Abstract
It is shown that the tricyclic antidepressant drug doxepin (comprising 15% of thecis- and 85% of thetrans-isomer) is a moderately potent competitive inhibitor of serotonin uptake in human blood platelets in vitro, with an inhibitory constantK i of about 2×10-7 M. The inhibitory effect was 6 times stronger in an artificial, protein-free medium than in diluted plasma, corresponding to about 85% protein binding. The efflux of serotonin from platelets preloaded with14C-serotonin was not affected by doxepin in concentrations up to 10-6 M, but increased rapidly at concentrations above 10-4 M.
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Buczko, W., Gaetano, G. de, Garattini, S.: Influence of some tricyclic antidepressive drugs on the uptake of 5-hydroxytryptamine by rat blood platelets. J. Pharm. Pharmacol26, 814–815 (1974)
Campbell, I. C., Todrick, A.: Plasma protein binding of tricyclic antidepressive drugs. J. Pharm. Pharmacol.22, 226–227 (1970)
Carlsson, A., Fuxe, K., Ungerstedt, U.: The effect of imipramine of central 5-hydroxytryptamine neurons. J. Pharm. Pharmacol.20, 150–151 (1968)
Carlsson, A., Corrodi, H., Fuxe, K., Hökfelt, T.: Effect of antidepressant drugs on the depletion of intraneuronal brain 5-hydroxytryptamine stores caused by 4-methyl-α-ethyl-metatyramine. Europ. J. Pharmacol.5, 367–373 (1969)
Fann, W. E., Cavanaugh, J. H., Kaufman, J. S., Griffith, J. D., Davis, J. M., Janowsky, D. S., Oates, J. A.: Doxepin: effects on transport of biogenic amines in man. Psychopharmacology22, 111–125 (1971)
Hollister, L. E.: Doxepin hydrochloride. Ann. intern. Med.81, 360–363 (1974)
Horn, A. S., Trace, R. C. A. M.: Structure-activity relations for the inhibition of 5-hydroxytryptamine uptake by tricyclic antidepressants into synaptosomes from serotoninergic neurones in rat brain homogenates. Brit. J. Pharmacol.51, 399–403 (1974)
Lapin, I. P., Oxenkrug, G. F.: Intensification of the central serotoninergic processes as a possible determinant of the thymoleptic effect. Lancet.1969 I, 132–136
Lingjærde, O.: Platelet uptake and storage of serotonin. In: Serotonin in health and disease, W. B. Essman, ed., (in press)
Marshall, E. F., Stirling, G. S., Tait, A. C., Todrick, A.: The effect of iproniazide and imipramine on the blood platelet 5-hydroxytryptamine level in man. Brit. J. Pharmacol.15, 35–41 (1960)
Ross, S. B., Renyi, A. L.: Tricyclic antidepressant agents. I. Comparison of the inhibition of the uptake of3H-noradrenaline and14C-5-hydroxytryptamine in slices and crude synaptosome preparations of the midbrain-hypothalamus region of the rat brain. Acta pharmacol. (Kbh.)36, 382–394 (1975)
Sneddon, J. M.: Blood platelets as a model for monoamine-containing neurones. In: Vol. 1, Part 2, Progress in neurobiology, G. A. Kerkut and J. W. Phillis, eds., pp. 153–198. New York: Pergamon Press 1973
Todrick, A., Tait, C.: The inhibition of human platelet 5-hydroxytryptamine uptake by tricyclic antidepressive drugs. The relation between structure and potency. J. Pharm. Pharmacol.21, 751–762 (1969)
Tuomisto, J.: A new modification for studying 5-HT uptake by blood platelets: a re-evaluation of tricyclic antidepressants as uptake inhibitors. J. Pharm. Pharmacol.26, 92–100 (1974)
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Lingjærde, O. Effect of doxepin on uptake and efflux of serotonin in human blood patelets in vitro. Psychopharmacology 47, 183–186 (1976). https://doi.org/10.1007/BF00735819
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DOI: https://doi.org/10.1007/BF00735819