Aripiprazole is the first
dopamine D(2)/D(3) receptor partial agonist successfully developed and ultimately approved for treatment of a broad spectrum of psychiatric and
neurological disorders.
Aripiprazole's
dopamine D(2) and
serotonin 5-HT(1A) receptor partial agonist activities have been postulated to confer clinical efficacy without marked sedation, and a relatively favorable overall side-effect profile. Using
aripiprazole's unique profile as a benchmark for new
dopamine partial agonist development may facilitate discovery of new
antipsychotics. We conducted an in vitro comparative analysis between
aripiprazole, and its human metabolite
OPC-14857 (7-(4-[4-(2,3-dichlorophenyl)-1-piperazinyl)butoxy)-2(1H)-
quinolinone)); RGH-188 (trans-1-[4-[2-[4-(2,3-dichlorophenyl)
piperazine-1-yl]ethyl]cyclohexyl]-3,3-dimethylurea), and its metabolite didesmethyl-RGH-188 (DDM-RGH-188); as well as
bifeprunox,
sarizotan,
N-desmethylclozapine (NDMC;
clozapine metabolite), and
SDZ 208-912 (N-[(8α)-2-chloro-6-methylergolin-8-yl]-2,2-dimethylpropanamide). In vitro pharmacological assessment included inhibition of
forskolin-stimulated cAMP accumulation and the reversal of
dopamine-induced inhibition in clonal Chinese hamster ovary cell lines expressing D(2S), D(2L), D(3) Ser-9 and D(3) Gly-9 for human
dopamine receptors. All test compounds behaved as
dopamine D(2)/D(3) receptor partial agonists.
Aripiprazole's intrinsic activity at
dopamine D(2S) and D(2L) receptors was similar to that of OPC-14857 and RGH-188; lower than that of
dopamine and
bifeprunox; and higher than that of DDM-RGH-188,
SDZ 208-912,
sarizotan, and NDMC.
Aripiprazole's intrinsic activity at
dopamine D(3) Ser-9 and D(3) Gly-9 receptors was similar to that of OPC-14857 and
sarizotan; lower than that of
dopamine,
bifeprunox, RGH-188 and DDM-RGH-188; and higher than that of
SDZ 208-912 and NDMC. A consolidated assessment of these findings may help defining the most appropriate magnitude of intrinsic activity at
dopamine D(2)/D(3) receptors for clinical efficacy and safety.