In vitro and in vivo effects of the anorectic agent dexfenfluramine on the central serotoninergic neuronal systems of non-human primates. A comparison with the rat

Naunyn Schmiedebergs Arch Pharmacol. 1996 May;353(6):641-7. doi: 10.1007/BF00167183.

Abstract

The effects of repeated subcutaneous (s.c) injections of dexfenfluramine (d-F; 10 mg/kg, twice daily, for 4 days) on the contents of serotonin (5-HT) and its metabolite 5-hydroxyindoleacetic acid (5-HIAA) in the brain were assessed in primates (cynomolgus and rhesus monkeys) and compared with the regional brain concentrations of unchanged drug and its active metabolite, dexnorfenfluramine (d-NF). This four-day, high-dose, regimen caused a large depletion of 5-HT (more than 95%) and of 5-HIAA (80-90%) in all brain areas studied (cortex, hippocampus, putamen, caudate nucleus and hypothalamus) 2 h after the last injection of d-F. Analysis of the plasma and brain contents of d-F and d-NF confirmed that both compounds were concentrated as in other species, in regions of the primate brain. However, d-NF was concentrated to a greater extent than d-F, and there were differences between the two primate species. Unlike in the rat brain, concentrations of d-NF greatly exceeded those of d-F in the primate brain suggesting that in these primates the d-NF may play a major role in the overall neurochemical response. The effects of d-F and d-NF on different in vitro parameters of serotoninergic neuronal function did not show appreciable differences between cynomolgus or rhesus monkeys when compared to rats, the ability of the two compounds to inhibit 5-HT reuptake, to enhance its release, and to affect the binding of [3H] -d-F or of [3H] -mesulergine (a ligand for 5-HT2C receptors) being similar. Kinetic differences in the disposition of d-F appear to have more relevance than biochemical effects in providing an explanation for the more marked brain depletion induced by d-F in primates than in rodents.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Appetite Depressants / metabolism
  • Appetite Depressants / pharmacology*
  • Brain / metabolism
  • Brain Chemistry / drug effects*
  • Fenfluramine / blood
  • Fenfluramine / metabolism
  • Fenfluramine / pharmacology*
  • In Vitro Techniques
  • Macaca fascicularis
  • Macaca mulatta
  • Male
  • Norfenfluramine / analogs & derivatives
  • Norfenfluramine / blood
  • Norfenfluramine / pharmacology*
  • Rats
  • Receptors, Serotonin / drug effects*
  • Receptors, Serotonin / metabolism
  • Serotonin / analogs & derivatives
  • Serotonin / analysis*
  • Serotonin / metabolism
  • Serotonin / pharmacokinetics
  • Serotonin Receptor Agonists / analysis*
  • Species Specificity

Substances

  • Appetite Depressants
  • Receptors, Serotonin
  • Serotonin Receptor Agonists
  • Norfenfluramine
  • Fenfluramine
  • Serotonin