Abstract
Antipsychotic drugs can inhibit the effects of phencyclidine (PCP) and d-amphetamine (AMPH) in many rodent tests, but the effects are usually seen at doses that also affect vehicle-treated control rats, suggesting that the inhibition may be nonspecific. This study will attempt to test the predictive validity of these models based on the clinical observations that antipsychotics are not fully effective until after 2–3 weeks of administration in patients and that patients do not relapse immediately following abrupt withdrawal of medication. Haloperidol and clozapine were tested in rats after daily administration for 3 and 21 days in combination with vehicle or PCP (2.0 mg/kg) in the social interaction test, and with vehicle or AMPH (0.5 mg/kg) in standard activity cages. To separate acute from more long-lasting effects on the central nervous system (CNS) haloperidol and clozapine were tested with a short (45 or 30 min depending upon test) and a long (22–24 h) pretreatment time. The results demonstrated that haloperidol and clozapine following both 3 and 21 days of administration at the short pretreatment time inhibited the activity of vehicle-, PCP-, and AMPH-treated rats, whereas neither drug had consistent effects in any group at the long pre-treatment time. The data suggest that antipsychotics only inhibit PCP- and AMPH-induced behaviors in rodents by an acute drug-drug interaction, whereas any long-term effects of antipsychotic drug administration on the CNS cannot be revealed by PCP and AMPH in rodents.
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Main
A number of animal models of schizophrenia are based on the empirical observation that phencyclidine (PCP) and d-amphetamine (AMPH) can induce a model psychosis in human volunteers that resemble an acute schizophrenic episode (Connell 1958; Siegel 1978). In rats, both compounds induce behavioral changes that include locomotor hyperactivity, stereotyped behavior, and social withdrawal (Murray and Horita 1979; Robinson and Becker 1986; Sams-Dodd 1995a) that can be inhibited by acute and chronic administration of antipsychotic drugs (Jackson et al. 1994; Arnt 1995; Sams-Dodd 1996, 1997). Thus, it has been suggested that these models have predictive validity. However, the antipsychotics often inhibit the behavior of vehicle-treated control rats at the same doses at which they affect the PCP- and AMPH-induced behaviors. This suggests that part of the effect of the antipsychotic drugs on the PCP- and AMPH-induced behaviors may be nonspecific.
Classical and atypical antipsychotic drugs do not reach their full antipsychotic potential in schizophrenic patients until after 2–3 weeks or more of administration (Freed 1988). Following abrupt withdrawal of oral haloperidol or a comparable neuroleptic drug Viguera et al. (1997) have found that the average relapse-rate is 1.7% per week for the first 30 weeks. Haloperidol has a mean plasma half-life of approximately 20 h in humans (Khot et al. 1993) and there is therefore not a direct correlation between plasma level and time to relapse. For clozapine the relapse in some patients tends to occur within 1 week following withdrawal of medication, whereas others do not show any changes in psychopathology for up to 2 weeks (Borison et al. 1988). The plasma half-life of clozapine ranges from 9 to 17 h in humans (Jann et al. 1993; Lin et al. 1994), and the effect of clozapine on psychopathology therefore appears to be closely correlated to its plasma level in some patients, whereas it in others is comparable to classical neuroleptics.
In rats the half-life is only 1.5 h for haloperidol and clozapine (Cheng and Paalzow 1992; Baldessarini et al. 1993), but in spite of these species differences in pharmacokinetics several studies have found using physiological parameters that rats probably show a temporal response to antipsychotic drug treatment that is comparable to humans (e.g. Bunny and Grace 1978; Vahid-Ansari et al. 1996). It should therefore be possible to measure a specific dose-dependent reduction in the PCP- and AMPH-induced behaviors after long-term administration of an antipsychotic drug at 24 h after the last drug administration, since most of the acute effects and side effects (i.e., motor disturbances) will have disappeared at this time point while the antipsychotic effect should be retained. Based on these findings, it should be possible to determine the predictive validity of models of schizophrenia based on PCP and AMPH without the interference of side effects.
Haloperidol and clozapine are tested in rats after short- (3 days) and long-term (21 days) administration and after a short (30–45 min) and a long (22–24 h) pretreatment time in behavioral tests sensitive to PCP and AMPH. For PCP the experiments are conducted in the social interaction test where PCP induces stereotyped behavior and social isolation (Sams-Dodd 1996), and for AMPH in standard activity cages, where AMPH induces locomotor hyperactivity (Jackson et al. 1994). The effects of a short pretreatment time of 45 min for haloperidol and clozapine on PCP-induced behaviors have previously been described and will not be repeated (Sams-Dodd 1996).
MATERIALS AND METHODS
Animals
Male Wistar rats (Charles River, Germany) weighing 320–420 g at the time of testing were used for these experiments. They were housed in groups of three in Macrolon type III cages in an animal room at 21 ± 2°C with a relative humidity of 55 ± 5%, air exchange (16 times/h) and kept in a reversed 12-h light-dark cycle (light on 18.00 h–06.00 h). They had free access to water and commercial food pellets throughout the study.
Drugs
Phencyclidine (N-(l-phenylcyclohexyl)piperidine, hydrochloride; mol. wt. 280.5; synthesized at H. Lundbeck A/S) and d-amphetamine sulphate (d-amphetamine·1/2 sulphate; mol. wt. 184.3; Nomeco, Copenhagen) were dissolved in 0.9% NaCl solution. Haloperidol (mol. wt. 375.9; Janssen) and clozapine (mol. wt. 327; Sandoz, s.a.) were dissolved in minimal amounts of acid, diluted with saline and pH adjusted. Vehicle solution was 0.9% NaCl. For all experiments the solutions were filtered with a Millix-HA filter (0.45 μm; Millipore Corp).
Experimental Procedures
After arrival the rats were randomly assigned to groups of three and were placed in a reversed light cycle for 3.5 weeks. The rats were housed with the same cage mates at all times and all rats within a given cage received identical treatment. The rats received daily injections in their home cage for 3 days and 21 days, respectively of vehicle, haloperidol, or clozapine and were tested on the day of the last injection after the appropriate pretreatment period had expired. The first day of drug administration was chosen such that all the rats were tested approximately 3.5 weeks after their arrival. All experiments for a given drug were repeated to ensure replicability and the rats were never tested more than once.
For the social interaction test half of the rats within a treatment paradigm were dyed with hair color 2 weeks after arrival and during the following week all the rats were tested in the social interaction test. Testing was conducted over a 2-day period. In addition to the antipsychotic drugs, the rats also received for the last 3 days of the antipsychotic drug administration regimen either vehicle or 7.1 μmol/kg of PCP (2.0 mg/kg). Each treatment group included six pairs of rats per experiment. The pretreatment times were either 45 min or 22–24 h for the antipsychotic drug administration regimen, i.e., vehicle, haloperidol, and clozapine, and 45 min for vehicle and PCP.
For the motility test the rats received in combination with the antipsychotic drug administration regime either vehicle or 2.7 μmol/kg of AMPH (0.5 mg/kg) on the last day of the antipsychotic drug administration regime. Each treatment group included six rats per experiment. The pretreatment times were either 30 min or 22–24 h for the antipsychotic drug administration regime, i.e., vehicle, haloperidol, and clozapine, and 0 min for vehicle and AMPH.
Social Interaction Test
The general design of the model was adapted from File (1980) and has previously been described in detail (Sams-Dodd 1995b, 1996). The test was performed in an open arena (l,w,h: 150 cm × 100 cm × 40 cm) with bedding of gray gravel. The gravel had been exposed to other rats before testing to provide a constant odor level in the arena. The behavior of the rats was recorded by a video camera (Cohou model 4722-2000 with Ernitec 6 mm/1.2 lens) that was placed above the arena and was connected to a S-VHS video cassette recorder. Lighting in the room consisted only of dark-red light (25 Watt bulbs) and was diffused to minimize shadows in the arena. Three arenas were run in parallel and were started at the same time.
The white and black rats were placed in the experimental room the day before testing. On the day of testing all rats were weighed. One white and one black rat, that had received identical treatment and that were unfamiliar to each other, were placed simultaneously into the unfamiliar arena 80–90 cm apart. Their behavior was video filmed for 10 min whereafter the rats were returned to their home cages. Testing in the social interaction test was conducted between 8:00 h and 14.00 h.
First, each 10-min observation period on the videotapes was analyzed off-line by the EthoVision® program (version 1.80, Noldus Information Technologies, b.v.). The arena was scanned 3.1 times per s by the program and for each scanning the positions of the rats were determined. These coordinates were subsequently related to actual distances in the arena by a calibration of the program to the dimensions of the arena. This analysis resulted in a track record for each rat that contained a complete record of the rat's movement pattern in the arena during the observation period and this track record was analyzed for the following parameters:
Distance traveled (cm): Total distance traveled during an observation period.
Percent time in central zone: Percentage of the 10-min observation period spend in the central zone by each rat. The arena was divided into a central and a peripheral zone that covered 33% and 66% of the arena, respectively.
Active and passive social interaction (s): Social interaction was defined as a maximal distance of 20 cm between the rats, and it was subsequently divided into an active and a passive component for each rat based upon whether the rat actively moved or was inactive (for a detailed description of this parameter, see Sams-Dodd 1996).
Secondly, each observation was rated for stereotyped behavior by a trained observer, who was blind to the treatment paradigm. Each recording on the videotapes was viewed for 60 s halfway through the 10-min observation period, and each rat was given a score for PCP stereotyped behaviour. The score assigned was determined as the highest level of stereotypy consistently observed during the rating period. The rating scale is given below and is after Castellani and Adams (1981).
PCP stereotyped behavior: (0) Stationary, little or no movement; (1) Active, occasional to frequent movement; (2) Active with episodes of repetitive forward head searching (the rat walked forward in a stereotyped manner along the periphery of the arena without engaging in other behaviors); (3) Continuous forward searching; (4) Frequent repetitive rearing, side-to-side weaving or turning; (5) Episodes of rapid jerky side-to-side, circular or dorso-ventral head movements (the rat was usually stationary).
Motility Test
Locomotor activity was measured for 120 min in Macrolon type III (l,w,h: 37 cm × 22 cm × 19 cm) animal cages with a bedding of wood shavings in a brightly lit room. Four sets of equally spaced photo diodes registered movements in the longitudinal direction of individual cages as the number of times the infrared light beams were interrupted. The activity counts would not increment if the same light beam was interrupted twice or more in a row without activation of other beams, thus preventing repetitive stationary movements from affecting the activity counts. Registration and timing of locomotor activity was fully automated (custom-designed hardware and software).
Data and Statistical Analysis
Two-way ANOVA with Fishers LSD post hoc test was used (two-tailed) for statistical analysis of all the behavioral parameters. The stereotypy scores, which are of an ordinal type, were ranked (Huitema 1980) and the activity counts from the motility test were log-transformed prior to statistical analysis. All data are presented as means with standard error of mean (SEM) and the statistical analysis was performed with Systat v. 5.2 (Macintosh version).
RESULTS
Social Interaction Test
After placement in the arena, the vehicle-treated control rats made an initial inspection of the arena and each other, whereafter they moved around together to explore the novel area and interacted frequently. In contrast the PCP-treated control rats that had received a standard dose of 7.1 μmol/kg (2.0 mg/kg) walked, often continuously, along the periphery of the arena in a stereotyped manner and avoided or ignored the unfamiliar rat, and they consistently displayed increased levels of distance traveled and PCP stereotyped behavior and decreased levels of active social interaction and percent time in central zone (Figures 1, 2, 3 and 4 to the left of the broken dose-axis). Statistical comparison between the vehicle/vehicle– and the vehicle/PCP–treated control rats demonstrated significant differences between them in all experiments as seen in Table 1 where the statistical results for the social interaction tests have been summarized.
Short-term administration of haloperidol (0.1–3.4 μmol/kg; 0.04–1.28 mg/kg) in combination with vehicle or PCP for 3 days with a pretreatment time of 22–24 h for haloperidol and 45 min for PCP had very limited effects on the behavior of the rats (Figure 1). In the vehicle-treated rats haloperidol caused a significant decrease in active social interaction at the highest dose, but did not affect the locomotor activity, stereotypy score or per cent time in central zone, which indicate that the explorative behaviors were unaffected by haloperidol at the long pretreatment time. In the PCP-treated rats haloperidol induced a dose-dependent inhibition of the locomotor hyperactivity for doses of 1.7 μmol/kg and upward, but without affecting percent time in central zone or the stereotyped behavior. In addition, haloperidol did not alleviate the PCP-induced deficits in active social interaction. There was a small, but significant increase in passive social interaction in the PCP-treated rats at the highest dose of haloperidol, but the overall level of social interaction did not return to the level of vehicle-treated control rats.
The effects of long-term administration of haloperidol (0.1–3.4 μmol/kg; 0.04–1.28 mg/kg) for 21 days in combination with vehicle or PCP during the last 3 days of the haloperidol administration regimen using a pretreatment time of 22–24 h for haloperidol and 45 min for PCP is shown in Figure 2. In the vehicle-treated rats haloperidol caused a slight, but significant dose-dependent decrease in active social interaction from 0.4 μmol/kg and upward, but did not affect the locomotor activity, stereotypy score or percent time in central zone, which indicate that the explorative behaviors of the vehicle-treated rats were unaffected by haloperidol. In the PCP-treated rats, haloperidol induced an inhibition of the locomotor hyperactivity from 0.4 μmol/kg and upward, but without affecting percent time in central zone or the stereotyped behavior. Haloperidol had a slight alleviating effect on the PCP-induced deficits in active social interaction at 0.1 and 0.4 μmol/kg, but this effect disappeared at higher doses. Finally, haloperidol caused a slight increase in passive social interaction, but this effect was too small to be considered of relevance.
Short-term administration of clozapine (0.5–7.6 μmol/kg; 0.16–2.5 mg/kg) in combination with vehicle or PCP for 3 days with a pretreatment time of 22–24 h for clozapine and 45 min for PCP had, like haloperidol, very limited effects on the behavior of the rats (Figure 3). In the vehicle-treated rats, clozapine did not have any effects on their behavior. In the PCP-treated rats, clozapine induced a dose-dependent reduction of the locomotor hyperactivity at 1.9 and 7.6 μmol/kg, but also augmented the stereotyped behavior slightly at 0.5 and 1.9 μmol/kg. Clozapine did not alleviate the stereotyped behavior at any of the doses tested. In addition clozapine did not affect the PCP-induced changes in percent time in central zone and did not affect the deficits in social interaction.
The effects of long-term administration of clozapine (0.12–7.6 μmol/kg; 0.04–2.5 mg/kg) for 21 days in combination with vehicle or PCP for the last 3 days of the clozapine administration regimen and using a pretreatment time of 22–24 h for clozapine and 45 min for PCP is shown in Figure 4. In the vehicle-treated rats, clozapine caused a slight, but significant increase in active social interaction and a reduction in percent time in central zone at the lowest dose of 0.12 μmol/kg, but these effects disappeared at the higher doses, and from 0.5 μmol/kg and upward clozapine did not affect the behavior of the vehicle-treated rats. In the PCP-treated rats clozapine did not affect the locomotor hyperactivity, but at a single dose of 0.5 μmol/kg clozapine partially reversed the effects of PCP on percent time in central zone and partially normalized the stereotyped behavior. Clozapine also induced a slight increase in the active social interaction toward vehicle-control levels, but only at 0.12 and 1.9 μmol/kg. Clozapine did not affect passive social interaction.
Motility Test
AMPH at a standard dose of 0.5 mg/kg reliably induces locomotor hyperactivity in rats and a significant difference in locomotor activity between vehicle- and AMPH-treated rats was observed in all experiments. The effects of short- and long-term administration of haloperidol and clozapine daily for 3 and 21 days, respectively, in combination with vehicle or 2.7 μmol/kg of AMPH on the last day of antipsychotic drug administration is shown in Figure 5 and Figure 6 . In addition to 3 and 21 days of administration of the antipsychotic drugs, haloperidol and clozapine were also tested after a pretreatment time of 30 min and of 22–24 h, whereas the pretreatment time always was 0 min for AMPH.
Short-term administration of haloperidol (0.4 and 1.7 μmol/kg; 0.16 and 0.64 mg/kg) (Figure 5A) with a pretreatment time of 30 min for haloperidol produced a significant reduction in the locomotor activity of both vehicle- and AMPH-treated rats (dose: F(2,78) = 203.0; p < .001; treatment F(1,78) = 51.5; p < .001; dose × treatment F(2,78) = 5.8; p < .01), whereas haloperidol at the long pretreatment time did not have any effects in the vehicle- or AMPH-treated rats, although there was a tendency towards a slight increase in the AMPH-induced hyperactivity at the highest dose (dose: F(2,69) = 0.8; p = NS; treatment F(1,69) = 184.0; p < .001; dose × treatment F(2,69) = 2.1; p = NS). After long-term administration (Figure 5B) haloperidol at the short pretreatment time produced a significant reduction in the locomotor activity of both vehicle- and AMPH-treated rats (dose: F(2,66) = 98.9; p < .001; treatment F(1,66) = 68.7; p < .001; dose × treatment F(2,66) = 3.6; p < .05). However, after a pretreatment time of 22–24 h haloperidol did not affect the behavior of the vehicle-treated rats, but induced a dose-dependent increase in the locomotor activity of the AMPH-treated rats (dose: F(2,66) = 5.3; p < .01; treatment F(1,66) = 192.2; p < .001; dose × treatment F(2,66) = 0.2; p = NS).
Short-term administration of clozapine (1.9 and 7.6 μmol/kg; 0.63 and 2.5 mg/kg) (Figure 6A) with a pretreatment time of 30 min for clozapine produced a significant reduction in the locomotor activity of the vehicle-treated rats at 1.9 μmol/kg of clozapine and at both doses in the AMPH-treated rats (dose: F(2,72) = 30.2; p < .001; treatment F(1,72) = 140.9; p < .001; dose × treatment F(2,72) = 10.1; p < .001). At the long pretreatment time both doses of clozapine reduced the activity of the vehicle- and AMPH-treated rats slightly (dose: F(2,69) = 11.5; p < .001; treatment F(1,69) = 213.4; p < .001; dose × treatment F(2,69) = 0.5; p = NS). After long-term administration (Figure 6B) clozapine at the short pretreatment time produced a slight, but significant reduction at 7.6 μmol/kg in the locomotor activity of the vehicle-treated rats and a strong reduction in the AMPH-treated rats at both doses tested (dose: F(2,66) = 14.2; p < .001; treatment F(1,66) = 215.4; p < .001; dose × treatment F(2,66) = 0.5; p = NS). At a pretreatment time of 22–24 h clozapine produced a slight reduction in the activity of the vehicle-treated rats at 7.6 μmole/kg, but did not affect the behavior of the AMPH-treated rats (dose: F(2,66) = 2.6; p = NS; treatment F(1,66) = 301.8; p < .001; dose × treatment F(2,66) = 1.4; p = NS).
DISCUSSION
The effects of short- and long-term administration of haloperidol and clozapine in combination with PCP using a pretreatment time of 45 min for both compounds have previously been published for the social interaction test (Sams-Dodd 1996). Briefly described it was found that haloperidol dose-dependently suppressed the locomotor activity, per cent time in central zone and the stereotyped behavior of the vehicle- and the PCP-treated rats after both 3 and 21 days of administration, and that it did not alleviate the PCP-induced social isolation. Clozapine following 3 days of administration likewise produced a dose-dependent suppression of locomotor activity, percent time in central zone and stereotyped behavior in both the vehicle- and the PCP-treated rats, and induced deficits in the social interaction of the vehicle-treated rats without normalizing the deficits in the PCP-treated rats. Following long-term administration of clozapine the vehicle-treated rats developed tolerance to the inhibitory effects of clozapine on locomotor activity and this was now only slightly reduced at the highest dose; however, dose-dependent reductions in percent time in central zone and social interaction still occurred. In the PCP-treated rats, clozapine normalized the locomotor activity and produced a partial alleviation of the stereotyped behavior and social isolation thus demonstrating a specific effect on these parameters although clozapine did not normalize percent time in central zone.
In the present study, the effects of haloperidol and clozapine were tested in the social interaction test using a pretreatment time of 22–24 h. Both drugs had only a slight effect on the behavior of the vehicle-treated rats after 3 and 21 days of administration, indicating that drug levels in plasma must be reasonably low at this time point. It should therefore at this time point be possible to determine any specific long-term effects of haloperidol and clozapine treatment on the PCP-induced behaviors. In the PCP-treated rats haloperidol after 3 and 21 days of administration reduced the locomotor hyperactivity, but did not alleviate the PCP-induced stereotyped behavior or social isolation, which are the key effect parameters for this model. Clozapine also reduced the locomotor hyperactivity after 3 days of administration, but this effect disappeared after 21 days, suggesting that the rats developed tolerance to the sedative effects of clozapine. Like haloperidol, clozapine did not alleviate the PCP-induced stereotyped behavior or social isolation after 3 or 21 days of administration, except for a dose of 0.5 μmol/kg where clozapine significantly reduces the PCP-induced stereotyped behavior after long-term administration. The effects of clozapine on PCP-induced behaviors that previously have been described could therefore not be replicated with this long pretreatment time.
In the motility test, haloperidol and clozapine at the short pretreatment time inhibited the locomotor activity of both vehicle- and AMPH-treated rats after both 3 and 21 days of administration, which is comparable to previously published findings (e.g., Robinson and Becker 1986; Jackson et al. 1994; Arnt 1995). At the long pretreatment time, haloperidol did not affect the vehicle-treated rats, but rather potentiated the AMPH-induced hyperactivity after 3 and 21 days of administration. This supersensitivity following withdrawal of haloperidol medication has previously been reported in animals by Burt et al. (1977), and Nyberg et al. (1995) have seen similar effects in man, where PET studies of the D2-receptor have shown an increase in dopamine D2-receptor density 2 weeks after withdrawal from sulpiride medication. Clozapine after 3 days of administration at the long pretreatment time inhibited the behavior of both vehicle- and AMPH-treated rats, whereas after 21 days of administration the rats developed tolerance to the effects of clozapine and it now only produced a slight reduction in the vehicle-treated rats at the highest dose and did not affect the AMPH-induced locomotor activity.
The present data have therefore shown: (1) that active levels of antipsychotic drug were present in the rats after a pretreatment time of 22–24 h, although these levels were low and only had limited effects on the vehicle-treated rats, which correspond well with the short half-lives of haloperidol and clozapine in the rat; (2) that short- and long-term administration of haloperidol and clozapine reduced the PCP- and AMPH-induced behaviors at the short pretreatment time, but that both drugs also affected the behavior of vehicle-treated rats; and (3) that short- and long-term administration of haloperidol and clozapine did not at a pretreatment time of 22–24 h consistently alleviate the PCP- or AMPH-induced behaviors. The doses used in the present study for haloperidol and clozapine are well within the range where long-term effects have been observed in rats (e.g., Skarsfeldt 1992; Sams-Dodd 1996) and are comparable to clinical doses (e.g., Breier et al. 1994). These results thus indicate that haloperidol and clozapine in these behavioral models in rats are only effective in reducing PCP- and AMPH-induced behaviors when they are given with a short pretreatment time and when reasonably high drug levels are present in plasma.
Predictive validity refers to the selectivity whereby an animal model responds to specific classes of compounds, e.g., antipsychotics or antidepressants (Willner 1984; Ellenbroek and Cools 1990). For animal models of schizophrenia based on PCP or AMPH several studies have shown that these models respond specifically to haloperidol and clozapine compared to other classes of drugs, e.g., antidepressants or anxiolytics, following acute or subchronic administration (Jackson et al. 1994; Sams-Dodd 1996). This demonstrates that these models are predictive in terms of identifying compounds that in some aspects are similar to haloperidol or clozapine. This can be referred to as limited predictive validity, because the validity is limited to particular classes of compounds. The purpose of the present set of experiments was to determine whether animal models of schizophrenia based on PCP or AMPH also can measure the underlying neurochemical changes that are directly responsible for the antipsychotic effect, a level of validity that may be referred to as full predictive validity. This type of model allows the identification of novel classes of antipsychotic compounds that may have a completely different mode of action than known antipsychotics. To test this an approach was used that is based on the clinical observations that the antipsychotic effect in schizophrenic patients has a slow onset and that the time to relapse following abrupt withdrawal of medication for most patients can be quite prolonged. In terms of an animal model this would mean the effects of antipsychotic drug treatment should demonstrate a comparable temporal pattern and therefore that rats after 21 days of treatment with haloperidol or clozapine should show a diminished response to PCP or AMPH at 24 h after the last administration of haloperidol or clozapine. The experiments showed that PCP in the social interaction test and AMPH in locomotor activity cages could not measure any long-term effect of antipsychotic drug treatment on the central nervous system, and these animal models therefore appear only to have limited predictive validity. It is possible that PCP and AMPH models the subgroup of patients, which shows a close correlation between plasma level of clozapine and psychopathology. This would correspond well with the observed effects of clozapine on PCP- and AMPH-induced behaviors when a short pretreatment time is used and the loss of the antipsychotic effects within 24 h due to the short half-life of clozapine in the rat. However, this correlation is based on a negative result and a simpler explanation would be that the interactions observed between the antipsychotic drugs and PCP and AMPH represent simple drug interactions. This is supported by several animal studies which have reported that antipsychotics can acutely reduce PCP- and AMPH- induced behaviors in various species, and in humans it has been reported that haloperidol within 1 h can almost completely alleviate an AMPH psychosis (Angist et al. 1974) and that haloperidol, chlorpromazin, diazepam, and phygostigmine can acutely reduce some symptoms of a PCP psychosis (Castellani et al. 1982; Giannini et al. 1985; Leikin et al. 1989).
To conclude, the present study has used a new drug administration regime to distinguish between the antipsychotic effects of haloperidol and clozapine and the drug-induced side effects to test the predictive validity of animal models of schizophrenia based on PCP and AMPH. The study found that PCP- and AMPH-induced behavioral disturbances in rats tested in the social interaction test or in activity cages could not measure the antipsychotic effect of haloperidol and clozapine. These findings suggest that the interactions seen between PCP, AMPH, and antipsychotic drugs represent simple acute drug-drug interactions, but this needs to be confirmed in other behavioral models, e.g., the prepulse inhibition startle response (Geyer et al. 1990), and perhaps even in another species. Previous studies have shown that PCP- and AMPH-induced symptoms in humans and animals respond fairly selectively to antipsychotic drugs compared with other classes of compounds, and these models clearly can be used for distinguishing between classes of antipsychotic drugs and perhaps their effect on different types of clinical symptoms. However, the present study suggests that animal models of schizophrenia based on PCP and AMPH cannot measure the long-term neurochemical effects of antipsychotic drug treatment that are believed to be related to their antipsychotic properties, and therefore that these models lack full predictive validity.
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Acknowledgements
I thank Ms. Marit Pedholt Larsen and Ms. Pi Ørum for technical assistance in conducting these experiments, and Dr. Jørn Arnt and Mrs. Jeanette Sams-Dodd for comments.
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Sams-Dodd, F. A Test of the Predictive Validity of Animal Models of Schizophrenia Based on Phencyclidine and D-Amphetamine. Neuropsychopharmacol 18, 293–304 (1998). https://doi.org/10.1016/S0893-133X(97)00161-9
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DOI: https://doi.org/10.1016/S0893-133X(97)00161-9
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