Lisdexamfetamine dimesylate is a novel prodrug approved in North America, Europe and Brazil for treating attention deficit hyperactivity disorder (ADHD). It undergoes rate-limited hydrolysis by red blood cells to yield d-amphetamine. Following our previous work comparing lisdexamfetamine with d-amphetamine, the neurochemical and behavioural profiles of lisdexamfetamine, methylphenidate and modafinil were compared by dual-probe microdialysis in the prefrontal cortex (PFC) and striatum of conscious rats with simultaneous locomotor activity measurement. We employed pharmacologically equivalent doses of all compounds and those that spanned the therapeutically relevant and psychostimulant range. Lisdexamfetamine (0.5, 1.5, 4.5 mg/kg d-amphetamine base, per os (po)), methylphenidate (3, 10, 30 mg/kg base, po) and modafinil (100, 300, 600 mg/kg base, po) increased efflux of dopamine and noradrenaline in PFC, and dopamine in striatum. Only lisdexamfetamine increased 5-hydroxytryptamine (5-HT) efflux in PFC and striatum. Lisdexamfetamine had larger and more sustained effects on catecholaminergic neurotransmission than methylphenidate or modafinil. Linear correlations were observed between striatal dopamine efflux and locomotor activity for lisdexamfetamine and methylphenidate, but not modafinil. Regression slopes revealed greater increases in extracellular dopamine could be elicited without producing locomotor activation by lisdexamfetamine than methylphenidate. These results are consistent with clinical findings showing that lisdexamfetamine is an effective ADHD medication with prolonged duration of action and good separation between its therapeutic actions and stimulant side-effects.

译文

Lisdexamfetamine dimesylate是在北美,欧洲和巴西批准用于治疗注意力缺陷多动障碍(ADHD)的新型前药。它受到红细胞的限速水解,产生d-苯异丙胺。继我们之前的研究结果之后,通过双探针微透析在有意识大鼠的前额叶皮层(PFC)和纹状体中进行了同时运动功能的测量,比较了赖斯地非胺与d-苯异丙胺,赖斯地非胺,哌醋甲酯和莫达非尼的神经化学和行为特征。我们采用了所有化合物的药理等效剂量以及跨越治疗相关和精神兴奋剂范围的药物。 Lisdexamfetamine(0.5,1.5,4.5 mg / kg d-苯异丙胺碱,口服(po)),哌醋甲酯(3,10,30 mg / kg碱,口服)和莫达非尼(100,300,600 mg / kg碱,口服) )PFC中多巴胺和去甲肾上腺素的流出量增加,纹状体中多巴胺的流出量增加。仅赖氨苯丙胺增加了PFC和纹状体中的5-羟色胺(5-HT)外排。 Lisdexamfetamine对儿茶酚胺能神经传递的作用大于哌醋甲酯或莫达非尼。观察到纹状体多巴胺外排与赖氨酸安非他明和哌醋甲酯的运动活性之间存在线性相关性,但莫达非尼则无此相关性。回归斜率显示,与哌醋甲酯相比,赖氨酸安非他明可引起更大的细胞外多巴胺增加而不会产生赖斯安非他明产生运动活化。这些结果与临床结果一致,该结果表明赖氨苯丙胺是一种有效的ADHD药物,具有延长的作用持续时间,并且在其治疗作用和刺激性副作用之间具有良好的分离性。

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