Reversible decrease of dopamine D2 receptor density in the striatum of rats with acute hepatic failure

The binding of a D2 receptor ligand, [ 3H]spiperone, was measured in striatal membranes derived from rats in which acute hepatic failure induced with thioacetamide (TAA) was associated with symptoms of hepatic encephalopathy (HE), and during recovery from HE. A 28% decrease of B max for the binding was measured in a symptomatic stage of HE, 1 day after TAA administration. The B max for [ 3H]spiperone binding was no longer different from control 7 days after TAA administration, when blood and brain biochemical correlates of HE were already absent. At 21 days after TAA administration, the B max was increased by 31% above the control level, consistent with other aspects of metabolic activation of the brain characteristic of the late recovery period from acute HE.