Comparison of the novel antipsychotic ziprasidone with clozapine and olanzapine: inhibition of dorsal raphe cell firing and the role of 5-HT1A receptor activation

Neuropsychopharmacology. 1999 Nov;21(5):622-31. doi: 10.1016/S0893-133X(99)00057-3.

Abstract

Ziprasidone is a novel antipsychotic agent which binds with high affinity to 5-HT1A receptors (Ki = 3.4 nM), in addition to 5-HT1D, 5-HT2, and D2 sites. While it is an antagonist at these latter receptors, ziprasidone behaves as a 5-HT1A agonist in vitro in adenylate cyclase measurements. The goal of the present study was to examine the 5-HT1A properties of ziprasidone in vivo using as a marker of central 5-HT1A activity the inhibition of firing of serotonin-containing neurons in the dorsal raphe nucleus. In anesthetized rats, ziprasidone dose-dependently slowed raphe unit activity (ED50 = 300 micrograms/kg i.v.) as did the atypical antipsychotics clozapine (ED50 = 250 micrograms/kg i.v.) and olanzapine (ED50 = 1000 micrograms/kg i.v.). Pretreatment with the 5-HT1A antagonist WAY-100,635 (10 micrograms/kg i.v.) prevented the ziprasidone-induced inhibition; the same dose of WAY-100,635 had little effect on the inhibition produced by clozapine and olanzapine. Because all three agents also bind to alpha 1 receptors, antagonists of which inhibit serotonin neuronal firing, this aspect of their pharmacology was assessed with desipramine (DMI), a NE re-uptake blocker previously shown to reverse the effects of alpha 1 antagonists on raphe unit activity. DMI (5 mg/kg i.v.) failed to reverse the inhibitory effect of ziprasidone but produced nearly complete reversal of that of clozapine and olanzapine. These profiles suggest a mechanism of action for each agent, 5-HT1A agonism for ziprasidone and alpha 1 antagonism for clozapine and olanzapine. The 5-HT1A agonist activity reported here clearly distinguishes ziprasidone from currently available antipsychotic agents and suggests that this property may play a significant role in its pharmacologic actions.

Publication types

  • Comparative Study

MeSH terms

  • Action Potentials / drug effects
  • Action Potentials / physiology
  • Adrenergic Uptake Inhibitors / pharmacology
  • Animals
  • Benzodiazepines
  • Clozapine / pharmacology*
  • Desipramine / pharmacology
  • Dose-Response Relationship, Drug
  • Male
  • Neurons / drug effects
  • Neurons / physiology
  • Olanzapine
  • Piperazines / pharmacology*
  • Pirenzepine / analogs & derivatives*
  • Pirenzepine / pharmacology
  • Pyridines / pharmacology
  • Raphe Nuclei / chemistry
  • Raphe Nuclei / cytology
  • Raphe Nuclei / drug effects*
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Serotonin / physiology*
  • Receptors, Serotonin, 5-HT1
  • Selective Serotonin Reuptake Inhibitors / pharmacology
  • Serotonin Antagonists / pharmacology*
  • Serotonin Receptor Agonists / pharmacology*
  • Thiazoles / pharmacology*

Substances

  • Adrenergic Uptake Inhibitors
  • Piperazines
  • Pyridines
  • Receptors, Serotonin
  • Receptors, Serotonin, 5-HT1
  • Serotonin Antagonists
  • Serotonin Receptor Agonists
  • Serotonin Uptake Inhibitors
  • Thiazoles
  • Benzodiazepines
  • Pirenzepine
  • ziprasidone
  • N-(2-(4-(2-methoxyphenyl)-1-piperazinyl)ethyl)-N-(2-pyridinyl)cyclohexanecarboxamide
  • Clozapine
  • Olanzapine
  • Desipramine