Pinault Didier
INSERM U666, Physiopathologie Clinique et Expérimentale de la Schizophrénie, Faculté de Médecine, Strasbourg, France.
Biol Psychiatry. 2008 Apr 15;63(8):730-5. doi: 10.1016/j.biopsych.2007.10.006. Epub 2007 Nov 26.
Single subanesthetic doses of ketamine, a non-competitive NMDA receptor (NMDAr) antagonist, induce cognitive impairment, schizophreniform psychosis, hallucinations, and exacerbate schizophrenia symptoms. The neuronal mechanisms underlying transient disruption in NMDAr function are unknown. Disorders of cognition-related coherences of gamma frequency (30-80 Hz) oscillations between cortical areas are a major functional abnormality in schizophrenic patients. Does a single subanesthetic dose of ketamine or MK-801 alter properties of cortical gamma oscillations?
Properties of spontaneously occurring gamma oscillations in the electrocorticogram of the neocortex of freely moving rats (n = 16) were measured before and after subcutaneous administration of a single dose of ketamine (< or = 10 mg/kg), MK-801 (< or = .16 mg/kg), d-amphetamine (< or = 1 mg/kg), apomorphine (< or = 1.6 mg/kg), or vehicle (sodium chloride, .9%).
The present study gives the first evidence that ketamine and MK-801, both of which induce NMDAr-dependent functional disconnections, dose-dependently increase the power (200%-400%) of wake-related gamma oscillations in the neocortex. Substances that modulate dopaminergic neurotransmission could also increase the gamma power but to a lesser degree.
The present findings suggest that abnormal increased synchronization in ongoing gamma oscillations in cortical-related networks might cause dysfunctions of conscious integration, as seen in patients with schizophrenia.
氯胺酮是一种非竞争性N-甲基-D-天冬氨酸受体(NMDAr)拮抗剂,单次亚麻醉剂量的氯胺酮会导致认知障碍、精神分裂症样精神病、幻觉,并加重精神分裂症症状。NMDAr功能短暂中断的神经元机制尚不清楚。皮质区域之间γ频率(30 - 80赫兹)振荡的认知相关连贯性障碍是精神分裂症患者的主要功能异常。单次亚麻醉剂量的氯胺酮或MK - 801会改变皮质γ振荡的特性吗?
在自由活动大鼠(n = 16)皮下注射单次剂量的氯胺酮(≤10毫克/千克)、MK - 801(≤0.16毫克/千克)、右旋苯丙胺(≤1毫克/千克)、阿扑吗啡(≤1.6毫克/千克)或赋形剂(0.9%氯化钠)之前和之后,测量其新皮质脑电图中自发出现的γ振荡特性。
本研究首次证明,氯胺酮和MK - 801均可诱导依赖NMDAr的功能断开连接,二者均剂量依赖性地增加新皮质中与觉醒相关的γ振荡的功率(200% - 400%)。调节多巴胺能神经传递的物质也可增加γ功率,但程度较小。
目前的研究结果表明,皮质相关网络中正在进行的γ振荡异常同步增加可能会导致意识整合功能障碍,如精神分裂症患者所见。