L-646,462, a cyproheptadine-related antagonist of dopamine and serotonin with selectivity for peripheral systems

J Pharmacol Exp Ther. 1984 Jun;229(3):775-81.

Abstract

The selectivity, peripheral vs. central actions, of the antidopaminergic agent L-646,462 was assessed in two ways. First, elevation of prolactin in serum (peripheral) and homovanillic acid in the striatum were measured in rats. L-646,462 was found to have a central/peripheral activity ratio of 143, whereas comparable values derived for haloperidol, metoclopramide and domperidone were 1.4, 9.4 and 1305, respectively. Second, the ID50 values required to block apomorphine-induced emesis in beagles (peripheral receptor-mediated response) were compared with those required to block apomorphine-induced stereotypy (central receptor-mediated response) in rats. Central/peripheral ID50 ratios of 234, 9.2, 129 and 7040 were obtained, respectively, for L-646,462, haloperidol, metoclopramide and domperidone. The selectivity of L-646,462 for peripheral serotonin (5-HT) receptors in rats was determined by measuring its effectiveness in blocking 5-HT-induced paw edema (peripheral response) and 5-hydroxytryptophan-induced head twitch (central response); a ratio of 114 was obtained. This value agrees nicely with the ratio of 143 derived in the rat ( vide supra) for peripheral selectivity for dopamine receptors. L-646,462 is, therefore, selective in vivo, preferentially blocking dopamine and 5-HT receptors located outside the blood-brain barrier. With regard to dopamine-receptors, L-646,462 was about equipotent and more selective than metoclopramide, while being less potent and less selective than domperidone. Unlike metoclopramide or domperidone, L-646,462 also possessed a reasonably potent 5-HT receptor antagonist effect in vivo.(ABSTRACT TRUNCATED AT 250 WORDS)

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Apomorphine / antagonists & inhibitors
  • Cyproheptadine / analogs & derivatives*
  • Cyproheptadine / pharmacology
  • Domperidone / pharmacology
  • Dopamine Antagonists*
  • Gastrointestinal Motility / drug effects
  • Haloperidol / pharmacology
  • Homovanillic Acid / metabolism
  • Male
  • Metoclopramide / pharmacology
  • Prolactin / blood
  • Receptors, Serotonin / metabolism
  • Serotonin Antagonists / pharmacology*

Substances

  • Dopamine Antagonists
  • Receptors, Serotonin
  • Serotonin Antagonists
  • Cyproheptadine
  • Domperidone
  • L 646462
  • Prolactin
  • Haloperidol
  • Metoclopramide
  • Apomorphine
  • Homovanillic Acid