Rezvani Amir H, Levin Edward D
Department of Psychiatry and Behavioral Sciences, Box 3412, Duke University Medical Center, Durham, NC 27710, USA.
Eur J Pharmacol. 2004 Feb 20;486(2):175-82. doi: 10.1016/j.ejphar.2003.12.021.
Schizophrenia is marked by pronounced cognitive impairments in addition to the hallmark psychotic symptoms like hallucinations. Antipsychotic drugs can effectively reduce these hallucinations; however, the drugs have not resolved the cognitive impairment. Interestingly, nicotine, a drug commonly self-administered by people with schizophrenia, has been shown to significantly improve cognitive function of people with schizophrenia. The current study was conducted to determine the effect of typical (haloperidol) and atypical (clozapine and risperidone) antipsychotic drug treatment on sustained attention in rats performing a visual signal detection task. In addition, the interaction of haloperidol with chronic nicotine administration was assessed. Female Sprague-Dawley rats were injected subcutaneously with clozapine (0, 0.6, 1.25 and 2.5 mg/kg), risperidone (0, 0.025, 0.05 and 0.1 mg/kg) or haloperidol (0, 0.01, 0.02 and 0.04 mg/kg). In the second part of the study, the interaction of acute haloperidol (0, 0.005, 0.01 and 0.02 mg/kg) and chronic nicotine (5 mg/kg/day, for 4 weeks via osmotic minipump) was characterized. Clozapine, risperidone and haloperidol all caused dose-related impairments in percent hit performance. There was a significant linear dose-related impairment in percent hit caused by risperidone. All the doses of clozapine caused a significant impairment in percent hit at the higher luminance intensities in the visual signal detection task. The 0.01 and 0.02 mg/kg haloperidol doses caused significant decreases in percent hit. The 0.04 mg/kg haloperidol dose impaired performance of the task to the point that reliable choice accuracy measurements could not be made. Chronic nicotine infusion significantly diminished the impairing effects of haloperidol on performance during weeks 1-2. In summary, both typical and atypical antipsychotic drugs significantly impaired sustained attention in rats. Haloperidol was more detrimental than clozapine and risperidone. Chronic nicotine diminished the adverse effects of haloperidol on performance. This study establishes a paradigm to reliably determine the attentional impairment caused by antipsychotic drugs.
精神分裂症除了具有幻觉等标志性精神病症状外,还伴有明显的认知障碍。抗精神病药物可以有效减少这些幻觉;然而,这些药物并未解决认知障碍问题。有趣的是,尼古丁这种精神分裂症患者常自行服用的药物,已被证明能显著改善精神分裂症患者的认知功能。本研究旨在确定典型(氟哌啶醇)和非典型(氯氮平和利培酮)抗精神病药物治疗对执行视觉信号检测任务的大鼠持续注意力的影响。此外,还评估了氟哌啶醇与长期尼古丁给药之间的相互作用。对雌性斯普拉格 - 道利大鼠皮下注射氯氮平(0、0.6、1.25和2.5毫克/千克)、利培酮(0、0.025、0.05和0.1毫克/千克)或氟哌啶醇(0、0.01、0.02和0.04毫克/千克)。在研究的第二部分,对急性氟哌啶醇(0、0.005、0.01和0.02毫克/千克)与长期尼古丁(5毫克/千克/天,通过渗透微型泵给药4周)之间的相互作用进行了表征。氯氮平、利培酮和氟哌啶醇均导致命中率表现出现剂量相关的损害。利培酮导致的命中率出现显著的线性剂量相关损害。在视觉信号检测任务中,所有剂量的氯氮平在较高亮度强度下均导致命中率显著受损。0.01和0.02毫克/千克剂量的氟哌啶醇导致命中率显著下降。0.04毫克/千克剂量的氟哌啶醇使任务表现受损至无法进行可靠的选择准确性测量的程度。在第1 - 2周期间,长期尼古丁输注显著减轻了氟哌啶醇对表现的损害作用。总之,典型和非典型抗精神病药物均显著损害了大鼠的持续注意力。氟哌啶醇比氯氮平和利培酮更具危害性。长期尼古丁减轻了氟哌啶醇对表现的不良影响。本研究建立了一种可靠确定抗精神病药物所致注意力损害的范式。