Antipsychotic potential of CCK-based treatments: an assessment using the prepulse inhibition model of psychosis

Neuropsychopharmacology. 1999 Feb;20(2):141-9. doi: 10.1016/S0893-133X(98)00041-4.

Abstract

Systemic injections of cholecystokinin (CCK), a "gut-brain" peptide, have been shown to modulate brain dopamine function and produce neuroleptic-like effects on such dopamine-regulated behaviors as locomotor activity. However, clinical trials of CCK agonists in schizophrenia patients showed mixed results. To re-examine the antipsychotic potential of CCK-based treatments, we examined systemic injections of CCK analogs in an animal model with strong face and construct validity for sensorimotor-gating deficits seen in schizophrenia patients and with strong predictive validity for antipsychotic drug activity. Prepulse inhibition (PPI) occurs when a weak acoustic lead stimulus ("prepulse") inhibits the startle response to a sudden loud sound ("pulse"). PPI is significantly reduced in schizophrenia patients and rats treated with dopamine agonists. Antipsychotics reverse decreased PPI in rats to a degree highly correlated with their clinical efficacy. Subcutaneous (s.c.) injections of caerulein (10 micrograms/kg) a mixed CCKA/B agonist, partially reversed amphetamine-induced reduction of PPI; whereas, s.c. haloperidol (0.5 mg/kg) totally reversed amphetamine-induced disruption of PPI. Caerulein's effect on PPI was blocked by pretreatment with a CCKA antagonist (devazepide) but not a CCKB antagonist (L-365,260). CCK-4, a preferential CCKB agonist, had no significant effect on PPI. These results suggest that caerulein produces a weak neuroleptic-like effect on PPI that is mediated by stimulation of CCKA receptors. Possible circuities in this effect are discussed. In a separate experiment, s.c. caerulein produced to a more potent neuroleptic-like profile on amphetamine-induced hyperlocomotion, suggesting that selection of preclinical paradigms may be important in evaluating the antipsychotic potential of CCK-based treatments.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antipsychotic Agents / administration & dosage
  • Antipsychotic Agents / therapeutic use*
  • Behavior, Animal / drug effects
  • Ceruletide / therapeutic use*
  • Cholecystokinin / physiology*
  • Gastrointestinal Agents / therapeutic use*
  • Haloperidol / administration & dosage
  • Haloperidol / therapeutic use
  • Injections, Subcutaneous
  • Male
  • Motor Activity / drug effects
  • Psychotic Disorders / drug therapy*
  • Psychotic Disorders / psychology
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Cholecystokinin / antagonists & inhibitors
  • Receptors, Cholecystokinin / drug effects
  • Reflex, Startle / drug effects
  • Tetragastrin / antagonists & inhibitors
  • Tetragastrin / pharmacology

Substances

  • Antipsychotic Agents
  • Gastrointestinal Agents
  • Receptors, Cholecystokinin
  • Tetragastrin
  • Ceruletide
  • Cholecystokinin
  • Haloperidol