The orexin-1 antagonist SB-334867 blocks antipsychotic treatment emergent catalepsy: implications for the treatment of extrapyramidal symptoms

Schizophr Bull. 2007 Nov;33(6):1291-7. doi: 10.1093/schbul/sbm087. Epub 2007 Jul 28.

Abstract

We have previously shown that the orexin-1 antagonist SB-334867 blocks the electrophysiological effects of haloperidol and olanzapine on the activity of A9 and A10 dopamine neurons. To evaluate if orexin-1 antagonists might block other effects of antipsychotic drugs in animals, we examined the effects of SB-334867 on behavioral, neurochemical, and neuroendocrine effects of antipsychotic drugs. Pretreatment with SB-334867 (0.01-10 mg/kg, intraperitoneal [IP]) significantly decreased the catalepsy produced by the administration of haloperidol (1 mg/kg, subcutaneous [SC]), risperidone (2 mg/kg, SC), and olanzapine (10 mg/kg, SC). Administration of SB-334467 also reversed catalepsy after it had been established in animals pretreated 2 hours earlier with haloperidol. However, pretreatment with SB-334867 (1-10 mg/kg, IP) did not block the decreases in exploratory locomotor activity produced by administration of haloperidol (0.1 mg/kg, SC) or risperidone (0.3 mg/kg, SC). In addition, pretreatment with SB-334867 (1-10 mg/kg, IP) neither blocked the increased levels of dihydroxyphenylacetic acid (DOPAC) in the nucleus accumbens or striatum nor the elevation in serum prolactin produced by administration of haloperidol (0.1 mg/kg, SC) and risperidone (1 mg/kg, SC). Administration of SB-334867 alone neither changed locomotor activity and DOPAC or prolactin levels nor produced catalepsy. These results show that orexin-1 antagonists block the catoleptogenic effects of antipsychotics but do not block other locomotor, neurochemical, or neuroendocrine effects of antipsychotics. Because catalepsy is thought to be a good predictor of extrapyramidal symptoms in humans, treatment with orexin-1 antagonists might decrease the occurrence or severity of antipsychotic treatment-emergent extrapyramidal symptoms in humans.

MeSH terms

  • Animals
  • Antipsychotic Agents / antagonists & inhibitors*
  • Basal Ganglia Diseases / drug therapy*
  • Behavior, Animal / drug effects
  • Benzodiazepines / antagonists & inhibitors*
  • Benzoxazoles / pharmacology*
  • Benzoxazoles / therapeutic use*
  • Catalepsy / drug therapy*
  • Haloperidol / antagonists & inhibitors*
  • Intracellular Signaling Peptides and Proteins / antagonists & inhibitors*
  • Locomotion / drug effects
  • Male
  • Naphthyridines
  • Neuropeptides / antagonists & inhibitors*
  • Olanzapine
  • Orexins
  • Prolactin / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Risperidone / antagonists & inhibitors*
  • Urea / analogs & derivatives*
  • Urea / pharmacology
  • Urea / therapeutic use

Substances

  • 1-(2-methylbenzoxazol-6-yl)-3-(1,5)naphthyridin-4-yl urea
  • Antipsychotic Agents
  • Benzoxazoles
  • Intracellular Signaling Peptides and Proteins
  • Naphthyridines
  • Neuropeptides
  • Orexins
  • Benzodiazepines
  • Urea
  • Prolactin
  • Haloperidol
  • Risperidone
  • Olanzapine