人类运动皮层中抑制性回路及其相互作用的本质:一项药理学经颅磁刺激研究
Inhibitory circuits and the nature of their interactions in the human motor cortex a pharmacological TMS study.
作者信息
Florian J, Müller-Dahlhaus M, Liu Yali, Ziemann Ulf
机构信息
Motor Cortex Group, Department of Neurology, Johann Wolfgang Goethe-University, Schleusenweg 2-16, D-60528 Frankfurt am Main, Germany.
出版信息
J Physiol. 2008 Jan 15;586(2):495-514. doi: 10.1113/jphysiol.2007.142059. Epub 2007 Nov 8.
Inhibitory circuits are crucial in modulating corticospinal output in the primary motor cortex (M1). Relatively little is known about how these inhibitory circuits interact. Here we measured three forms of inhibition in M1 by paired-pulse transcranial magnetic stimulation: short-interval intracortical inhibition (SICI), long-interval intracortical inhibition (LICI) and short-interval interhemispheric inhibition (SIHI). We specifically tested their interactions under pharmacological challenge with a single oral dose of diazepam, a positive allosteric modulator of the gamma-aminobutyric acid type A receptor (GABA A R), or baclofen, a specific agonist at the GABA type B receptor (GABA B R). Motor evoked potentials were recorded bilaterally from the first dorsal interosseous muscle in eight right-handed healthy volunteers. Diazepam enhanced SICI, and baclofen produced a trend towards enhanced LICI, corroborating the view that SICI reflects inhibition mediated by the GABA A R, and LICI very likely reflects inhibition mediated by the GABA B R. The pharmacology of SIHI was inconclusive and warrants further investigation. Findings strongly suggest that SICI, LICI and SIHI recruit three distinct inhibitory circuits in the human M1. The interactions between SIHI and SICI, LICI and SIHI, and LICI and SICI were all negative, that is SIHI suppressed SICI, and LICI suppressed both SIHI and SICI. Diazepam partially restored SICI in the presence of LICI, while all other interactions remained unaffected by diazepam or baclofen. It will be argued that the negative interactions between SIHI and SICI, LICI and SIHI, and LICI and SICI are most likely due to presynaptic GABA B R-mediated autoinhibition.
抑制性回路在调节初级运动皮层(M1)的皮质脊髓输出中起着关键作用。关于这些抑制性回路如何相互作用,我们所知相对较少。在此,我们通过配对脉冲经颅磁刺激测量了M1中的三种抑制形式:短间隔皮质内抑制(SICI)、长间隔皮质内抑制(LICI)和短间隔半球间抑制(SIHI)。我们特别测试了在单次口服地西泮(一种γ-氨基丁酸A型受体(GABAA R)的正变构调节剂)或巴氯芬(一种GABAB型受体(GABAB R)的特异性激动剂)进行药物激发时它们之间的相互作用。在八名右利手健康志愿者的双侧第一背侧骨间肌记录运动诱发电位。地西泮增强了SICI,巴氯芬使LICI有增强的趋势,这证实了SICI反映由GABAA R介导的抑制,而LICI很可能反映由GABAB R介导的抑制这一观点。SIHI的药理学情况尚无定论,值得进一步研究。研究结果强烈表明,SICI、LICI和SIHI在人类M1中募集了三种不同的抑制性回路。SIHI与SICI之间、LICI与SIHI之间以及LICI与SICI之间的相互作用均为负性,即SIHI抑制SICI,LICI抑制SIHI和SICI。在存在LICI的情况下,地西泮部分恢复了SICI,而所有其他相互作用均不受地西泮或巴氯芬的影响。可以认为,SIHI与SICI之间、LICI与SIHI之间以及LICI与SICI之间的负性相互作用很可能是由于突触前GABAB R介导的自身抑制所致。