In vivo benzodiazepine receptor occupancy by CL 218,872 visualized by positron emission tomography in the brain of the living baboon: modulation by GABAergic transmission and relation with anticonvulsant activity
Abstract:In vivo benzodiazepine receptor occupancy by increasing doses of CL 218,872 has been evaluated in the baboon Papio papio, using (11C) RO 15-1788 as specific radioligand and positron emission tomography as external detection system. Although BZR heterogeneity has been previously demonstrated in the brain of the living baboon using PET, we did not observe in our studies that CL 218,872 interacts preferentially with one of the BZR subtypes. The monophasic pattern of the dose dependent CL 218,872 displacement curv… Show more
“…Because of the low intrinsic efficacy of CL 218,872 (e.g. Melchior et al 1984;de la Sayette et al 1991;Tang and Franklin 1991;Wafford et al 1993), this finding suggests that substitution for zolpidem at training doses of 3.0 mg/kg or greater requires high intrinsic efficacy in addition to selectivity at the GABA A /a 1 subtype.…”
Our findings provide evidence for a key role of GABA(A)/alpha(1) receptors in the discriminative stimulus effects of zolpidem at relatively high training doses, and suggest that selectivity and relatively high efficacy at GABA(A)/alpha(1) receptors is required for BZ agonists to reproduce these discriminative stimulus effects.
“…Because of the low intrinsic efficacy of CL 218,872 (e.g. Melchior et al 1984;de la Sayette et al 1991;Tang and Franklin 1991;Wafford et al 1993), this finding suggests that substitution for zolpidem at training doses of 3.0 mg/kg or greater requires high intrinsic efficacy in addition to selectivity at the GABA A /a 1 subtype.…”
Our findings provide evidence for a key role of GABA(A)/alpha(1) receptors in the discriminative stimulus effects of zolpidem at relatively high training doses, and suggest that selectivity and relatively high efficacy at GABA(A)/alpha(1) receptors is required for BZ agonists to reproduce these discriminative stimulus effects.
“…Thus, this percentage is likely to be independent of our anesthetic procedure. As discussed previously (Brouillet et al, 1991), the percentage of the PTZ dose increase gives a good estimate of the graded anticonvulsant effect of the BZR ligands, as a result of an allosteric regulation of the GABA, receptor complex.…”
Section: Indirect Studies Using ["Clflumazenil As a Bzr Ligandmentioning
confidence: 92%
“…This PET device allowed reconstruction of seven slices with spatial and axial resolutions of 5.7 and 9 mm, respectively (Trebossen and Mazoyer, 1991). The animals were prepared for the PET experiments as previously described (Brouillet et al, 1991). After subcutaneous electrodes were placed on the baboon's skull, the head was positioned inside the positron camera as described previously, and the EEG recording was started.…”
Section: Indirect Studies Using ["Clflumazenil As a Bzr Ligandmentioning
confidence: 99%
“…The [ "Clflumazenil nondisplaceable binding represents less than 15% of the total binding after 20 rnin (Hantraye et al, 1984;Goeders and Kuhar, 1985;Brouillet et al, 1990). The regional specific binding was estimated at To+,, min by subtracting the regional nondisplaceable binding from the regional total binding (Pappata et al, 1988;Persson et al, 1989;Brouillet et al, 1991) and expressed as percentage of the regional maximal specific binding (measured at time To+*,).…”
Section: Data Analysis Of ["Qtriazolam and ["C]flumazenil Pet Experimmentioning
confidence: 99%
“…Positron emission tomography (PET) has made feasible the noninvasive study of the interaction of many ligands with the BZR using the radioligand ["CIflumazenil both in nonhuman primates (MaziZre et a]., 1984; Brouillet et a]., 1990, 199 1 ; De la Sayette et al, 199 1 ; Delforge et al, 1993) and in humans (Samson et al, 1985;Pappata et al, 1988;Persson et al, 1989;Shinotoh et al, 1989). W e recently showed that the PET technique in combination with EEG recording can be used to measure in vivo pharmacological properties of BZR ligands, in particular their in vivo intrinsic efficacy (Brouillet et al, 1991). T h e intrinsic efficacy of a ligand defines, independently of the ligand's potency and affinity, its capability to activate a receptor, which in turn produces the pharmacological effects.…”
The triazolobenzodiazepine triazolam is a central‐type benzodiazepine receptor (BZR) ligand that is widely prescribed as a hypnotic agent. Triazolam produces its effects through potentiation of γ‐aminobutyric acid‐mediated neurotransmission. Findings reported from in vitro binding studies showed some discrepancies concerning the pharmacological characteristics of triazolam. The present study aims to characterize in vivo the biochemical properties of triazolam, i.e., cerebral pharmacokinetics, interaction with BZR, potency, and intrinsic efficacy. Triazolam was studied in living nonhuman primates using positron emission tomography. Two different studies were carried out: (a) a direct study using [11C]triazolam and (b) an indirect competition study using the radiolabeled BZR antagonist [11C]flumazenil. Results showed that, in the brain in vivo, triazolam binds specifically and competitively to the BZR. Its rapid cerebral kinetics is consistent with a hypnotic profile (maximal binding after 23 min, elimination half‐life of 202 min). Triazolam is very potent in displacing [11C]flumazenil (ID50= 28 ± 6 μg/kg). Hill analysis of the displacement curve does not show obvious binding‐site heterogeneity. Triazolam is 20 times more potent in displacing [11C]flumazenil and 50 times more potent in inhibiting pentylenetetrazol‐induced paroxysmal activity than the full benzodiazepine agonist diazepam. Interestingly, the simultaneous use of positron emission tomography and EEG recording allowed us to show that triazolam‐positive intrinsic efficacy is slightly higher (20%) than that of diazepam. An attractive hypothesis proposes that the severity of side effects of BZR ligands is proportional to their intrinsic efficacy. Therefore, our study shows that triazolam side effects, as for other benzodiazepines, may be related to its high intrinsic efficacy in vivo.
The Service Hospitalier Fré dé ric Joliot (SHFJ) (CEA-Orsay, France) has been a stimulating interdisciplinary research platform in medical imaging for almost half a century and particularly in the field of positron emission tomography (PET). In this context, PET chemistry, the driving force in molecular imaging, has occupied the front stage, especially where it concerns the short-lived radioisotopes carbon-11 and fluorine-18. In this review, important marks left by the SHFJ actors over the years will be highlighted.
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