Buspirone is a clinically effective anxiolytic with a unique structure and pharmacology which distinguishes it from the benzodiazepines. It has been termed anxioselective because it lacks anticonvulsant, sedative, or muscle-relaxant properties. Preclinical evidence suggests it lacks potential for abuse or physical dependence and interacts minimally with CNS depressants such as alcohol. Rather than working through traditional benzodiazepine mechanisms, buspirone affects diverse aspects of the brain's neurochemical circuitry. For example, it exerts potent influences on the nigrostriatal and mesolimbic dopamine systems, the dorsal raphe serotonergic system, and the locus coeruleus noradrenergic system. Although without direct receptor interaction, potentiation of cholinergically mediated behavior and involvement with GABAergic neurotransmission have also been demonstrated.

译文

:丁螺环酮是一种临床有效的抗焦虑药,具有独特的结构和药理作用,使其与苯二氮卓类药物区别开来。由于缺乏抗惊厥,镇静或松弛肌肉的特性,因此被称为抗焦虑药。临床前证据表明,它缺乏滥用或身体依赖性的潜力,并且与中枢神经系统抑制剂(如酒精)的相互作用极小。丁螺环酮不会通过传统的苯二氮卓类机制起作用,而是会影响大脑神经化学回路的各个方面。例如,它对黑质纹状体和中脑边缘的多巴胺系统,背沟纹血清素能系统和蓝斑顽固性去甲肾上腺素能系统产生有效影响。尽管没有直接的受体相互作用,但胆碱介导的行为的增强和与GABA能神经传递的参与也已得到证实。

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