Castner Stacy A, Goldman-Rakic Patricia S, Williams Graham V
Department of Psychiatry, University of Illinois at Chicago, Chicago, IL 60612, USA.
Psychopharmacology (Berl). 2004 Jun;174(1):111-25. doi: 10.1007/s00213-003-1710-9. Epub 2004 Jan 20.
Working memory performance is considered to be a core deficit in schizophrenia and the best predictor of social reintegration and propensity for relapse. This cardinal cognitive process is critical for human reasoning and judgment and depends upon the integrity of prefrontal function. Prefrontal dysfunction in schizophrenia has been linked to altered dopaminergic and glutamatergic transmission. However, to date, antipsychotics provide no substantial relief from the debilitating cognitive consequences of this disease.
This review examines the key rodent and non-human primate models for elucidating the neural mechanisms of working memory and their neuromodulation. We compare the physiology and pharmacology of working memory between the normal state and experimentally induced models of prefrontal dysfunction and evaluate their relevance for schizophrenia.
Rodent models have demonstrated the significance of aberrant dopaminergic and glutamatergic signaling in medial prefrontal cortex for working memory. However, there is some question as to the extent to which rodent tests of working memory tap into the same process that is compromised in schizophrenia. Non-human primates provide an unexcelled model for the study of influences on prefrontal function and working memory due to the high degree of homology between human and non-human primates in the relationship between prefrontal cortex and higher cognitive capacities. Moreover, non-human primate models of prefrontal dysfunction including amphetamine sensitization, subchronic phencyclidine, and neurodevelopmental insult are ideal for the analysis of novel compounds for the treatment of cognitive dysfunction in schizophrenia, thereby facilitating the translation between preclinical drug development and clinical trials.
工作记忆表现被认为是精神分裂症的核心缺陷,也是社会重新融入和复发倾向的最佳预测指标。这一关键认知过程对人类推理和判断至关重要,且依赖于前额叶功能的完整性。精神分裂症中的前额叶功能障碍与多巴胺能和谷氨酸能传递的改变有关。然而,迄今为止,抗精神病药物并不能显著缓解该疾病令人衰弱的认知后果。
本综述探讨了用于阐明工作记忆神经机制及其神经调节的关键啮齿动物和非人类灵长类动物模型。我们比较了正常状态与实验诱导的前额叶功能障碍模型之间工作记忆的生理学和药理学,并评估它们与精神分裂症的相关性。
啮齿动物模型已证明内侧前额叶皮质中多巴胺能和谷氨酸能信号异常对工作记忆的重要性。然而,啮齿动物工作记忆测试在多大程度上涉及精神分裂症中受损的相同过程仍存在一些疑问。由于人类和非人类灵长类动物在前额叶皮质与更高认知能力之间的关系具有高度同源性, 非人类灵长类动物为研究对前额叶功能和工作记忆的影响提供了无与伦比的模型。此外,包括苯丙胺致敏、亚慢性苯环利定和神经发育损伤在内的前额叶功能障碍非人类灵长类动物模型,对于分析用于治疗精神分裂症认知功能障碍的新型化合物非常理想,从而促进临床前药物开发与临床试验之间的转化。