Chambers R Andrew, Self David W
Division of Molecular Psychiatry, West Haven Veterans Administration Hospital, USA.
Neuropsychopharmacology. 2002 Dec;27(6):889-905. doi: 10.1016/S0893-133X(02)00365-2.
The high prevalence of substance use disorders in schizophrenia relative to the general population and other psychiatric diagnoses could result from developmental neuropathology in hippocampal and cortical structures that underlie schizophrenia. In this study, we tested the effects of neonatal ventral hippocampal lesions on instrumental behavior reinforced by sucrose pellets and intravenous cocaine injections. Lesioned rats acquired sucrose self-administration faster than sham-lesioned rats, but rates of extinction were not altered. Lesioned rats also responded at higher rates during acquisition of cocaine self-administration, and tended to acquire self-administration faster. Higher response rates reflected perseveration of responding during the post-injection "time-out" periods, and a greater incidence of binge-like cocaine intake, which persisted even after cocaine self-administration stabilized. In contrast to sucrose, extinction from cocaine self-administration was prolonged in lesioned rats, and reinstatement of cocaine seeking induced by cocaine priming increased compared with shams. These results suggest that neonatal ventral hippocampal lesions facilitate instrumental learning for both natural and drug rewards, and reduce inhibitory control over cocaine taking while promoting cocaine seeking and relapse after withdrawal. The findings are discussed in terms of possible developmental or direct effects of the lesions, and both positive reinforcement (substance use vulnerability as a primary disease symptom) and negative reinforcement (self-medication) theories of substance use comorbidity in schizophrenia.
与普通人群及其他精神疾病诊断相比,精神分裂症中物质使用障碍的高患病率可能源于精神分裂症所涉及的海马体和皮质结构的发育性神经病理学。在本研究中,我们测试了新生大鼠腹侧海马损伤对蔗糖颗粒和静脉注射可卡因强化的工具性行为的影响。损伤大鼠比假手术大鼠更快学会蔗糖自我给药,但消退率没有改变。损伤大鼠在可卡因自我给药习得过程中的反应率也更高,并且倾向于更快学会自我给药。更高的反应率反映了注射后“暂停”期反应的持续存在,以及类似暴饮暴食的可卡因摄入量增加,即使在可卡因自我给药稳定后这种情况仍持续存在。与蔗糖不同,损伤大鼠从可卡因自我给药中的消退时间延长,并且与假手术大鼠相比,可卡因激发诱导的可卡因寻求恢复增加。这些结果表明,新生大鼠腹侧海马损伤促进了对自然奖励和药物奖励的工具性学习,并减少了对可卡因摄取的抑制控制,同时促进了停药后可卡因寻求和复发。我们从损伤可能的发育性或直接影响,以及精神分裂症中物质使用共病的正性强化(物质使用易感性作为主要疾病症状)和负性强化(自我药物治疗)理论方面对这些发现进行了讨论。