Yamada S
Department of Psychiatry, Saga Medical School, 5-1-1, Nabeshima, Saga, 849-8501 Japan.
Nihon Shinkei Seishin Yakurigaku Zasshi. 2000 Oct;20(4):131-9.
Disruption of prepulse inhibition (PPI) of acoustic startle in rats has been widely used as an animal model for the sensorimotor gating deficit state usually found in schizophrenia. PPI was reported to be regulated by forebrain circuits, including mesolimbic cortex, nucleus accumbens, ventral pallidum, thalamus, and pedunculopontine tegmentum nucleus. Phencyclidine or dopamine agonists, which causes psychotomimetic symptoms in humans, disrupts PPI in animals. The ED50 value of the drugs to reverse the phencyclidine-induced PPI disruption was significantly correlated with the affinity for the serotonin 2A receptor, but not for the dopamine D2 receptor of each drug (including atypical antipsychotics). In contrast, the ED50 value of the drugs to reverse the apomorphine-induced PPI disruption was significantly correlated with the affinity for the dopamine D2 receptor (including typical antipsychotics). Thus the drug that antagonizes the disruption of PPI caused by PCP or DA agonists would be a candidate for a therapeutic agent for the sensorimotor gating deficit state in schizophrenic patients. Neural mechanisms underlying the disruption of PPI were reviewed.
大鼠听觉惊跳前脉冲抑制(PPI)的破坏已被广泛用作精神分裂症患者常见的感觉运动门控缺陷状态的动物模型。据报道,PPI受前脑回路调节,包括中脑边缘皮质、伏隔核、腹侧苍白球、丘脑和脑桥脚被盖核。能在人类中引起拟精神病症状的苯环己哌啶或多巴胺激动剂会破坏动物的PPI。药物逆转苯环己哌啶诱导的PPI破坏的半数有效剂量(ED50)值与每种药物(包括非典型抗精神病药物)对5-羟色胺2A受体的亲和力显著相关,而与多巴胺D2受体的亲和力无关。相反,药物逆转阿扑吗啡诱导的PPI破坏的ED50值与对多巴胺D2受体(包括典型抗精神病药物)的亲和力显著相关。因此,拮抗由苯环己哌啶或多巴胺激动剂引起的PPI破坏的药物可能是精神分裂症患者感觉运动门控缺陷状态治疗药物的候选者。本文综述了PPI破坏的神经机制。