Recent experiments have demonstrated that pharmacological activation of central noradrenergic systems by monoaminergic stimulators or uptake blockers or through the stimulation of
alpha-1 adrenergic receptors improved
cataplexy, a major symptom of
narcolepsy. In order to further the understanding of the control of
cataplexy by noradrenergic mechanisms, the involvement of central alpha-2
adrenoceptors was examined in genetically narcoleptic Doberman pinschers using in vivo pharmacology.
Yohimbine (1.5-96.0 micrograms/kg i.v.) and seven other selective and centrally acting alpha-2
adrenoceptor antagonists (
rauwolscine: 1.5-96 micrograms/kg i.v.; atipemazole: 1.5-96 micrograms/kg i.v.;
Wy-25309: 1.5-386 micrograms/kg i.v.;
CGS-7525A: 1.5-386 micrograms/kg i.v.;
idazoxan, 6-1536 micrograms/kg i.v.;
piperoxan, 6-1536 micrograms/kg i.v.; and
mianserin, 6-1536 micrograms/kg i.v.) significantly suppressed
cataplexy. The alpha-2 mediation of this effect was demonstrated by a close correlation between
drug affinities (Ki) toward the alpha-2 site (defined using [3H]
yohimbine in canine cortex) and the ability of these drugs to reduce
cataplexy [ED50 in nanomoles per kilogram i.v.) (r2 = 0.71, n = 8, P less than .01). The effects of six centrally acting alpha-2 agonists on canine
cataplexy were also examined and two groups of compounds were distinguished on the basis of their pharmacological profile. Classical alpha-2 agonists such as
clonidine (0.0625-4.0 micrograms/kg i.v.), p-aminoclonidine (0.0625-4.0 micrograms/kg i.v.) and
guanfacine (0.0625-4.0 micrograms/kg i.v.) had no effect on
cataplexy whereas
BHT-920 (0.01875-3.0 micrograms/kg i.v.), BHT-933 (16.0-258 micrograms/kg i.v.) and
xylazine (16.0-258 micrograms/kg i.v.) dramatically aggravated
cataplexy.(ABSTRACT TRUNCATED AT 250 WORDS)