PMID- 26216995 OWN - NLM STAT- MEDLINE DCOM- 20151110 LR - 20181113 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 112 IP - 32 DP - 2015 Aug 11 TI - Action potentials and amphetamine release antipsychotic drug from dopamine neuron synaptic VMAT vesicles. PG - E4485-94 LID - 10.1073/pnas.1503766112 [doi] AB - Based on lysotracker red imaging in cultured hippocampal neurons, antipsychotic drugs (APDs) were proposed to accumulate in synaptic vesicles by acidic trapping and to be released in response to action potentials. Because many APDs are dopamine (DA) D2 receptor (D2R) antagonists, such a mechanism would be particularly interesting if it operated in midbrain DA neurons. Here, the APD cyamemazine (CYAM) is visualized directly by two-photon microscopy in substantia nigra and striatum brain slices. CYAM accumulated slowly into puncta based on vacuolar H(+)-ATPase activity and dispersed rapidly upon dissipating organelle pH gradients. Thus, CYAM is subject to acidic trapping and released upon deprotonation. In the striatum, Ca(2+)-dependent reduction of the CYAM punctate signal was induced by depolarization or action potentials. Striatal CYAM overlapped with the dopamine transporter (DAT). Furthermore, parachloroamphetamine (pCA), acting via vesicular monoamine transporter (VMAT), and a charged VMAT, substrate 1-methyl-4-phenylpyridinium (MPP(+)), reduced striatal CYAM. In vivo CYAM administration and in vitro experiments confirmed that clinically relevant CYAM concentrations result in vesicular accumulation and pCA-dependent release. These results show that some CYAM is in DA neuron VMAT vesicles and suggests a new drug interaction in which amphetamine induces CYAM deprotonation and release as a consequence of the H(+) countertransport by VMAT that accompanies vesicular uptake, but not by inducing exchange or acting as a weak base. Therefore, in the striatum, APDs are released with DA in response to action potentials and an amphetamine. This synaptic corelease is expected to enhance APD antagonism of D2Rs where and when dopaminergic transmission occurs. FAU - Tucker, Kristal R AU - Tucker KR AD - Department of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261; FAU - Block, Ethan R AU - Block ER AD - Department of Cell Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261. FAU - Levitan, Edwin S AU - Levitan ES AD - Department of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261; elevitan@pitt.edu. LA - eng GR - F32NS078994/NS/NINDS NIH HHS/United States GR - R01DA014204/DA/NIDA NIH HHS/United States GR - R21 DA038384/DA/NIDA NIH HHS/United States GR - F32 NS078994/NS/NINDS NIH HHS/United States GR - R01 DA014204/DA/NIDA NIH HHS/United States GR - R21DA038384/DA/NIDA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20150727 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (Acids) RN - 0 (Antipsychotic Agents) RN - 0 (Dopamine Plasma Membrane Transport Proteins) RN - 0 (Phenothiazines) RN - 0 (Serotonin Plasma Membrane Transport Proteins) RN - 0 (Vesicular Monoamine Transport Proteins) RN - A2JGV5CNU4 (cyamemazine) RN - CK833KGX7E (Amphetamine) SB - IM MH - Acids/metabolism MH - Action Potentials/*drug effects MH - Amphetamine/*pharmacology MH - Animals MH - Antipsychotic Agents/*pharmacology MH - Dopamine Plasma Membrane Transport Proteins/metabolism MH - Dopaminergic Neurons/drug effects/*metabolism MH - Male MH - Neostriatum/drug effects/metabolism MH - Phenothiazines/pharmacology MH - Photons MH - Rats, Sprague-Dawley MH - Serotonin Plasma Membrane Transport Proteins/metabolism MH - Substantia Nigra/drug effects/metabolism MH - Synaptic Vesicles/drug effects/*metabolism MH - Vesicular Monoamine Transport Proteins/*metabolism PMC - PMC4538645 OTO - NOTNLM OT - VMAT OT - amphetamine OT - antiporter OT - multiphoton OT - vesicular release COIS- The authors declare no conflict of interest. EDAT- 2015/07/29 06:00 MHDA- 2015/11/11 06:00 PMCR- 2016/02/11 CRDT- 2015/07/29 06:00 PHST- 2015/07/29 06:00 [entrez] PHST- 2015/07/29 06:00 [pubmed] PHST- 2015/11/11 06:00 [medline] PHST- 2016/02/11 00:00 [pmc-release] AID - 1503766112 [pii] AID - 201503766 [pii] AID - 10.1073/pnas.1503766112 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2015 Aug 11;112(32):E4485-94. doi: 10.1073/pnas.1503766112. Epub 2015 Jul 27.