Haloperidol treatment after high-dose methamphetamine administration is excitotoxic to GABA cells in the substantia nigra pars reticulata.
The therapeutic management of methamphetamine (METH)-induced psychoses often involves treatment with the typical antipsychotic drug and dopamine D2 receptor antagonist haloperidol. We report here that subchronic haloperidol administration after a high-dose regimen of METH produces a heretofore unrecognized toxicity to GABAergic cells, as reflected by GAD67 mRNA expression histochemistry, in the rat substantia nigra pars reticulata (SNr) through an acute and persistent augmentation of glutamate release, NMDA receptor activation, and DNA fragmentation. The dopaminergic cells in the substantia nigra pars compacta were unaffected by METH or haloperidol alone or the combination of METH and haloperidol. These findings suggest that the current therapeutic management of METH-induced psychoses with haloperidol may be contraindicated because of a resultant GABAergic cell death in the SNr, which may predispose some individuals to the development of hyperkinetic movement disorders and seizures.
Hatzipetros
Theo
T
Laboratory of Neurochemistry, Department of Pharmacology and Experimental Therapeutics, Boston University School of Medicine, Boston, Massachusetts 02118, USA.
Raudensky
Jamie G
JG
Soghomonian
Jean-Jacques
JJ
Yamamoto
Bryan K
BK
D000818:Animals; D065127:Dopamine D2 Receptor Antagonists; D004305:Dose-Response Relationship, Drug; D018698:Glutamic Acid / Q000096:biosynthesis / Q000378:metabolism; D006220:Haloperidol / Q000633:toxicity*; D008297:Male; D008694:Methamphetamine / Q000008:administration & dosage*; D051381:Rats; D017207:Rats, Sprague-Dawley; D017448:Receptors, Dopamine D2 / Q000502:physiology; D013378:Substantia Nigra / Q000166:cytology* / Q000187:drug effects*; D013997:Time Factors; D005680:gamma-Aminobutyric Acid / Q000502:physiology*
D065127:Dopamine D2 Receptor Antagonists; D017448:Receptors, Dopamine D2; D018698:Glutamic Acid; D008694:Methamphetamine; D005680:gamma-Aminobutyric Acid; D006220:Haloperidol