Clarke A S, Ebert M H, Schmidt D E, McKinney W T, Kraemer G W
Asher Center for the Study and Treatment of Depressive Disorders, Department of Psychiatry and Behavioral Sciences, Northwestern University Medical School, Chicago, IL 60611-3008, USA.
Biol Psychiatry. 1999 Jul 15;46(2):221-8. doi: 10.1016/s0006-3223(99)00027-x.
It has been hypothesized that adverse early experience may be a mechanism by which children become vulnerable to later psychopathology via alteration of neurochemical or hormonal systems associated with such disorders. Such effects may in turn affect later responses to pharmacologic agents that act on these systems.
In this study, 18 mother-reared (MR) and 18 peer-reared (PR) rhesus monkeys experienced six 1-week separations from cagemates interspersed with 1-week reunions, while housed in like-reared groups of 3. Within rearing groups, equal numbers of animals received either fluoxetine (2 mg/kg), desipramine (5 mg/kg) or placebo delivered daily beginning 4 weeks before the first separation. Levels of norepinephrine (NE), the NE metabolite MHPG, the dopamine metabolites DOPAC and HVA, and the serotonin metabolite 5HIAA were measured in CSF samples collected approximately every 2 to 3 weeks during these procedures.
Following treatment, DMI increased NE and decreased MHPG in the DMI-treated groups, while 5HIAA was decreased in the fluoxetine-treated groups following treatment. The increase in NE was followed by a sharp decline over the course of treatment, which was accompanied by an increase in MHPG. The rearing groups did not show a differential response to the drug treatments, and the separation manipulation itself had few effects. The mother-reared group showed higher levels of NE and DOPAC over all samples and higher levels of HVA in most samples.
These rearing effects on biogenic amine activity were observed even in the presence of pharmacologic treatments that effectively altered the activity of these systems, and are consistent with previous findings from the same subject. The higher NE values observed in mother-reared infants over separations and reunions may have been due to higher basal levels of NE than peer-reared monkeys or to greater responsiveness to the stress of repeated social disruption or both. These findings agree with other primate studies showing that rearing differences persist beyond the infancy period and add to growing evidence of the important influence of the early social environment on neurobiologic development in primates.
有假设认为,不良的早期经历可能是一种机制,通过这种机制,儿童会因与这些疾病相关的神经化学或激素系统的改变而更容易患上后期的精神病理学疾病。这些影响反过来可能会影响后期对作用于这些系统的药物的反应。
在本研究中,18只由母亲抚养(MR)和18只由同伴抚养(PR)的恒河猴,每组3只,饲养在相同抚养方式的群体中,经历了6次与同笼伙伴为期1周的分离,期间穿插着1周的团聚。在抚养群体中,从第一次分离前4周开始,相等数量的动物每天接受氟西汀(2mg/kg)、地昔帕明(5mg/kg)或安慰剂。在这些过程中,大约每2至3周收集一次脑脊液样本,测量去甲肾上腺素(NE)、NE代谢物MHPG、多巴胺代谢物DOPAC和HVA以及血清素代谢物5HIAA的水平。
治疗后,地昔帕明治疗组中地昔帕明增加了NE并降低了MHPG,而氟西汀治疗组治疗后5HIAA降低。NE增加后,在治疗过程中急剧下降,同时MHPG增加。抚养群体对药物治疗没有表现出差异反应,分离操作本身的影响很小。母亲抚养组在所有样本中NE和DOPAC水平较高,在大多数样本中HVA水平较高。
即使在有效改变这些系统活性的药物治疗存在的情况下,也观察到了这些抚养对生物胺活性的影响,这与同一受试者先前的研究结果一致。在分离和团聚过程中,母亲抚养的婴儿中观察到的较高NE值可能是由于NE的基础水平高于同伴抚养的猴子,或者是对反复社会干扰压力的反应性更强,或者两者兼而有之。这些发现与其他灵长类动物研究一致,表明抚养差异在婴儿期之后仍然存在,并增加了越来越多的证据,证明早期社会环境对灵长类动物神经生物学发育的重要影响。