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短期戒毒后甲基苯丙胺滥用者的多巴胺转运体与认知功能:一项单光子发射计算机断层扫描研究

Dopamine transporters and cognitive function in methamphetamine abuser after a short abstinence: A SPECT study.

作者信息

Chou Yuan-Hwa, Huang Wen-Sheng, Su Tung-Ping, Lu Ru-Band, Wan Fang-Jung, Fu Ying-Kay

机构信息

Department of Psychiatry, Taipei Veterans General Hospital and National Yang Ming University, Taipei, Taiwan.

出版信息

Eur Neuropsychopharmacol. 2007 Jan;17(1):46-52. doi: 10.1016/j.euroneuro.2006.05.002. Epub 2006 Jul 13.

Abstract

The purpose of this study was to examine the change of dopamine transporters (DAT) binding in methamphetamine (METH) abusers in a two-week period of abstinence and its association with cognitive function. Seven healthy subjects and seven METH abusers were recruited. At baseline conditions, the values of specific uptake ratio (SUR) of DAT binding measured by single photon emission computed tomography were lower in METH abusers than in controls. After a two-week period of abstinence, DAT binding was partially recovered and there were no statistic differences in SUR between METH abusers and controls. There was a borderline correlation between the changes of DAT binding in the right, but not the left, striatum and the %Error of Wisconsin Card Sorting Test. These findings indicate that DAT binding in METH abusers can be reversed in a short period of abstinence. The recovery of DAT binding was asymmetric and possibly parallel with the improvement of cognitive function.

摘要

本研究的目的是检测甲基苯丙胺(METH)滥用者在两周禁欲期内多巴胺转运体(DAT)结合的变化及其与认知功能的关联。招募了7名健康受试者和7名METH滥用者。在基线条件下,通过单光子发射计算机断层扫描测量的DAT结合的特异性摄取率(SUR)值在METH滥用者中低于对照组。经过两周的禁欲期后,DAT结合部分恢复,METH滥用者和对照组之间的SUR没有统计学差异。右侧纹状体(而非左侧)DAT结合的变化与威斯康星卡片分类测验的错误率之间存在临界相关性。这些发现表明,METH滥用者的DAT结合在短时间禁欲内可逆转。DAT结合的恢复是不对称的,可能与认知功能的改善平行。

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