Dopamine D
3
receptor antagonism contributes to blonanserin-induced
cortical dopamine and acetylcholine efflux and cognitive improvement
Mei Huang
a
, Sunoh Kwon
a
, Yoshihiro Oyamada
a,b
, Lakshmi Rajagopal
a
,
Masanori Miyauchi
a,b
, Herbert Y. Meltzer
a,
⁎
a
Department of Psychiatry and Behavioral Sciences, Northwestern Feinberg School of Medicine, Chicago, IL 60611, USA
b
Sumitomo Dainippon Pharma Co., Ltd., Osaka 564-0053, Japan
abstract article info
Article history:
Received 8 July 2015
Received in revised form 9 September 2015
Accepted 11 September 2015
Available online 14 September 2015
Keywords:
Blonanserin
Cognition
Dopamine D
3
receptor
Microdialysis
Blonanserin is a novel atypical antipsychotic drug (APD), which, unlike most atypical APDs, has a slightly higher
affinity for dopamine (DA) D
2
than serotonin (5-HT)
2A
receptors, and is an antagonist at both, as well as at D
3
receptors. The effects of atypical APDs to enhance rodent cortical, hippocampal, limbic, and dorsal striatal
(dSTR) DA and acetylcholine (ACh) release, contribute to their ability to improve novel object recognition
(NOR) in rodents treated with sub-chronic (sc) phencyclidine (PCP) and cognitive impairment associated with
schizophrenia (CIAS). Here we determined the ability of blonanserin, the D
3
antagonist NGB 2904, and the typical
APD, haloperidol, a D
2
antagonist, to enhance neurotransmitter efflux in the medial prefrontal cortex (mPFC) and
dSTR of mice, and to ameliorate the scPCP-induced deficit in NOR in rats. Blonanserin, 10 mg/kg, i.p., increased
DA, norepinephrine (NE), and ACh efflux in mPFC and dSTR. NGB 2904, 3 mg/kg, increased DA and ACh, but
not NE, efflux in mPFC, and DA, but not ACh, efflux in dSTR. Haloperidol increased DA and NE efflux in dSTR
only. The selective D
3
agonist PD 128907 partially blocked the blonanserin-induced cortical ACh, DA, NE and
striatal DA efflux. NGB 2904, 3 mg/kg, like blonanserin, 1 mg/kg, and the combination of sub-effective doses of
NGB 2904 and blonanserin (both 0.3 mg/kg), ameliorated the scPCP-induced NOR deficit in rats. These results
suggest that D
3
receptor blockade may contribute to the ability of blonanserin to increase cortical DA and ACh
efflux, as well as to restore NOR and improve CIAS.
© 2015 Elsevier Inc. All rights reserved.
1. Introduction
Cognitive impairment is a characteristic feature of schizophrenia,
affecting all domains of cognition, including cognitive flexibility and de-
clarative memory (Saykin et al., 1991). Novel treatments to alleviate the
cognitive impairment associated with schizophrenia (CIAS) are needed,
as current treatments are only partially effective (Woodward et al.,
2005). Impairment in memory and learning following sub-chronic
(sc) administration of the N-methyl-D-aspartate non-competitive an-
tagonist, phencyclidine (PCP), is a widely used model to test putative
treatments for CIAS (Meltzer et al., 2013; Neill et al., 2014). The deficit
in novel object recognition (NOR) is considered a model of the declara-
tive memory deficit in schizophrenia (Ennaceur, 2010; Meltzer et al.,
2013). We have previously shown that atypical antipsychotic drugs
(APDs), e.g. risperidone and lurasidone, many of which are more potent
serotonin (5-HT)
2A
than dopamine (DA) D
2
receptor antagonists
(Meltzer and Huang, 2008), amisulpride, a D
2
/D
3
, 5-HT
7
receptor antag-
onist (Horiguchi et al., 2011), and blonanserin, a 5-HT
2A
/D
2
/D
3
antago-
nist and indirect 5-HT
1A
agonist, a novel atypical APD approved in
Japan (Hori et al., 2014), can acutely reverse the NOR deficit induced
by scPCP (Horiguchi and Meltzer, 2013), while typical APDs, which are
selective for D
2
receptor blockade, are ineffective in this model
(Snigdha et al., 2010; Meltzer et al., 2013; Neill et al., 2014).
Blonanserin, unlike other atypical APDs, is an equal potent at D
2
and
5-HT
2A
antagonist in vitro (Une and Kurumiya, 2007; Ohoyama et al.,
2011). The Ki values for blonanserin to inhibit the specific binding of
[
3
H]spiperone to the DA D
2
receptor and of [
3
H]ketanserin to 5-HT
2A
re-
ceptors are 2.0 ± 0.2 and 2.9 ± 0.4 nM, respectively, indicating approx-
imate equivalence, unlike the marked differences favoring 5-HT
2A
receptors of other atypical APDs (Meltzer and Huang, 2008; Ohoyama
et al., 2011). Moreover, blonanserin, unlike most atypical APDs, with
the exception of amisulpride, a substituted benzamide (Perrault et al.,
1997), is also a potent D
3
receptor antagonist (Tadori et al., 2011;
Takaki and Ujike, 2013; Une and Kurumiya, 2007). Thus, the affinity of
blonanserin for human D
3
receptor with [
3
H]7-OH-DPAT as ligand was
Pharmacology, Biochemistry and Behavior 138 (2015) 49–57
Abbreviations: ACh, acetylcholine; APD, antipsychotics; CIAS, cognitive impairment
associated with schizophrenia; DA, dopamine; DOPAC, 3,4-dihydroxyphenylacetic acid;
dSTR, dorsal striatum; 5-HIAA, 5-hydroxyindole acetic acid; HVA, homovanillic acid;
mPFC, medial prefrontal cortex; NE, norepinephrine; NOR, novel object recognition; PCP,
phencyclidine.
⁎ Corresponding author at: Department of Psychiatry and Behavioral Sciences,
Northwestern University Feinberg School of Medicine, 303 E. Chicago Ave., Ward
Building 7-014, Chicago, IL 60611, USA.
E-mail address: h-meltzer@northwestern.edu (H.Y. Meltzer).
http://dx.doi.org/10.1016/j.pbb.2015.09.011
0091-3057/© 2015 Elsevier Inc. All rights reserved.
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