh Valley, PA). For measures of
spontaneous locomotion, no further treatment was given. Chambers were
equipped with two infrared beams 4 cm above the floor and 24 cm apart.
The consecutive interruption of two beams within 3 sec was computed as
a movement (locomotor activity). Activity was monitored over 60 min
after injection of amphetamine, cocaine, dizocilpine or PCP. Data were
analyzed by ANOVA followed by Dunnett's test and ID50s
(95% CLs) calculated to estimate drug potency.
Inhibition of spontaneous activity in mice.
Thirty min after
treatment with drug (mg/kg, s.c.) or vehicle, mice were removed from
their individual housing cages and placed in a white, plexiglass
recording chamber (27 × 27 × 27 cm) equipped with four
photocells (6 cm apart and 2 cm above the cage floor) located on
each of two facing walls. The photocells were connected through an
interface to a microcomputer (OSYS/ORGA System, Changé, France).
Interruption of two adjacent photocell beams was counted as a movement.
Locomotor activity, i.e., number of movements, was recorded
during a 10-min session.
Inhibition of CAR.
The procedure employed was similar to
that described by Evenden (1992)
. Rats used for the study were
pretrained to move from one compartment of a shuttle-box (Letica,
Barcelona, Spain) to the other when a stimulus light was "on" to
avoid an electric shock through the grid-floor. They were submitted to
a daily session of 10 trials, separated one another by a 30-sec
intertrial interval. Each trial consisted of a 10-sec period (maximal
duration) with stimulus light "on," followed or not by a 5-sec
period (maximal duration) with electric shock (560 µA), depending on
the response of the animal to the stimulus light. The trial terminated
once the rat had moved into the other compartment, either during the light "on" period (CAR) or during the shock period (escape
response). Data were the number of CARs (maximal value: 10) per
session. The animals served as their own controls with the vehicle
session performed on the day before the test (drug) session. Drug or
vehicle were injected 30 min before the session. Data were analyzed by a paired Wilcoxon signed rank test and ID50s (95% CLs)
calculated to estimate drug potency.
Inhibition of PCP-induced locomotion after chronic administration
of S 16924.
S 16924 (0.16 or 2.5 mg/kg, s.c.) or vehicle were
administered once a day for 14 days. On test day (day 15), the effects
of S 16924 (0.16 or 2.5 mg/kg, s.c.) upon PCP-induced locomotion were
evaluated as described above. The effects of S 16924 in rats treated
for 2 wk with S 16924 were compared to those obtained in rats treated
for 2 wk with vehicle using ANOVA followed by Newman-Keuls test.
Inhibition of DOI-induced HTWs.
As described previously
(Schreiber et al., 1994
), rats received injections with DOI
(2.5 mg/kg, i.p.) and placed in transparent, plexiglass observation
cages (33.5 × 23.5 × 19.0 cm) without a sawdust lining.
Five min after the administration of DOI, the number of HTWs was
counted over 5 min. Drugs were given 30 min before DOI. Data were
analyzed by ANOVA followed by Dunnett's test and ID50s
(95% CLs) calculated to estimate drug potency.
Latent inhibition.
The protocol used was based on that
described by Weiner and Feldon (1997)
. The animals were housed in
groups of four with free access to food during the entire study.
Commencing 72 hr before the first training session, all rats had their
access to water restricted to 1 hr per day in the morning. The LI-CER
procedure used consisted of four successive phases: training, PE,
conditioning and test. They were conducted in standard operant chambers
(Med Associates Inc., St Albans, VT; model ENV 007) equipped with
lickometers (Med Associates Inc., model ENV 251M). During training
(days 1-6), animals were allowed to drink in the chambers for 5 min
and only rats completing more than 600 licks in the last two sessions
were included in the study. During the PE (day 7) and the conditioning (day 8) sessions, animals were placed for 15 min in the chambers with
the water spout removed. For half of the animals, PE consisted of a
series of tone presentations within the session. Each tone had a
frequency of 2.5 kHz, an intensity of 30 dB above background and a
duration of 10 sec. The number of tones was either 10 or 40 using
interstimulus intervals of 80 or 12.5 sec, respectively. The other half
of the animals (NPE rats) were placed in the operant chambers without
being exposed to the tones. The expression of LI covaries with the
number of tones during PE (Moran and Moser, 1992
). Thus, in studies of
drug-induced LI, we used a 10 tone PE paradigm to avoid a limitation of
drug actions by ceiling effects. In contrast, studies of
amphetamine-induced disruption of LI used a 40 tone PE as stable and
reproducible LI effects were obtained under these conditions in
vehicle-treated animals. During conditioning, animals were exposed to
two tones 5 and 10 min after the beginning of the session. Each tone
was immediately followed by a scrambled footshock (0.5 mA, 3 sec;
shocker: Med Associates Inc; model ENV 410). For the test session (day
9), the water spouts were replaced in the chambers and each animal
allowed to drink freely until 100 licks had been made. Then, a tone
presentation occurred and continued until either the animal made a
further 10 licks or 300 sec had elapsed. A SR was calculated according
to the formula SR = t1/(t1 + t2) with t1 and t2 as the times to
complete licks 90 to 100 and 100 to 110, respectively. Usually,
t1 was low (ranging between 1.5 and 2 sec). The NPE
animals, which reliably learned the tone-shock association, generally
stopped drinking upon presentation of the tone; t2 was high
and consequently, SR was low. In contrast, the PE animals, with blunted
tone-shock learning, usually continued to drink during the tone
presentation; t2 was low and the SR was high. Induction of
LI was concluded when the SR of the PE group was significantly higher
(P < .05 after a two-way ANOVA) than that of the NPE group
receiving the same drug treatment. For studies of drug-induced LI,
animals were administered with drugs or vehicle 60 min before the PE
and conditioning sessions. For studies of the blockade of
amphetamine-induced disruption of LI, both drug (or vehicle) injections
were followed 45 min later by an amphetamine (1.5 mg/kg, s.c.) or
vehicle administration. Data were analyzed by ANOVA.
Electroencephalographic power spectra.
The method employed
was essentially as that detailed previously (Shvaloff et
al., 1988
). Male Wistar rats (400-450 g) were anaesthetized with
chloral hydrate (350 mg/kg, i.p.) and placed in a stereotaxic
apparatus. Two (left and right) bipolar, transcortical electrodes were
implanted in the prefrontal cortex (A + 4 mm, L = ±2.5 mm,
with bregma as 0). After a 10-day recovery period and progressive
habituation to the restraining device in the EEG recording chamber, the
animals were used for EEG recording. The rats were administered either
vehicle (day 1) or drug (day 2) and placed in the recording chambers.
The EEG was recorded over 5 min, 60 min postadministration. The EEG
signals were amplified, low-pass filtered (
90 dB/30 Hz), digitized
(64 pts/sec) and transformed (Fourrier analysis on 2-sec epoch samples)
resulting in an average power spectrum over the 18 to 30 Hz frequency
range. The EEG profile of drugs was expressed (ratio) relative to that
of their vehicle controls. EEGs obtained from left and right cortical
electrodes were averaged for presentation.
Drug discrimination.
Food-deprived rats were trained to
discriminate DOI (0.63 mg/kg i.p.), S 16924 (2.5 mg/kg i.p.) or
clozapine (5.0 mg/kg i.p.) from saline with a standard two-lever,
fixed-ratio 10, food-reinforced operant procedure according to the
method of Schreiber et al. (1994)
. Each daily session
started 15 min (DOI and S 16924 groups) or 30 min (clozapine group)
after drug or saline injection and was terminated after 15 min. Drug or
saline sessions alternated randomly. The discrimination criterion
consisted of 10 consecutive sessions with correct responding,
i.e., no more than 13 responses on both the reinforced and
the nonreinforced levers before the first reinforcement was obtained.
Then, test sessions were conducted every Wednesday and Friday, whereas
training sessions continued on the other days (5 days/wk). Rats that
responded incorrectly on the two most recent training days were
submitted to an additional training session instead of a test session.
During testing, responding on the selected lever, i.e., the
lever on which 10 responses were recorded first, was reinforced for the
remainder of the session. For agonist testing, compounds were
substituted for the training drug and administered at the corresponding
time before the session. For antagonist testing (DOI group), compounds
were injected 45 min before the training drug, which was given 15 min
before the session. Data recorded during a test session were lever
selection and response rates, i.e., the total number of
presses on both levers. Lever selection data were expressed as the
percentage of rats selecting the drug lever and were analyzed by a
Fisher exact probability test, with control values defined as 0%
(agonist testing) or 100% (antagonist testing) drug lever selection.
ED50s (95% CLs) were also calculated to estimate drug
potency. Response rates were compared by a paired Wilcoxon signed rank
test (P < .05) to those obtained during the preceding saline
(agonist testing) or drug (antagonist testing) training session:
percentages of inhibition of response rates and ID50s (95%
CLs) were also calculated.
Induction of catalepsy.
Catalepsy was measured as previously
(Millan et al., 1995a
). Rats were placed in a position
whereby the left and right hind-paw were placed over the ipsilateral
fore-paws. The time over which this position was maintained was
determined over a maximum of 30 sec (100% effect). Data were the mean
of three measures separated by 1-min intervals. Drugs were injected 60 min before testing. Data were analyzed by ANOVA followed by Dunnett's
test and Active Dose (AD)50s (95% CLs) calculated to
estimate drug potency.
Inhibition of haloperidol- or SCH 39166-induced catalepsy.
S
16924, clozapine or vehicle were administered to rats 30 min before the
injection of either haloperidol (2.5 mg/kg, s.c.) or SCH 39166 (10.0 mg/kg, s.c.), which were given 30 min before testing. Catalepsy was
measured as described above. Data were analyzed by ANOVA followed by
Dunnett's test and ID50s (95% CLs) calculated to estimate
drug potency. In interaction studies of haloperidol-induced catalepsy,
the 5-HT1A antagonist, WAY 100,635 or vehicle were injected
30 min before the administration of S 16924 or clozapine (10.0 mg/kg,
s.c.). Data were analyzed by two-way ANOVA, followed by Newman-Keuls
test.
Inhibition of haloperidol-induced catalepsy after chronic
treatment with S 16924 or clozapine.
Rats were administered S
16924 (2.5 mg/kg, s.c.), clozapine (10.0 mg/kg, s.c.) or vehicle once a
day for 14 days. On test day (day 15), these treatments were followed
30 min later by the injection of haloperidol (2.5 mg/kg, s.c.) and,
after a further 30 min, by measurement of catalepsy. Data were analyzed
by two-way ANOVA, followed by Newman-Keuls test.
Inhibition of methylphenidate-induced gnawing.
As previously
(Millan et al., 1995b
), rats were administered with
methylphenidate (40.0 mg/kg, i.p.) and placed in transparent plexiglass
observation cages (33.5 × 23.5 × 19.0 cm) with a
grid-floor. Thirty min later, the number of periods (of 10) of gnawing
was evaluated over 10 min (one 10-sec observation period/min). Under such conditions, methylphenidate yields a maximal response of 10. Drugs
were administered 30 min before methylphenidate. Data were analyzed by
ANOVA followed by Dunnett's test and ID50s (95% CLs)
calculated to estimate drug potency. In interaction studies, the
5-HT1A antagonist WAY 100,635 (0.63 mg/kg, s.c.) or vehicle were injected 30 min before the administration of S 16924 (10.0) or
clozapine (40.0 mg/kg, s.c.). Data were analyzed by a two-way ANOVA,
followed by Newman-Keuls test.
Induction of serotonergic behaviors.
Two behaviors typically
elicited by selective and high efficacy 5-HT1A agonists,
STFs and FBP, a component of the "serotonin syndrome," were
measured. As described previously (Millan et al., 1994
), one
STF was defined as the raising of the tail to a level higher than that
of the body axis in rats loosely-restrained in horizontal cylinders and
FBP was defined as a position with the hind-legs in extension and the
abdomen closely apposed to the cage floor. The number of STFs elicited
over 5 min and the number of rats per treatment group showing FBP were
evaluated 30 min after s.c. injection of 8-OH-DPAT, S 16924, clozapine
or haloperidol.
Binding.
Competition binding studies were performed at
multiple histaminergic, muscarinic receptor types, as well as at NMDA,
AMPA (DL-
-NH2-2,3-dihydro-5-methyl-3-oxo-4-isoxazolepropanoic
acid),
-amino butyric acid and benzodiazepine binding sites. Assay
conditions are summarized in table 7 (see also Millan et
al., 1995a
). Isotherms were analyzed by nonlinear regression,
using the program "PRISM" (Graphpad Software Inc., San Diego, CA)
to yield IC50 values. Kis were
derived from IC50 values according to the Cheng-Prusoff equation: Ki = IC50/(1 + L/Kd) where L is the concentration of radioligand and Kd is the dissociation constant
of the radioligand.
Drugs.
All drugs were dissolved in sterile water with a few
drops of lactic acid. The pH was adjusted to as close to neutrality as possible (>5.0). Unless otherwise specified, drugs were injected s.c.
in a volume of 1 ml/kg. In general, full dose-response curves were
performed for all studies. However, in view of limitations in drug
solubility, absolute upper limits of 80.0 mg/kg were defined for S
16924 and clozapine. Drug structures, sources and salts were as
follows: d-amphetamine sulfate (Calaire Chimie, Calais, France); apomorphine HCl, PCP HCl and haloperidol (Sigma Chimie, St
Quentin-Fallavier, France); cocaine HCl (Coopérative
Pharmaceutique Française, Melun, France); dizocilpine hydrogen
maleate, (±)-8-OH-DPAT ((±)-8-dihydroxy-2-(di-n-propylamino)
tetralin) HCl, (±) DOI
(1-[2,5-dimethoxy-4-iodophenyl]-2-aminopropane) HCl, clozapine,
quinpirole HCl and SKF 38393 [(±)-1-phenyl-2,3,4,5-tetrahydro-(1H)-3-benzazepine-7,8-diol] HCl
(Research Biochemicals International, Natick, MA); methylphenidate HCl
(Ciba-Geigy) and SCH 39166 ((
)-trans-6,7,7a,8,9,13b-hexahydro-3-chloro-2-hydroxyl-N-methyl-5H-benzo[d]-naphto-[2,1-benzazepine]) HCl (Schering Plough Corp., Bloomfield, IL). WAY 100,635 fumarate and S
16924 HCl were synthesized by J.-L. Peglion and G. Lavielle (Servier),
respectively.
 |
Results |
Influence of S 16924, compared with clozapine and haloperidol, upon
rotation in unilateral substantia nigra pars compacta-lesioned
rats.
The preferential D2 receptor agonist,
quinpirole, and the preferential D1 receptor agonist, SKF
38393, elicited a pronounced, contralateral rotation in rat sustaining
unilateral lesions of the substantia nigra pars compacta. The selective
D1 receptor antagonist, SCH 39166, potently blocked the
action of SKF 38393 as compared to that of quinpirole with
ID50s (95% CLs) of 0.02 (0.01-0.03) and 0.2 (0.04-0.9)
mg/kg, s.c., respectively (fig. 1). In
contrast, haloperidol preferentially and potently antagonized the
action of quinpirole (fig. 1; table 1). S
16924 and clozapine, however, both dose-dependently and fully inhibited
the induction of rotation by quinpirole and SKF 38393 with similar
potencies (fig. 1; table 1).

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Fig. 1.
Influence of S 16924 as compared to clozapine,
haloperidol and SCH 39166 on the rotation elicited by quinpirole (0.02 mg/kg, s.c.) and SKF 38393 (0.63 mg/kg, s.c.) in rats sustaining
unilateral lesions of the substantia nigra, pars compacta. A, S 16924;
B, clozapine; C, haloperidol and D, SCH 39166. Data are means ± S.E.M.s, N 6 per value. Asterisks indicate
significance of differences to respective vehicle values using a
two-tailed, paired Student's t test. *P < .05.
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TABLE 1
Influence of S 16924 as compared to clozapine and haloperidol in
various procedures predictive of antipsychotic (antiproductive)
properties
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Influence of S 16924, compared with clozapine and haloperidol, in
diverse models of potential antipsychotic (antipositive) activity.
The locomotion provoked by the psychostimulants, cocaine and
dizocilpine, was dose-dependently and potently inhibited by haloperidol with clozapine exerting its activity over a much higher dose range (fig. 2; table 1). S 16924 was also
dose-dependently active in these procedures with an intermediate
potency (fig. 2; table 1). Similarly, in analogy to haloperidol and
clozapine, and with intermediate potency, S 16924 both reduced the
induction of climbing behavior by the dopaminergic agonist,
apomorphine, and reduced avoidance responses in a CAR paradigm (fig. 2;
table 1). Across all of these procedures, S 16924, haloperidol and
clozapine exerted their actions with similar maximal effects (fig. 2;
table 1).

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Fig. 2.
Influence of S 16924 as compared to clozapine and
haloperidol in various models of potential antipsychotic
(antiproductive) activity. A, Inhibition of cocaine- (20 mg/kg, i.p.)
induced hyperlocomotion; B, inhibition of dizocilpine- (0.16 mg/kg,
s.c.) induced hyperlocomotion; C, inhibition of apomorphine- (0.75 mg/kg, s.c.) induced climbing and D, inhibition of conditioned
avoidance responses. Data are means ± S.E.M.s, N 6 per value. ANOVA as follows. A, S 16924, F (4,33) = 9.1, P < .001; clozapine, F (5,60) = 7.5, P < .001 and haloperidol, F
(3,43) = 15.0, P < .001. B, S 16924, F (3,29) = 12.9, P < .001; clozapine, F (4,58) = 14.2, P < .001 and haloperidol, F
(4,55) = 11.3, P < .001. Asterisks indicate significance of
differences to vehicle values in Dunnett's test following ANOVA (A and
B), in the Fisher exact probability test (C) and in a paired Wilcoxon
test (D). *P < .05.
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Influence of S 16924, compared with clozapine and haloperidol, upon
the locomotion elicited by amphetamine as compared to PCP.
The
locomotion elicited by the psychostimulant, amphetamine, was blocked by
haloperidol with a potency marginally greater than that required to
inhibit the action of PCP, whereas clozapine displayed markedly greater
potency against PCP than amphetamine (fig.
3; and tables 1 and
2). Similarly, S 16924 antagonized the
action of PCP with far greater potency than that of amphetamine (fig.
3; tables 1 and 2). After chronic, 2-wk administration of S 16924, its
capacity to inhibit the locomotion elicited by PCP was not reduced;
that is, no tolerance developed (table
3).

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Fig. 3.
Influence of S 16924 as compared to clozapine and
haloperidol upon the hyperlocomotion elicited by amphetamine (2.5 mg/kg, i.p.) as compared to phencyclidine (PCP) (20.0 mg/kg, s.c.). A,
S 16924; B, clozapine and C, haloperidol. Data are means ± S.E.M.s, N 6 per value. ANOVA as follows.
Hyperlocomotion, amphetamine: S 16924, F (3,28) = 18.2, P < .001;
clozapine F (3,63) = 8.6, P < .001 and haloperidol, F (4,67) = 13.5, P < .001. Hyperlocomotion, PCP: S 16924, F (4,34) = 8.4, P < .001; clozapine, F (4,40) = 8.3, P < 0.001 and
haloperidol, F (5,53) = 5.5, P < .001. Asterisks indicate
significance of differences to vehicle values in Dunnett's test
following ANOVA. *P < .05.
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TABLE 2
Influence of S 16924 as compared to clozapine and haloperidol in
various tests of antipsychotic properties involving serotonergic and/or
dopaminergic activity
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TABLE 3
Influence of chronic administration of S 16924 upon its ability to
inhibit the locomotion provoked by phencyclidine (PCP)
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Influence of S 16924, compared with clozapine and haloperidol, upon
the actions of DOI.
S 16924, clozapine and haloperidol all
potently inhibited the induction of HTWs by the hallucinogen, DOI (fig.
4; and table 2). Over a similar
dose-range, both S 16924 and clozapine also inhibited the DS properties
of DOI, whereas haloperidol was inactive in this model (fig. 4; table
2). However, haloperidol, in distinction to S 16924 and clozapine,
produced a marked reduction in response rates and doses higher than
0.16 could not be tested (table 2). The doses of S 16924 and clozapine
active in the DOI-induced HTW and DS procedures were, like those
blocking PCP-locomotion, low as compared to those required to inhibit
amphetamine-induced locomotion (figs 2 and 4; tables 1 and 2). This was
not the case for haloperidol (figs 2 and 4; tables 1 and 2).

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Fig. 4.
Influence of S 16924 as compared to clozapine and
haloperidol upon the head-twitches and a discriminative stimulus
elicited by DOI. A, Head-twitches elicited by DOI (2.5 mg/kg, i.p.).
Data are means ± S.E.M.s, N 6 per value. ANOVA
as follows: S 16924, F (3,46) = 7.9, P < .001; clozapine, F
(5,44) = 9.8, P < .001 and haloperidol, F (4,30) = 6.8, P < .001. Asterisks indicate significance of differences to vehicle values
in Dunnett's test following ANOVA. *P < .05. B, Discriminative
stimulus elicited by DOI (0.63 mg/kg, i.p.). Data are percentage of
animals selecting the DOI lever. N = 4 to 10 per value.
Asterisks indicate significance of differences to control values (100%
drug lever selection) in the Fisher exact probability test. *P < .05.
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Influence of S 16924, compared with clozapine and haloperidol, in S
16924 and clozapine drug discrimination paradigms.
In rats trained
to recognize a DS elicited by clozapine (5 mg/kg, i.p.), dose-dependent
and full generalization was obtained with clozapine itself, as well as
with S 16924 at somewhat lower doses (fig.
5; table 2). In contrast, haloperidol did
not generalize to clozapine up to doses that suppressed response rates
(fig. 5; table 2). A similar pattern of data was acquired in rats
trained to recognize S 16924 (2.5 mg/kg, i.p.) where S 16924 and, less potently, clozapine dose-dependently and fully generalized (fig. 5;
table 2). In contrast, haloperidol only partially generalized even up
to doses which very markedly depressed response rates (fig. 5; table
2). The potent motor-suppressant actions of haloperidol were
underpinned by studies of its influence upon spontaneous motor behavior
in rats and mice. This was decreased by haloperidol with
ID50s (95% CLs) of 0.03 (0.01-0.06) and 0.2 (0.1-0.5) mg/kg, s.c., respectively. S 16924 and clozapine also
decreased spontaneous motor activity, although only over higher doses
ranges. S 16924, rats: 0.9 (0.4-2.3) and mice: 0.6 (0.1-5.0) and
clozapine: rats, 6.0 (2.5-14.1) and mice: 1.1 (0.3-3.5) mg/kg, s.c.
These active doses in rats are similar to their rate-suppressant doses
in the clozapine DS model (table 2).

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Fig. 5.
Generalization of S 16924 as compared to clozapine
and haloperidol to discriminative stimuli elicited by clozapine (5 mg/kg, i.p.) and S 16924 (2.5 mg/kg, i.p.). N = 5 to 7 per value. Doses are in mg/kg, s.c. (filled symbols) or i.p. (open
symbols). Upper panels, Drug lever selection. Data are percentage
of animals selecting drug lever. Asterisks indicate significance of
differences to control values (100% drug lever selection) in the
Fisher exact probability test. *P < .05. Lower panels, Response
rates. Data are means ± S.E.M.s of percentage of vehicle response
values obtained during the most recent training session. Asterisks
indicate significant decreases in response rates as compared to vehicle
in the paired Wilcoxon test. *P < .05.
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Influence of S 16924, compared with clozapine and haloperidol, upon
EEG power spectra obtained from the FCX.
There was a marked
similarity in the EEG power spectra obtained from the FCX as concerns S
16924 and clozapine, which both elicited a pronounced and distinctive
peak over 7 to 8 Hz (fig. 6). In
distinction, haloperidol produced a modest and broad shoulder over 10 to 14 Hz (fig. 6).

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Fig. 6.
Influence of S 16924 as compared to clozapine and
haloperidol upon electroencephalographic (EEG) power spectra from the
frontal cortex. Data are the means of the percentages «spectral energy
drug/vehicle» (ordinates) over the 1 to 30 Hz range of frequency
(abscissae) obtained 1 hr after drug or vehicle administration, from a
5-min EEG recording period.
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Influence of S 16924, compared with clozapine and haloperidol, in a
LI paradigm.
Under the 10 tone PE condition (fig.
7), SRs in vehicle-injected rats were
slightly, but not significantly, higher in the PE as compared to NPE
groups. In the presence of S 16924 (0.08 mg/kg, s.c.) and clozapine
(0.16), but not haloperidol (0.0063), the difference between NPE and PE
conditions became significant inasmuch as the SRs of the NPE animals
was increased without an alteration in the scores of PE rats. That is,
the conditioning of the emotional response was not modified per se.
Haloperidol was also inactive at a dose of 0.04 mg/kg (not shown). In
the 40 tone PE condition (fig. 8),
significant LI was obtained across all treatments and in S 16924- and vehicle-treated animals individually, although significance was
just missed for the clozapine and haloperidol groups. Amphetamine (1.5 mg/kg) disrupted LI by reducing SRs of the PE group almost to the level
of the NPE group. At high doses, corresponding to those active in the
models of antipositive activity described above (table 1), S 16924, clozapine and haloperidol inhibited disruption of LI by amphetamine
(fig. 8).

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Fig. 7.
Induction of latent inhibition by S 16924 as compared
to clozapine and haloperidol. Drugs were administered 60 min before
pre-exposure and conditioning, in each case. Values represent
suppression ratios for rats either pre-exposed to 10 tones or not (NPE)
and are means ± S.E.M.s, N = 6 to 20 per value.
Two-way ANOVA revealed a significant influence of pre-exposure: S
16924, F (1,31) = 5.7, P < .05; clozapine, F (1,34) = 9.1, P < .01 and haloperidol, F (1,74) = 6.5, P < .05. Asterisks
indicate significance of differences, in a post hoc
comparison, between values of NPE and 10 tone groups for a common drug
treatment. *P < .05.
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Fig. 8.
Inhibition by S 16924 as compared to clozapine and
haloperidol of the disruption of latent inhibition by amphetamine (1.5 mg/kg). A, Vehicle and B, amphetamine. Drugs and amphetamine were
injected 60 and 15 min, respectively, before the preexposure and the
conditioning sessions. Values represent suppression ratios for rats
either preexposed to 40 tones or not (NPE) and are means ± S.E.M.s, N > 9 per value. A two-way ANOVA performed on
control (vehicle) groups (first two columns of A and B) yielded a
significant influence of preexposure: F (1,182) = 14.9, P < .001;
amphetamine F (1,182) = 62.9, P < .001 and a significant
preexposure × amphetamine interaction: F (1,182) = 5.2, P < .05. Post hoc comparisons between the NPE and 40 tone groups
yielded, in the presence of vehicle, significant LI (P < .01) but
not in the presence of amphetamine (P > .05). A two-way ANOVA
(preexposure × drug treatment) yielded a significant influence of
pre-exposure: A, F (1,151) = 15.9, P < .001 and B, F (1,158) = 24.1, P < .001. Asterisks indicate significance of differences,
in a post hoc comparison, between values of NPE and 40 tones
groups for vehicle, S 16924, clozapine or haloperidol groups receiving
vehicle or amphetamine. *P < .05.
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Induction and inhibition of catalepsy by S 16924, compared with
clozapine and haloperidol.
Whereas haloperidol and SCH 39166 [AD50 = 0.8 (0.2-3.2 mg/kg, s.c.)] elicited catalepsy,
both S 16924 and clozapine were inactive (fig.
9; table
4). Indeed, S 16924 and clozapine
antagonized induction of catalepsy by haloperidol with
ID50s (95% CLs) of 3.2 (1.5-6.7) and 5.5 (1.4-21.4
mg/kg, s.c.) respectively (fig. 9). Similarly, both S 16924 [1.5
(0.9-2.6)] and clozapine [1.8 (0.3-0.4)] blocked induction of
catalepsy by SCH 39166 (fig. 9). The influence of S 16924 against
haloperidol-induced catalepsy was dose-dependently prevented by the
selective 5-HT1A receptor antagonist, WAY 100,635, whereas
it only partially interfered with the action of clozapine (fig.
10). After 2-wk chronic administration of S 16924 or clozapine, their ability to interfere with the induction of catalepsy by haloperidol was not diminished (table
5).

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Fig. 9.
Induction and modulation of catalepsy by S 16924 as
compared to clozapine, haloperidol and SCH 39166. A, Induction of
catalepsy; B, Inhibition of the cataleptic action of haloperidol (2.5 mg/kg, s.c.) and C, inhibition of the cataleptic action of SCH 39166 (10.0 mg/kg, s.c.). Data are means ± S.E.M.s, N 6 per value. ANOVA as follows: A, haloperidol, F (4,43) = 58.3, P < .001; SCH 39166, F (5,34) = 21.0, P < .001; S 16924, F
(3,20) = 0.18, P > .05 and clozapine, F (3,20) = 0.10, P > .05. B, S 16924, F (4,39) = 19.6, P < .001 and clozapine, F
(5,39) = 6.6, P < .001. C, S 16924, F (4,35) = 19.1, P < .001 and clozapine, F (4,35) = 6.2, P < .001. Asterisks indicate
significance of differences in Dunnett's test following ANOVA. *P < .05.
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Fig. 10.
Attenuation by WAY 100,635 of the ability of S 16924 (10.0 mg/kg, s.c.) and clozapine (10.0 mg/kg, s.c.) to inhibit the
cataleptic action of haloperidol (2.5 mg/kg, s.c.). A, S 16924 and B,
Clozapine (CLOZ). Data are means ± S.E.M.s, N 5 per value. Two-way ANOVA as follows. A, WAY 100,635, F (3,50) = 31.9, P < .001; S 16924, F (1,50) = 330.8, P < .001 and
interaction, F (3,50) = 27.8, P < .001. B, WAY 100,635, F (3,28) = 5.08, P < .01; CLOZ, F (1,28) = 104.4, P < .001 and
interaction, F (3,0) = 2.95, P = 0.05. Symbols (#) indicate
significance of differences of VEH/S 16924 and VEH/CLOZ to VEH/VEH
values and asterisks indicate significance of differences to respective
VEH/S 16924 values in Newman-Keuls test after ANOVA. # and *P < .05.
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TABLE 5
Influence of chronic administration of clozapine or of S 16924 upon
their ability to inhibit the induction of catalepsy by haloperidol
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Inhibition of methylphenidate-induced gnawing by S 16924, compared
with clozapine and haloperidol.
The stereotyped gnawing elicited
by methylphenidate (40.0) was dose-dependently and completely blocked
by haloperidol and, less potently, by S 16924 and clozapine (fig.
11), with ID50s (95% CLs)
of 0.04 (0.02-0.06), 8.4 (5.4-13.1) and 19.6 (9.9-38.5) mg/kg, respectively. The ability of S 16924 to block gnawing was prevented by
WAY 100,635 (fig. 11). In contrast, WAY 100,635 did not modify the
inhibition of gnawing by clozapine (fig. 11).

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Fig. 11.
Inhibition of methylphenidate-induced gnawing by S
16924 as compared to clozapine, haloperidol and SCH 39166, and blockade
of the action of S 16924 but not clozapine by WAY 100,635. A,
Inhibition of methylphenidate- (40.0 mg/kg, i.p.) induced gnawing and
B, Inhibition of the antignawing action of S 16924 (10.0 mg/kg, s.c.)
as compared to clozapine (10.0 mg/kg, s.c.) by WAY 100,635 (0.63 mg/kg,
s.c.). Data are means ± S.E.M.s, N 5 per
value. A, ANOVA as follows. S 16924, F (4,37) = 17.1, P < .001;
clozapine, F (3,31) = 9.97, P < .001 and haloperidol, F (3,25) = 87.4, P < .001. B, Two-way ANOVA as follows. S 16924, F (1,16) = 34.7, P < .001; WAY 100,635, F (1,16) = 42.6, P < .001 and
interaction, F (1,16) = 34.7, P < .001. Clozapine, F (1,16) = 176.1, P < .001; WAY 100,635, F (1,16) = 0.09, P = .76 and
interaction, F (1,16) = 0.09, P = .76. In A, asterisks denote
significance of differences to respective vehicle values. In B, symbols
(#) denote significance of differences of vehicle/S 16924 to
vehicle/vehicle values and asterisks denote differences of WAY
100,635/S 16924 to vehicle/S 16924 values in Newman-Keuls test
following ANOVA. # and *P < .05.
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Influence of S 16924, compared with clozapine and
haloperidol, upon PRL levels in the systemic circulation.
Haloperidol dose-dependently and potently elicited a marked increase in
circulating levels of PRL (table 4). In distinction, clozapine elicited
only a mild increase in PRL levels, even at a high dose (fig. 12; table
4). S 16924 also only increased PRL levels at a high dose relative to
that of haloperidol and its maximum effect was inferior to that of
haloperidol, although greater than that of clozapine (fig. 12; table
4).

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Fig. 12.
Influence of S 16924 as compared to colzapine
and haloperidol upon levels of PRL in the systemic circulation. Data
are means ± S.E.M. N > 6 per value. ANOVA as follows: S
16924, F (6,75) = 13.4, P < .01; clozapine, F (6,86) = 6.2, P < .01 and haloperidol, F (5,47) = 18.7, P < .01. Asterisks indicate
significance of differences in Dunnett's following ANOVA. *P < .05.
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Influence of S 16924, compared with clozapine and haloperidol, upon
5-HT1A receptor-mediated motor behaviors.
In contrast
to 8-OH-DPAT, a high efficacy 5-HT1A receptor agonist, S
16924, clozapine and haloperidol all failed to elicit either FBP or
STFs (table 6). S 16924, clozapine and
haloperidol all potently inhibited the induction of STFs by 8-OH-DPAT
(table 6).
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TABLE 6
Influence upon spontaneous tail-flicks (STFs) and flat-body posture
(FBP) of S 16924 as compared to clozapine and haloperidol
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Interaction of S 16924, compared with clozapine and haloperidol, at
muscarinic and histaminic receptors.
Clozapine displayed marked
affinity for native histamine1 receptors and for native and
cloned, human M1, M2, M3 and
M4 receptors (table 7).
Analogous to haloperidol, the affinity of S 16924 for muscarinic
receptors was negligible and its affinity at H1 receptors
was much lower than that of clozapine. The affinity of S 16924 for
benzodiazepine, gabaergic (GABAA and GABAB),
NMDA and AMPA receptors was also negligible (>1 µM) (table 7).
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TABLE 7
Binding protocols and drug affinities (Ki) at multiple
histaminergic (H), muscarinic (M) and other binding sites as compared
to dopamine D2 receptors
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Discussion |
Receptor profiles of S 16924 as compared to clozapine and
haloperidol in relationship to their functional actions.
As
described in the companion paper, S 16924 possesses a pattern of
interaction at multiple dopaminergic, serotonergic and adrenergic
receptors that differs markedly to that of haloperidol and that closely
resembles that of clozapine (table 8). In
particular, modest and equilibrated affinity for D2 and
D1 receptors and more pronounced affinity at
D4,
1-AR, 5-HT2A and
5-HT2C vs. D2 receptors. In
addition, S 16924 may be distinguished from both haloperidol and
clozapine by its potent, partial agonist properties at
5-HT1A receptors. The following discussion illustrates the
importance of the distinctive receptorial profile of S 16924 in
determining its functional actions in vivo.
Potential antipositive properties of S 16924: significance of
D2 receptor blockade.
In line with previous studies,
and reflecting its potent blockade of postsynaptic D2
receptors in limbic structures, haloperidol was highly active in each
of the tests predictive of potential antipositive activity (Brunello
et al., 1995
; Kahn and Davis, 1995
). Similarly in line with
previous work, clozapine was active in each paradigm, although only at
substantially higher doses, in correspondence with its lower affinity
at D2 receptors (Brunello et al., 1995
; Meltzer,
1995
). The activity of haloperidol and clozapine in these models is
consistent with their clinical efficacy over, respectively, low and
high dose ranges in controlling the positive symptoms of schizophrenia
(Kane and Freeman, 1994
; Meltzer, 1995
; Pickar, 1995
). In accordance
with its intermediate affinity for D2 receptors, S 16924 also manifested robust and dose-dependent activity in each of these
models over a dose-range lying between those of haloperidol and
clozapine (Maurel-Remy et al., 1995a
and b
). These data
support, then, the hypothesis that S 16924 should be effective in
controlling the positive symptoms of schizophrenia via antagonist
actions at D2 receptors. The robust inhibition by S 16924 of hyperlocomotion induced by the NMDA receptor channel blocker,
dizocilpine, is of particular interest inasmuch as a reduction in
glutamatergic transmission may be involved in the pathogenesis of
schizophrenia (Bartha et al., 1997
; Evins et al., 1997
). Further, clozapine reduces the psychosis elicited by a further
open channel blockade at NMDA receptors, ketamine, in man (Malhotra
et al., 1997
). Notwithstanding the importance of D2 receptor blockade, selective antagonists at
D1 receptors, such as SCH 39166, are also potently active
in the models used herein. Further, D1 receptor antagonism
may enhance the antipsychotic effects of D2 receptor
blockade although, clinically, selective blockade of D1
receptors does not appear to be sufficient for antipsychotic activity
(Josselin et al., 1997
; Martin et al., 1994
;
Pickar, 1995
). Indeed, as indicated by the rotation model employed
herein (table 1), in contrast to haloperidol, S 16924 and clozapine
both exert antagonist properties at D1 receptors at doses
close to those blocking D2 receptors. Further, the
selective
1-AR antagonist, prazosin, similarly
attenuates the hyperlocomotion provoked by dizocilpine and other
psychostimulants (Blanc et al., 1994
; Mathé et
al., 1996
). These observations suggest that the antagonist
properties of S 16924 and clozapine at D1 and
1-AR receptors may also contribute to their potential
antipositive actions. Indeed, it might be conjectured that combined
D2, D1 and
1-AR receptor
blockade, a property shared by clozapine and S 16924, may improve
efficacy in patients who respond poorly to selective D2
receptor blockade with haloperidol (Prinssen et al., 1994
).
Finally, it has been suggested that stimulation of 5-HT1A receptors, although poorly effective alone, may enhance the
antipositive effects of D2 receptor blockade (Evenden,
1992
). This observation is evidently of pertinence to S 16924, a potent
5-HT1A partial agonist, although we have not, as yet,
acquired evidence that this property contributes to its actions in the
models of antipositive activity summarized in table 1.
Preferential blockade of PCP-induced hyperlocomotion and
DOI-induced HTWs by S 16924: importance of 5-HT2A
antagonist properties.
In contrast to amphetamine, administration
of PCP to normal subjects mimics the negative-cognitive as well as the
positive symptoms of schizophrenia (Gorelick and Balster, 1995
;
Steinpreis, 1996
). We have hypothesized that preferential blockade of
PCP- vs. amphetamine-induced locomotion may suggest a
clozapine-like ability to control negative symptoms (Maurel-Remy
et al., 1995a
and b
). Indeed, our study confirms the greater
sensitivity of PCP- as compared to amphetamine-induced (and
spontaneous) locomotion to clozapine, but not haloperidol, and a
similar profile was presented by S 16924. This differential
responsiveness of PCP- as compared to amphetamine-, cocaine- and
dizocilpine-induced locomotion to clozapine and S 16924 may reflect the
contrasting mechanisms underlying their induction of locomotion. Thus,
amphetamine-, cocaine- and dizocilpine-induced locomotion is mediated
(independently of 5-HT2A receptors) by nucleus
accumbens-localized D2 receptors (Jackson et
al., 1994
; Maurel-Remy et al., 1995a
and b
; Moore and
Kenyon, 1994
). In distinction, although dependent on dopaminergic
mechanisms for its expression, PCP-evoked hyperlocomotion involves
serotonergic mechanisms. Indeed, it may involve the activation of
nucleus accumbens-localized 5-HT2A receptors by an increase
in extracellular 5-HT levels: this results from an interference by PCP
of 5-HT reuptake processes (Jackson et al., 1994
; Kehne
et al., 1996
; Maurel-Remy et al. 1995a
and b
;
Moore and Kenyon, 1994
). Correspondingly, the more potent
5-HT2A vs. D2 antagonist properties
of S 16924 (table 8) and clozapine likely underlies their preferential
blockade of the actions of PCP as compared to amphetamine (Maurel-Remy
et al., 1995a
). S 16924 and clozapine were also highly
potent in blocking induction of HTWs by the hallucinogen, DOI and, in
analogy to PCP-induced locomotion, 5-HT2A receptors mediate
the induction of HTWs by DOI, although this population of
5-HT2A sites is localized in the FCX (Schreiber et
al., 1995
; Willins and Meltzer, 1997
). Thus, a common feature of
PCP-induced hyperlocomotion and DOI-induced HTWs is their mediation by
5-HT2A receptors and sensitivity to the potent
5-HT2A antagonist properties of S 16924 and clozapine. These data are, thus, consistent with the suggestion that, like clozapine, and by virtue of its potent 5-HT2A antagonist
properties, S 16924 may control the negative symptoms of schizophrenia
in which a dysfunctionment of serotonergic as well as dopaminergic transmission has been implicated (Martin et al., 1997
;
Meltzer, 1995
; Svensson et al., 1995
).
DS properties of S 16924.
As mentioned above, DOI behaves as
an agonist at 5-HT2A receptors, stimulation of which
underlies its DS properties in rats (Schreiber et al.,
1994
). Correspondingly, in line with their potent 5-HT2A
antagonist properties, S 16924 and clozapine, but not haloperidol,
abolished the DS properties of DOI. A direct comparison of the DS
properties of S 16924 and clozapine revealed that, in clozapine-trained
animals, S 16924 showed complete (
80%) generalization suggesting
that animals share DS properties with those of clozapine. This
interpretation is reinforced by the complete (
80%) generalization of
clozapine in animals trained to recognize S 16924 itself. In
distinction, in line with previous studies, haloperidol achieved no
more than partial (
50%) generalization to clozapine or to S 16924 (Carey and Bergman, 1997
; Nielsen, 1988
). Thus, S 16924 and clozapine
clearly share similar DS properties, whereas those of haloperidol are
different. It has proven difficult to identify the receptorial
interactions underlying the DS properties of clozapine, although a role
of muscarinic receptors (in rats) and 5-HT2C receptors (in
pigeons) has been proposed (Hoenicke et al., 1992
; Nielsen,
1988
). The present data are consistent with the latter possibility
inasmuch as S 16924 is a potent ligand at 5-HT2C
but not
muscarinic receptors (companion paper and tables 7 and 8). In addition,
complementary studies (Dekeyne A and Millan MJ, unpublished
observations) have indicated that antagonist properties at
5-HT2A and 5-HT2C receptors may be involved in
the DS properties of S 16924 and clozapine in rats. Nevertheless, multiple receptorial interactions likely underlie the complex DS
properties of clozapine (Carey and Bergman, 1997
) and S 16924. Notably,
the actions of S 16924 and clozapine in these DS paradigms were
expressed at doses lower than those disrupting response rates, in line
with their lack of cataleptic activity (see below).
EEG profile of S 16924.
Although it is not possible to specify
which cerebral structures and neuronal circuits are implicated in the
DS properties of S 16924 and clozapine, it is not unreasonable to
assume that both limbic and cortical regions are involved in view of
their rich monoaminergic inn