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KMID : 0043320030260110951
Archives of Pharmacal Research
2003 Volume.26 No. 11 p.951 ~ p.959
Differential Effects of Typical and Atypical Neuroleptics on Mitochondrial Function In Vitro
Josephine S.

Napolitano Modica
Lagace Christopher-J.
Brennan William-A.
Aprille June-R.
Abstract
A series of typical (chlorpromazine, haloperidol and thioridazine) and atypical (risperidone, quetiapine, clozapine and olanzapine) antipsychotics were tested for effects on integrated bioenergetic functions of isolated rat liver mitochondria. Polarographic measurement of oxygen consumption in freshly isolated mitochondria showed that electron transfer activity at respiratory complex I is inhibited by chlorpromazine, haloperidol, risperidone, and quetiapine, but not by clozapine, olanzapine, or thioridazine. Chlorpromazine and thioridazine act as modest uncouplers of oxidative phosphorylation. The typical neuroleptics inhibited NADH-coenzyme Q reductase in freeze-thawed mitochondria, which is a direct measure of complex I enzyme activity. The inhibition of NADH-coenzyme Q reductase activity by the atypicals risperidone and quetiapine was 2-4 fold less than that for the typical neuroleptics. Clozapine and olanzapine had only slight effects on NADH-coenzyme Q reductase activity, even at 200 M. The relative potencies of these neuroleptic drugs as inhibitors of mitochondrial bioenergetic function is similar to their relative potencies as risk factors in the reported incidence of extrapyramidal symptoms, including tardive dyskinesia (TD). This suggests that compromised bioenergetic function may be involved in the cellular pathology underlying TD.
KEYWORD
Neuroleptics, Mitochondrial bioenergetic function, Extrapyramidal symptoms, Tardive dyskinesia, Electron transport, Respiratory enzyme complex I, Oxidative phosphorylation
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