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Anxiolytic-like effect of milnacipran in the four-plate test in mice: mechanism of action.

Abstract
Milnacipran is a serotonin/noradrenaline reuptake inhibitor (SNRI) which has not yet been systematically studied preclinically or clinically for the treatment of anxiety disorders. In the four-plate test (FPT) which is known to predict anxiolytic-like activity in mice, milnacipran (4, 8, 16 and 32 mg/kg) demonstrated strong anti-punishment effects following acute administration. The anxiolytic-like effect of milnacipran was not reversed by the selective GABA(A) receptor antagonist, flumazenil (2 and 4 mg/kg), the selective alpha1-adrenoceptor antagonist, prazosin (0.5 and 2 mg/kg), the selective alpha2-adrenoceptor antagonist, idazoxan (1 and 4 mg/kg) or the selective 5-HT2B receptor antagonist, SB 206553 (0.1 and 1 mg/kg). In contrast, the selective 5-HT2A receptor antagonist, SR 46349B (0.1 and 1 mg/kg), and the non-selective 5-HT2 receptor antagonist, ketanserin (0.125 and 0.5 mg/kg), completely abolished the anxiolytic-like effect of milnacipran in FPT. Neurochemical depletion of NA or 5-HT completely abolished the activity of milnacipran. These results strongly suggest that activation of 5-HT2A receptors is critically involved in the anxiolytic activity of milnacipran. On the other hand the lack of activity of milnacipran after depletion of NA or 5-HT is consistent with milnacipran acting on the locus coeruleus to induce 5-HT release. The present data suggest a strong connection between 5-HT2A receptors and NA neurotransmission.
AuthorsMichel Bourin, Fabienne Masse, Eric Dailly, Martine Hascoët
JournalPharmacology, biochemistry, and behavior (Pharmacol Biochem Behav) Vol. 81 Issue 3 Pg. 645-56 (Jul 2005) ISSN: 0091-3057 [Print] United States
PMID15961146 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Anti-Anxiety Agents
  • Benzylamines
  • Cyclopropanes
  • Fluorobenzenes
  • Indoles
  • Neurotransmitter Uptake Inhibitors
  • Phenols
  • Pyridines
  • Serotonin 5-HT2 Receptor Antagonists
  • Serotonin Antagonists
  • Serotonin Uptake Inhibitors
  • SR 46349B
  • Serotonin
  • Flumazenil
  • Ketanserin
  • SB 206553
  • Milnacipran
  • DSP 4
  • Fenclonine
  • Dopamine
  • Norepinephrine
  • Prazosin
  • Idazoxan
  • Alprazolam
Topics
  • Alprazolam (pharmacology)
  • Animals
  • Anti-Anxiety Agents (pharmacology)
  • Behavior, Animal (drug effects)
  • Benzylamines (pharmacology)
  • Brain (drug effects, metabolism)
  • Cyclopropanes (pharmacology)
  • Dopamine (metabolism)
  • Dose-Response Relationship, Drug
  • Fenclonine (pharmacology)
  • Flumazenil (pharmacology)
  • Fluorobenzenes (pharmacology)
  • Idazoxan (pharmacology)
  • Indoles (pharmacology)
  • Ketanserin (pharmacology)
  • Male
  • Mice
  • Milnacipran
  • Motor Activity (drug effects)
  • Neurotransmitter Uptake Inhibitors (pharmacology)
  • Norepinephrine (metabolism)
  • Phenols (pharmacology)
  • Prazosin (pharmacology)
  • Punishment (psychology)
  • Pyridines (pharmacology)
  • Serotonin (metabolism)
  • Serotonin 5-HT2 Receptor Antagonists
  • Serotonin Antagonists (pharmacology)
  • Selective Serotonin Reuptake Inhibitors (pharmacology)

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