Russell V A
Department of Physiology, University of Cape Town, Medical School, South Africa.
Neurosci Biobehav Rev. 2000 Jan;24(1):133-6. doi: 10.1016/s0149-7634(99)00056-1.
The behavioral disturbances of attention-deficit hyperactivity disorder (ADHD) have been attributed to dysfunction of the mesolimbic dopaminergic (DA) projection from the ventral tegmental area of the midbrain. DA released from terminals in the nucleus accumbens (interface between limbic and motor areas of the brain) draws attention to unexpected, behaviorally significant events and provides the motivational drive for reward-related behavior. An in vitro superfusion technique was used to show that depolarization (25 mM K+)-induced release of DA from nucleus accumbens slices of spontaneously hypertensive rats (SHR, animal model for ADHD) was significantly lower than that of Wistar-Kyoto controls (WKY). Evidence also suggested that DA autoreceptor efficacy was increased at low endogenous agonist concentrations. D2 receptor blockade by the antagonist, sulpiride, caused a significantly greater increase in the electrically stimulated release of DA from nucleus accumbens slices of SHR compared to WKY. This suggested that presynaptic regulation of DA release had been altered in SHR to cause down-regulation of the DA system. This could have occurred at an early stage of development in an attempt to compensate for abnormally high DA concentrations. The reduction in DA transmission could have left the adult SHR with impaired DA reward/reinforcement mechanisms, resulting in the behavioral disturbances characteristic of ADHD.
注意力缺陷多动障碍(ADHD)的行为障碍被认为是由于中脑腹侧被盖区的中脑边缘多巴胺能(DA)投射功能失调所致。从伏隔核(大脑边缘和运动区域之间的接口)终末释放的DA会将注意力吸引到意外的、具有行为意义的事件上,并为与奖励相关的行为提供动机驱动力。采用体外灌流技术表明,去极化(25 mM K+)诱导的自发性高血压大鼠(SHR,ADHD动物模型)伏隔核切片中DA的释放显著低于Wistar-Kyoto对照大鼠(WKY)。有证据还表明,在低内源性激动剂浓度下,DA自身受体的效能增加。与WKY相比,拮抗剂舒必利对D2受体的阻断导致SHR伏隔核切片中电刺激诱导的DA释放增加更为显著。这表明SHR中DA释放的突触前调节发生了改变,导致DA系统下调。这可能发生在发育的早期阶段,试图补偿异常高的DA浓度。DA传递的减少可能使成年SHR的DA奖励/强化机制受损,从而导致ADHD特有的行为障碍。