blase deviant
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N&PD Moderators: Skorpio | thegreenhand
Electrophysiological data first suggested that 5-HT2A
receptors amplify glutamate-induced EPSPs from apical
dendrites of pyramidal cells by increasing a persistent
sodium channel (Marek & Aghajanian, 1996a). These
effects appear to be mediated by release of glutamate,
induced by the stimulation of presynaptic 5-HT2A heteroreceptors,
and the subsequent activation of a-amino-3-
hydroxy-5-methylisoxazole-4-propionate (AMPA) receptors
(Aghajanian & Marek, 1997, 1999b, 1999c; Marek et al.,
2000).
The 5-HT-induced EPSCs are mediated via
AMPA/kainate receptors on layer V pyramidal cells because
they are completely blocked by the AMPA/kainate antagonist
LY293558 (Aghajanian and Marek, 1997).
Evidence for advantages of AMPA receptor antagonists over N-methyl-D-aspartate (NMDA) receptor antagonists for symptomatic treatment of neurological and psychiatric conditions, and for minimising neuronal loss occurring after acute neurological diseases, such as physical trauma, ischaemia or status epilepticus, have been shown in animal models. However, as yet AMPA receptor antagonists have not been shown to be effective in clinical trials. On the other hand, a limited number of clinical trials have been reported for AMPA receptor ligands that enhance glutamatergic neurotransmission by extending the ion channel opening time (positive allosteric modulators). These acute studies demonstrate enhanced memory capability in both young and aged humans, without any apparent serious adverse effects. The use of these allosteric modulators as antipsychotic drugs is also possible. However, the long term use of both direct agonists and positive allosteric modulators must be approached with considerable caution because of potential adverse effects.
In contrast, the acute hyperactivity
and stereotypy induced by apomorphine and cocaine
in rats are not altered by the competitive
AMPA antagonists, CNQX and NBQX,[374,392] but
are increased by GYKI-52466.[375] No behavioural
excitement is seen with NBQX or GYKI-52466
alone,[374,375] but it should be noted that in human
trials with GYKI-53773, euphoria was one adverse
effect noted.