Abstract
It has been suggested that the neuroleptic-induced acute dyskinetic syndrome in monkeys may be a useful model of extrapyramidal dysfunction. Various drugs that have well-characterized effects on clinical extrapyramidal syndromes and on catecholaminergic, cholinergic, or GABAergic neurotransmission were assessed in dyskinesia-susceptible squirrel monkeys. Catecholamine depletors (α-methyl-p-tyrosine, tetrabenazine) induced the syndrome, as do dopamine (DA) receptor antagonists, and d-amphetamine reversed the effects of tetrabenazine. The haloperidol-induced syndrome was reversed by the indirectly acting DA agonists amantadine and L-dopa. Neither of the DA autoreceptor agonists TL-99 or 3-PPP elicited this syndrome, suggesting that these agents lack extrapyramidal involvement. Anticholinergics reversed haloperidol-induced dyskinesias and the cholinomimetic arecoline was capable of inducing dyskinesias. When coadministered repeatedly with haloperidol, benztropine suppressed the emergence of susceptibility to neuroleptic-induced dyskinesias. These results confirm that the acute dyskinetic syndrome in the monkey is characterized by DA deficiency and acetylcholine excess. Diazepam and baclofen, which have been reported to have some clinical benefit in tardive dyskinesia, suppressed haloperidol-induced acute dyskinesias without causing gross motor depression. Pharmacological manipulation of GABAergic pathways from striatum may constitute a fruitful approach to the treatment of dyskinetic motor disorders.
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References
Allen RM (1982) Palliative treatment of tardive dyskinesia with combination of amantadine-neuroleptic administration. Biol Psychiatry 17:719–727
Asher SW, Aminoff MJ (1981) Tetrabenazine and movement disorders. Neurology 31:1051–1054
Barany S, Anders I, Gunne LM (1979) Development of acute dystonia and tardive dyskinesia in Cebus monkeys. Res Commun Chem Pathol Pharmacol 25:269–279
Bedard P, Delean J, Lafleur J, Larochelle L (1977) Haloperidol-induced dyskinesias in the monkey. Can J Neurol Sci 4:197–201
Bianchine JR (1980) Drugs for Parkinson's disease: Centrally acting muscle relaxants. In: Gilman AG, Goodman LS, Gilman A (eds) The pharmacological basis of therapeutics. MacMillan, New York, pp 475–493
Carey RJ, DeVeaugh-Geiss J (1982) Chronic benztropine and haloperidol administration induce behaviorally equivalent pharmacological hypersensitivities separately but not in combination. Psychopharmacology 76:341–345
Casey DE, Gerlach J, Christensson E (1980) Dopamine, acetylcholine, and GABA effects in acute dystonia in primates. Psychopharmacology 70:83–87
Clark D, Carlsson A, Hjorth S, Svensson K, Engel J, Sanchez D (1982) Is 3-PPP a potential antipsychotic agent? Evidence from animal behavioural studies. Eur J Pharmacol 83:131–134
Costa E, Guidotti A (1979) Molecular mechanisms in the receptor action of benzodiazepines. Annu Rev Pharmacol Toxicol (Copenh) 19:531–545
Dill RE, Jones DL, Gillin JC, Murphy G (1979) Comparison of behavioral effects of systemic L-dopa and intracranial dopamine in mesolimbic forebrain of nonhuman primates. Pharmacol Biochem Behav 10:711–716
DiMascio A, Bernardo DL, Greenblatt DJ, Marder JE (1976) A controlled trial of amantadine in drug-induced extrapyramidal disorders. Arch Gen Psychiatry 33:599–602
Director KL, Muniz CE (1982) Diazepam in the treatment of extrapyramidal symptoms: A case report. J Clin Psychiatry 43:160–161
Fenton HM, Hall NR, Gerhardt S, Noreika L, Neale R, Liebman JM (1983) Avoidance and ICSS behavioral models dissociate TL-99 and 3-PPP from dopamine receptor antagonists. Eur J Pharmacol 91:421–430
Forchetti C, Scarnati E, Pacitti C, Agnoli A (1980) Striatal cholinergic receptors and dyskinetic motor activity in the rat. Neurosci Lett 20:363–367
Freedman R, Kirch D, Bell J, Adler LE, Pecevich M, Pachtman E, Denver P (1982) Glonidine treatment of schizophrenia: Doubleblind comparison to placebo and neuroleptic drugs. Acta Psychiatr Scand 65:34–45
Gerlach J, Rye T, Kristjansen P (1978) Effect of baclofen on tardive dyskinesia. Psychopharmacology 56:145–151
Giarman NJ, Roth RH (1964) Differential estimation of γ-butyrolactone and γ-hydroxybutyric acid in rat blood and brain. Science 145:583–584
Goetz CG, Weiner WJ, Nausieda PA, Klawans HL (1982) Tardive dyskinesia: Pharmacology and clinical implications. Clin Neuropharmacol 5:3–22
Goodale DB, Rusterholz DB, Long JP, Flynn JR, Walsh B, Cannon JG, Lee T (1980) Neurochemical and behavioral evidence for a selective presynaptic dopamine receptor agonist. Science 210:1141–1143
Hill DR, Bowery NG (1981) 3H-Baclofen and 3H-GABA bind to bicuculline-insensitive GABA-B sites in rat brain. Nature 290:149–152
Hjorth S, Carlsson A, Wikstrom H, Lindberg P, Sanchez D, Hacksell U, Arvidsson LE, Svensson U, Nilsson JLG (1981) 3-PPP: A new centrally acting DA-receptor agonist with selectivity for autoreceptors. Life Sci 28:1225–1238
Jeste DV, Wyatt RJ (1982) Therapeutic strategies against tardive dyskinesia. Arch Gen Psychiatry 39:803–816
Jus K, Jus A, Gautier J, Villeneuve A, Pires P, Pineau R, Villeneuve R (1974) Studies on the action of certain pharmacological agents on tardive dyskinesia and on the rabbit syndrome. Int J Clin Pharmacol 9:138–145
Kitzen JM, Long JP, Cannon JG (1978) Pharmacology of 6,7-dihydroxy-2-dimethylaminotetralin (TL-99). I. Cardiovascular activity in the dog and cat. J Pharmacol Exp Ther 206:239–247
Liebman J, Neale R (1980) Neuroleptic-induced acute dyskinesias in squirrel monkeys: Correlation with propensity to cause extrapyramidal side effects. Psychopharmacology 68:25–29
Liebman JM, Neale R, Noreika L, Braunwalder A (1981) Differential reversal of various dopamine antagonists by anticholinergics in Sidman avoidance: Possible relationship to adrenergic blockade. Psychopharmacology 75:248–253
Login IS, Cronin MJ, MacLeod RM (1982) Tetrabenazine has properties of a dopamine receptor antagonist. Ann Neurol 12:257–262
Lundh H, Tunving K (1981) An extrapyramidal choreiform syndrome caused by amphetamine addiction. J Neurol Neurosurg Psychiatry 44:728–730
Magelund G, Gerlach J, Casey DE (1979) Neuroleptic-potentiating effect of α-methyl-p-tyrosine compared with haloperidol and placebo in a double-blind cross-over trial. Acta Psychiatr Scand 60:185–189
Marsden CD, Jenner P (1980) The pathophysiology of extrapyramidal side effects of neuroleptic drugs. Psychol Med 10:55–72
Marsden CD, Sheehy MP (1981) GABA and movement disorders. In: DiChiara G, Gessa GL (eds) GABA and the basal ganglia. Raven, New York, pp 225–234
Meldrum DS, Anlezark GM, Marsden CD (1977) Acute dystonia as an idiosyncratic response to neuroleptics in baboons. Brain 100:313–326
Murphy DL, Dill RE (1972) Chemical stimulation of discrete brain loci as a method of producing dyskinesia models in primates. Exp Neurol 34:244–254
Neale R, Gerhardt S, Fallon S, Liebman JM (1982) Progressive changes in the acute dyskinetic syndrome as a function of repeated elicitation in squirrel monkeys. Psychopharmacology 77:223–228
Neale R, Gerhardt S, Liebman JM (1983) Effects of the novel antipsychotics, RMI-81582 and clopipazan on predictors of extrapyramidal liability in squirrel monkeys. Drug Dev Res 3:171–176
Peroutka SJ, Snyder SH (1980) Relationship of neuroleptic drug effects at brain dopamine, serotonin, α-adrenergic, and histamine receptors to clinical potency. Am J Psychiatry 137:1518–1522
Porsolt RD, Jalfre M (1981) Neuroleptic-induced acute dyskinesias in rhesus monkeys. Psychopharmacology 75:16–21
Schulz SC, van Kammen DP, Buchsbaum MS, Roth RH, Alexander P, Bunney Jr WE (1981) γ-Hydroxybutyrate treatment of schizophrenia: A pilot study. Pharmacopsychiatry 14:129–134
Stahl SM, Davis KL, Berger PA (1982) The neuropharmacology of tardive dyskinesia, spontaneous dyskinesia, and other dystonias. J Clin Psychopharmacol 2:321–328
Stockhausen FG (1960) Clinical studies with tetrabenazine (RO 1-9569). Dis Nerv Syst 21:115–117
Weiner WJ, Bergen D (1977) Prevention and management of the side effects of levodopa. Clin Neuropharmacol 2:1–23
Weiss B, Santelli S, Lusink G (1977) Movement disorders induced in monkeys by chronic haloperidol treatment. Psychopharmacology 3:289–293
Wilbur R, Kulik FA (1981) Propranolol (Inderal) for tardive dyskinesia and extrapyramidal side effects from neuroleptics: Possible involvement of beta-adrenergic mechanisms. Prog Neurol Psychopharmacol 4:627–632
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Neale, R., Gerhardt, S. & Liebman, J.M. Effects of dopamine agonists, catecholamine depletors, and cholinergic and GABAergic drugs on acute dyskinesias in squirrel monkeys. Psychopharmacology 82, 20–26 (1983). https://doi.org/10.1007/BF00426374
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DOI: https://doi.org/10.1007/BF00426374