Venlafaxine: discrepancy between in vivo 5-HT and NE reuptake blockade and affinity for reuptake sites

Synapse. 1999 Jun 1;32(3):198-211. doi: 10.1002/(SICI)1098-2396(19990601)32:3<198::AID-SYN6>3.0.CO;2-2.

Abstract

Using an in vivo electrophysiological paradigm, venlafaxine and paroxetine displayed similar potency for suppressing the firing activity of dorsal raphe 5-HT neurons (ED50: 233 and 211 microg/kg i.v., respectively), while venlafaxine was three times less potent than desipramine (ED50: 727 and 241 microg/kg i.v., respectively) to suppress the firing activity of locus coeruleus NE neurons. The selective 5-HT1A receptor antagonist WAY 100635 (100 microg/kg, i.v.) reversed the suppressant effect of venlafaxine and paroxetine on the firing activity of 5-HT neurons and the alpha2-adrenoceptor antagonist piperoxane (1 mg/kg, i.v.) reversed those of venlafaxine and desipramine on the firing activity of NE neurons. The ED50 of venlafaxine on the firing activity of 5-HT neurons was not altered (ED50: 264 microg/kg) in noradrenergic-lesioned rats, while the suppressant effect of venlafaxine on the firing activity of NE neurons was greater in serotonergic-lesioned rats (ED50: 285 microg/kg). Taken together, these results suggest that, in vivo, venlafaxine blocks both reuptake processes, its potency to block the 5-HT reuptake process being greater than that for NE. Since the affinities of venlafaxine for the 5-HT and NE reuptake carriers are not in keeping with its potencies for suppressing the firing activity of 5-HT and NE neurons, the suppressant effect of venlafaxine on the firing activity of 5-HT and NE neurons observed in vivo may not be mediated solely by its action on the [3H]cyanoimipramine and [3H]nisoxetine binding sites. In an attempt to unravel the mechanism responsible for this peculiarity, in vitro superfusion experiments were carried out in rat brain slices to assess a putative monoamine releasing property for venlafaxine. (+/-)Fenfluramine and tyramine substantially increased the spontaneous outflow of [3H]5-HT and [3H]NE, respectively, while venlafaxine was devoid of such releasing properties.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Action Potentials / drug effects
  • Adrenergic Uptake Inhibitors / antagonists & inhibitors
  • Adrenergic Uptake Inhibitors / metabolism
  • Adrenergic Uptake Inhibitors / pharmacology*
  • Animals
  • Binding Sites
  • Cyclohexanols / antagonists & inhibitors
  • Cyclohexanols / metabolism
  • Cyclohexanols / pharmacology*
  • Desipramine / antagonists & inhibitors
  • Desipramine / metabolism
  • Desipramine / pharmacology
  • Fenfluramine / metabolism
  • Fenfluramine / pharmacology
  • Hippocampus / drug effects
  • Hippocampus / metabolism
  • In Vitro Techniques
  • Locus Coeruleus / cytology
  • Locus Coeruleus / drug effects
  • Locus Coeruleus / metabolism
  • Male
  • Neurons / drug effects*
  • Neurons / metabolism
  • Neurons / physiology
  • Norepinephrine / metabolism*
  • Paroxetine / antagonists & inhibitors
  • Paroxetine / metabolism
  • Paroxetine / pharmacology
  • Piperazines / pharmacology
  • Piperoxan / pharmacology
  • Pyridines / pharmacology
  • Raphe Nuclei / cytology
  • Raphe Nuclei / drug effects
  • Raphe Nuclei / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Selective Serotonin Reuptake Inhibitors / antagonists & inhibitors
  • Selective Serotonin Reuptake Inhibitors / metabolism
  • Selective Serotonin Reuptake Inhibitors / pharmacology*
  • Serotonin / metabolism*
  • Tyramine / metabolism
  • Tyramine / pharmacology
  • Venlafaxine Hydrochloride

Substances

  • Adrenergic Uptake Inhibitors
  • Cyclohexanols
  • Piperazines
  • Pyridines
  • Serotonin Uptake Inhibitors
  • Fenfluramine
  • Serotonin
  • Paroxetine
  • N-(2-(4-(2-methoxyphenyl)-1-piperazinyl)ethyl)-N-(2-pyridinyl)cyclohexanecarboxamide
  • Venlafaxine Hydrochloride
  • Piperoxan
  • Desipramine
  • Norepinephrine
  • Tyramine