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International Standard Serial Number (ISSN): 2249-6793 International Journal of Universal Pharmacy and Life Sciences 2(2): March-April 2012 INTERNATIONAL JOURNAL OF UNIVERSAL PHARMACY AND LIFE SCIENCES Pharmaceutical Sciences Review Article……!!! Received: 10-03-2012; Accepted: 14-03-2012 PRECLINICAL EVALUATION OF CENTRAL NERVOUS SYSTEM STIMULANT AGENTS: AN OVERVIEW J.M. Sonpetkar*, U.S. Patil, P.A.Shenoy, A.H. Tiwari, S.S.Nipate, D.D.Bandawane, P.D.Chaudhari Progressive Education Society’s Modern College of Pharmacy, Sector no 21, Yamunanagar, Nigdi, Pune-44, Maharashtra, India. Keywords: CNS Stimulant drugs, Attention-deficit hyperactivity disorder, In vivo methods, Herbal/Synthetic drugs For Correspondence: J.M. Sonpetkar Progressive Education Society’s Modern College of Pharmacy, Sector no 21, Yamunanagar, Nigdi, Pune44, Maharashtra, India. E-mail: [email protected] 48 ABSTRACT Central nervous system (CNS) stimulants speed up mental and physical processes in the body. This can be useful in the treatment of certain medical conditions. Stimulants are psychoactive drugs which induce temporary improvements in either mental or physical function or both. These kinds of effects may include enhanced alertness, wakefulness, and locomotion, among others. Stimulants (analeptics) produce a variety of different kinds of effects by enhancing the activity of the central and peripheral nervous systems. Common effects may include enhanced alertness, awareness, wakefulness, endurance, productivity, and motivation, increased arousal, locomotion, heart rate, and blood pressure, and the perception of a diminished requirement for food and sleep. Many stimulants are also capable of improving mood and relieving anxiety, and some can even induce feelings of euphoria. Stimulants exert their effects through a number of different pharmacological mechanisms, the most prominent of which include facilitation of norepinephrine (noradrenaline) and/or dopamine activity. The review on central nervous system stimulants gives detail study of CNS stimulant drugs, their mechanism of action and in vivo models of CNS stimulants. Full Text Available On www.ijupls.com International Standard Serial Number (ISSN): 2249-6793 1. INTRODUCTION Central nervous system (CNS) stimulants are agents that speed up physical and mental processes. The middle of the 20th centuries identifies a pivotal period in the treatment of mentally ill. Since the 1950's the development of psychopharmacology has expanded to include wide spread use of antipsychotic, antidepressants and antianxiety medications. Psychotropic medications are not intended to cure the mental illness, but are used to relieve physical and behavioral symptoms. The psycho stimulants, also called sympathomimetics and analeptics, can improve the mood, apathy and anhedonia of depressed older persons and are effective in the treatment of various other mental illness. Central nervous system stimulants, such as amphetamines and methylphenidate (Ritalin), are used to treat attention-deficit hyperactivity disorder (ADHD), a condition in which people have unusually high activity levels and short attention spans. People with this condition are easily distracted and may have trouble sitting still, planning ahead, or finishing what they start. Central nervous system stimulants increase attention, decrease restlessness, and improve physical coordination in people who have ADHD. The drugs may also curb impulsive behavior. When used to treat ADHD, central nervous system stimulants are just one part of the total treatment program, which also includes social, educational, and psychological help. Although central nervous system stimulants are effective in treating ADHD, their use is controversial, especially in children. Because they may cause unwanted side effects, parents and doctors of children who need the drugs must carefully weigh the risks and benefits. There is also concern that these drugs are being prescribed for some children who do not need them. Other physical and mental conditions can have some of the same symptoms as ADHD, so it is important to rule out other causes before starting treatment with central nervous system stimulants. This type of medicine is also used to treat narcolepsy, in which people have an uncontrollable desire to sleep or may suddenly fall into a deep sleep. The medication is prescribed in an effort to reduce the frequency and severity of attacks of narcolepsy. Central nervous system stimulants should not be used to increase alertness or to substitute for sleep. Commonly used central nervous system stimulants are amphetamine, dextroamphetamine (Dexedrine, DextroStat), methamphetamine (Desoxyn), pemoline (Cylert), and methylphenidate (Ritalin). 2. CLASSIFICATION OF CENTRAL NERVOUS SYSTEM AGENTS a. Cerebral or Psychomotor Stimulants: Xanthine (caffeine), Ephedrine, Amphetamine Methyl phenidate, Atropine, Pemoline. 49 Full Text Available On www.ijupls.com International Standard Serial Number (ISSN): 2249-6793 b. Brainstem Stimulants or Analeptics: Pentylenetetrazol (Metrazol), Picrotoxin, Doxapram. c. Spinal or Convulsant: Strychnine. 3. MECHANISM OF ACTION OF CENTRAL NERVOUS SYSTEM AGENTS Fig.1. Mechanism of Action of Amphetamine Amphetamine and dextroamphetamine stimulate the release of norepinephrine from central adrenergic receptors. At higher dosages, they cause release of dopamine from the mesocorticolimbic system and the nigrostriatal dopamine systems. Amphetamine may also act as a direct agonist on central 5-HT receptors and may inhibit monoamine oxidase (MAO). In the periphery, amphetamines are believed to cause the release of noradrenaline by acting on the adrenergic nerve terminals and alpha- and beta-receptors. Modulation of serotonergic pathways may contribute to the calming effect. 4. PRECLINICAL SCREENING OF CENTRAL NERVOUS SYSTEM STIMULANTS Some screening methods for CNS stimulant drugs are described as follows: 4.1 IN VIVO METHODS 4.1.1 SANDAUSWURF’’ (DISPLACEMENT OF SAND) 4 METHOD: Purpose & Rationale: This method is useful for detecting stimulant of all types. Amount displace sand in graduated cylinder is measuring parameter of this method. Procedure A cylinder diameter 10 cm height 12cm. The cylinder cages have a rubber torus around its lowest part to prevent motion of cages. Then the cage is placed in glass funnel so that only 50 Full Text Available On www.ijupls.com International Standard Serial Number (ISSN): 2249-6793 rubber torus touches the funnel. The cage is loaded with 50 ml dry sand contains 10 ml blue gel for absorption for moisture. Beneath the glass funnel, graduated glass cylinder having volume (10 ml), capable of being read to 0.1 ml. Quantity of sand is recorded every 15minute. Evaluation Amount of sand displaced by control group is compare to the test group. 4.1.2 RUNWAY TEST: Purpose & Rationale To study the effect of a drug on spontaneous activity and motor coordination. Fig.2 Y-Maze Apparatus Procedure Age of 115-140 days wistar rats are used for the the experiment. 8-19 rats are used for each dose the apparatus is symmetrical Y shaped runway made of wood and 13 inches high. Each arm is 15 inches long and 5 inches wide. A trial consists of placing a rat in the center of the Y and leaving it in the apparatus for 5 minutes. The number of times it enter the arms of the apparatus, so that all of its feet are arm, is recorded as a measure of activity. In order to estimates the degree of ataxia, the rat is then placed on a runway covered with paper, so that footprint record of control rat shows that the regularity of spacing, is a measure of ataxia. The group of control rats had 14.7 as the mean of spontaneous activity. Amphetamine at a dose of 0.19mg/kg caused this number to increase to 20. Amylobarbitone sodium at a dose of 15 mg/kg caused it to increase to 22.But at high doses; decreases in the number of entries were found. 51 Full Text Available On www.ijupls.com International Standard Serial Number (ISSN): 2249-6793 Evaluation There are increase the mean value of various CNS stimulants at specific dose than the control animal group. 4.1.3 PTOSIS TEST Purpose & Rationale Reserpine causes the complete ptosis (depletion of neurotransmitter leads to depression like state) owing to central depression & this state is useful in evaluating CNS stimulant. Fig No.3 Ptosis Test Procedure Reserpines in 5% ascorbic acid, and test compounds in aqueous solution, are administered i.p. to male albino mice. With about 4mg/kg reserpine, complete ptosis is reached at about 3hr. 2-3quarters hours after the reserpine injection, the test compound is administered. The ptotic rating is made 15 min. later: 4 for complete ptosis; 3 for ¾ complete; 2 for ½ complete; and 1 for ¼ complete. Two reading on each mouse are taken, are averaged. Compound which antagonized the ptosis cause by reserpine, and which served as guides, were : deoxyephedrine, 5mg/kg; cocaine ,40mg/kg and lysergic acid diethylamide,2mg/kg.some compounds were effective only when given 2hr before reserpine administration. Evaluation There are two unique neuropharmacological effects of reserpine in mice: ptosis and facilitation of extensor seizures.reserpine induce Ptosis is generally considered to be owing to central depression. Thus central stimulants overcome the effect. 4.1.4 REGISTRATION OF MOTOR ACTIVITY Purpose & Rationale This method may be used to detect increase motor activity. 52 Full Text Available On www.ijupls.com International Standard Serial Number (ISSN): 2249-6793 Fig No.4 Actophotometer Procedure The rectangular cage is constructed with floor and ends of wood, and with plastic sides. A beam of light is passed through a plastic side to a photo electric cell, so adjusted that, when a mouse breaks the beam of light, the cell activates a digital counter. The drug are dissolved in a 0.9% sodium chloride and injected intraperitonially.the number of counts or interruption of the light beam from the time of injection until 15minutes later is noted. Evaluation The ratio of this count to the count for control mice is measure of activity. For screening, a drug is tested initially at dose level of 50% and 10% of its LD 50 for comparison, amphetamine, 5mg/kg or more is used. 4.1.5 OPEN FIELD TEST 3 Principle Interruption of light beams as a measure of movements of rats or mice in a cage. General motor activity also locomotion, rearing and the speed of locomotion can be determined. Purpose and Rationale Interruption of light beams as a measure of movements of rats or mice in a cage (“open field”) has been used by many authors such as Dews (1953), Saelens et al. (1968) Nakatsu and Owen, (1980). Recently developed devices allow to register not only general motor activity but also locomotion, rearing, the speed of locomotion (Barros; Ericson et al. 1991). Procedure The rats are observed in a square open field arena(68 × 68 × 45 cm) equipped with 2 rows of 8 photocells, sensitive to infrared light, placed 40 and 125 mm above the floor, respectively. 53 Full Text Available On www.ijupls.com International Standard Serial Number (ISSN): 2249-6793 The photocells are spaced90 mm apart and the last photocell in a row is spaced25 mm from the wall. Measurements are made in the dark in a ventilated, sound-attenuating box. Interruptions of photocell beams can be collected by a micro computer and the following variables can be evaluated. Motor activity: All interruptions of photo beams in the lower rows. Peripheral motor activity: Activation of photo beams in the lower rows, provided that the photo-beams spaced 25 mm from the wall were also activated. Rearing: All interruption of the photo beams in the upper rows. Peripheral rearing: Interruption of beams in the upper rows, provided that the photo beams Spaced 25 mm from the wall were also activated. Locomotion: Successive interruptions of photo cells in the lower rows when the animal is moving in the same direction. Speed: The time between successive photo beam interruptions during locomotion collected in 0.1 categories.Adult male Sprague-Dawley rats with a weight between280 and 320 g are used. Drugs are injected subcutaneously10 to 40 min. before test. The rats are observed for 15 min whereby counts per min. are averaged for 3 min intervals. Evaluation Dose-response curves can be obtained for sedative and stimulant drugs, whereby the various parameters show different results. The effects of various doses are compared statistically with the values of controls and among themselves. 4.1.6 HOLE-BOARD TEST 3 Principle: Evaluation of certain components of behavior of mice such as curiosity Fig. No.5 Hole-board Apparatus 54 Full Text Available On www.ijupls.com International Standard Serial Number (ISSN): 2249-6793 Purpose and Rationale The evaluation of certain components of behavior of mice such as curiosity or exploration has been attempted by Boissier et al. (1964) and Boissier and Simon (1964). They used an open field with holes on the bottom into which the animals could poke their noses. The “planche à trous” or “hole-board” test has become very well recognized and has been modified and automatized by many authors. Procedure Mice of either sex (NMRI strain) with a weight between18 and 22 g are used. The holeboard has a size of 40 × 40 cm. sixteen holes with a diameter of 3 cm each are distributed evenly on the floor. The board is elevated so that the mouse poking its nose into the hole does not see the bottom. Nose-poking is thought to indicate curiosity and is measured by visual observation in the earliest description and counted by electronic devices in more recent modifications. Moreover, in the newer modifications motility is measured in addition by counting interruption of light beams. Usually, 6 animals are used for each dose and for controls. Thirty minutes after administration of the test. Compound the first animal is placed on the hole-board and tested for 5 min. Evaluation The number of counts for nose-poking of treated animals is calculated as percentage of control animals. 4.1.7 COMBINED OPEN FIELD TEST3 Purpose and Rationale The simultaneous determination of locomotion and curiosity by using a modification of the hole-board test and a photo-beam system has been proposed as a relatively simple test (Weischer et al. 1976). Several types of such equipment are commercially available. Procedure Male mice (NMRI-strain) with an average weight of 30 g are used. Each animal is tested individually in an automated open-field box which consists of a black Plexiglas cage (35 × 35 × 20 cm) with a post (8 × 8 × 20 cm) in the center of the cage. Two evenly spaced photo cell beams perpendicular to the wall and 2 cm above the floor divide the box into 4 compartments. Every photo cell beam interruption is registered automatically as an activity count. Each wall of the cage contains 4 evenly spaced 2 cm diameter holes in a horizontal array 7 cm above the floor. A row of 4 photocell beams is mounted1 cm outside of the holes and automatically records. Every exploratory nose-poke. Thirty min. after intraperitoneal and 55 Full Text Available On www.ijupls.com International Standard Serial Number (ISSN): 2249-6793 60 min. after oral administration of the test compound the animal is placed into the cage and the behavior recorded for a period of 5 min. ten mice are used for each dose as well as for controls. Evaluation Counts for motility (interruption of photo cell beams inside the cage) and for curiosity (interruption of photocell beams outside the cage due to nose-poking) are recorded individually. The mean values of the treated groups are expressed as percentage of the control group. Using different doses, dose-response curves can be obtained. 5. RESEARCH WORK DID TILL NOW Various research works done on plants and synthetic drugs having central nervous system stimulant activity have been tabulated as follows. Table 1: Research works done on plants and synthetic drugs having CNS stimulant activity. Sr. No. Name of plant/ synthetic drug 1 Amphetamine, caffeine,nikethamide, Laptazole Strychnine,picrotoxin Ricinine 2 Chemical Model used for constituents CNS Stimulant activity Hole-board _ Author name Referenc e no. A.K. Agrawal 12 Albumin, Ricin, Octacosanol Amphetamine ,Caffeine, _ Dopamine, _ Anete c. Ferraz 13 _ 14 4 Davillo Rugosa Open field 15 5 _ L.Avois,et al 16 6 Ephedrine,amphetamine , cocaine Kigelia africana Alkaloids, flavonoids, saponins, polyphenols /tannins _ Anders Agmo, Adrana Villalpando L.Guaraldo Rota-rod Owolabi O.J 17 7 Punica granatum Pinnatal,iso pinnatal ethyl brevifolinca rboxylate Elevated plus maze test Sokindra Kumar,Vijendra Singh 18 3 56 Full Text Available On www.ijupls.com International Standard Serial Number (ISSN): 2249-6793 8 Strychnus nux vomica 9 10 Amphetamine , Caffeine Amphetamine 11 12 Strychnine Open field and Brucine, (technomodel) _ Open field test S.Ganpaty,et al 19 S.K.Kulakarni 20 _ Open field test 21 Picrotoxin _ _ Diphenhydramine, cocaine Ephedrine, amphetamine Cocaine Caffeine ,ephedrine _ _ S.K.pathi & P.C.Dandia A.S.Buchanan,et al Graham Chen and Barbora Boehner L.Avois, Et Al _ _ 27 _ _ _ _ Seger D.,et al 29 17 Caffeine,ginseng, ephedrine Cocaine,metamphetami ne Metamphetamine Magkos F, Kavouras S.A Liberman H.R _ _ Schep L.J,et al 30 18 Cocaine, amphetamine _ Hole-board 19 chlorpheniramine _ Open field 20 Effects Of CNS stimulant NidhiGupta,P.Pan 31 dhi Petros 32 N.Karamanakos F.B. Bilodil 23 _ _ 21 Caffeine _ _ 22 Alseodaphne andersonii Actophotometer 23 Pemoline dihydroisoo btusilactone _ 24 Caffeine _ Open field 25 3,4_ methylenedioxyampheta mine and 3,4methylenedioxymetham phetamine Picrotoxin _ 13 14 15 16 26 57 _ 24 25 26 _ _ _ Open field Doherty M. Smith P.M, et al Indu Dhillon, Atul Kaushik Gutierrez, J., Eisenberg et al Saida Haider,Anila Tasmeen, et al P. M. Callahan and J. B. Appel Mithlesh Garg 28 33 36 37 38 39 40 Full Text Available On www.ijupls.com International Standard Serial Number (ISSN): 2249-6793 6. CONCLUSION The detail study of literature survey of screening procedures of CNS stimulant drugs like Caffeine, Ephedrine, Amphetamine, Methylphenidate, Pemoline, Pentylenetetrazole, Picrotoxin, Doxapram, strychnine, shows the various stimulants activities and used to increase motivation alertness ,mood energy, and wakefulness. 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