The acute EPS of haloperidol may be unrelated to its metabolic transformation to BCPP+

Bioorg Med Chem Lett. 2003 Nov 3;13(21):3779-82. doi: 10.1016/j.bmcl.2003.07.015.

Abstract

We have previously proposed that haloperidol's debilitating extrapyramidal symptoms (EPS) may be associated with its quaternary BCPP+ (an MPP+ like species) metabolite formed in vivo. However, recent work on D2 knock out mice suggests that haloperidol's EPS may be related to its potent D2 binding (K(i)=0.9 nM). In this study, we explore this question by synthesizing and testing an analogue (DS-27) that binds to D2 receptors with higher affinity than haloperidol, but cannot form quaternary metabolites. This study suggests that D2 affinity may be the primary underlying mechanism for acute catalepsy induction by haloperidol.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetyl-CoA Carboxylase / metabolism*
  • Acetyl-CoA Carboxylase / toxicity*
  • Animals
  • Antipsychotic Agents / adverse effects*
  • Antipsychotic Agents / pharmacokinetics*
  • Apomorphine / pharmacology
  • Basal Ganglia Diseases / chemically induced*
  • Carrier Proteins / metabolism*
  • Carrier Proteins / toxicity*
  • Catalepsy / chemically induced
  • Dopamine Agonists / pharmacology
  • Fatty Acid Synthase, Type II
  • Haloperidol / adverse effects*
  • Haloperidol / pharmacokinetics*
  • Humans
  • Male
  • Mice
  • Psychomotor Performance / drug effects
  • Radioligand Assay
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Dopamine D2 / drug effects
  • Receptors, Dopamine D2 / metabolism
  • Stereotyped Behavior / drug effects

Substances

  • Antipsychotic Agents
  • Carrier Proteins
  • Dopamine Agonists
  • Receptors, Dopamine D2
  • Fatty Acid Synthase, Type II
  • Acetyl-CoA Carboxylase
  • biotin carboxyl carrier protein
  • Haloperidol
  • Apomorphine