Madureira Daniele Q M, de Carvalho Luis Alfredo V, Cheniaux Elie
Computer Systems and Engineering Program, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Arq Neuropsiquiatr. 2007 Dec;65(4A):1043-9. doi: 10.1590/s0004-282x2007000600028.
BACKGROUND: Inattention symptoms observed in patients with attention deficit hyperactivity disorder (ADHD) are mostly related to a hypoactivity in the mesocortical dopaminergic pathway. However, mesothalamic dopaminergic variations also affect the attentional control, and possibly lead to attention alterations in ADHD. PURPOSE: Elaborating a neurocomputational model from biochemical knowledge of mesocortical and mesothalamic dopamine systems, to investigate how different levels of mesothalamic dopamine influence the thalamocortical loop, leading to some attention deficits observed in ADHD. METHOD: First, we model physiological properties of thalamic neurons with a set of mathematical equations. Next, we simulate computationally the modeled thalamocortical loop under different levels of mesothalamic dopamine, and also the mesocortical dopaminergic decrease. RESULTS: Low levels of mesothalamic dopamine hinders the attentional shift and, high levels of such neuromodulator lead to distraction. When such alterations occur together with a decrease in the mesocortical dopamine level, the attention deficit turns into incapacity of perceiving environmental stimuli, due to a no winner competition between low activated thalamic areas. Inattention in ADHD also has its origins in dopaminergic disturbs throughout the mesothalamic pathway, which enhance a high focusing or do not allow the attention focus consolidation. CONCLUSION: In ADHD, the inattention is related to dopaminergic alterations that are not restricted to the mesocortical system.
背景:注意缺陷多动障碍(ADHD)患者中观察到的注意力不集中症状大多与中皮质多巴胺能通路的活动减退有关。然而,中丘脑多巴胺能变化也会影响注意力控制,并可能导致ADHD患者的注意力改变。 目的:根据中皮质和中丘脑多巴胺系统的生化知识构建一个神经计算模型,以研究不同水平的中丘脑多巴胺如何影响丘脑皮质环路,导致ADHD中观察到的一些注意力缺陷。 方法:首先,我们用一组数学方程对丘脑神经元的生理特性进行建模。接下来,我们在不同水平的中丘脑多巴胺以及中皮质多巴胺能降低的情况下,对模拟的丘脑皮质环路进行计算模拟。 结果:低水平的中丘脑多巴胺会阻碍注意力转移,而高水平的这种神经调节剂会导致注意力分散。当这些改变与中皮质多巴胺水平降低同时发生时,由于低激活丘脑区域之间没有胜者竞争,注意力缺陷会转变为无法感知环境刺激。ADHD中的注意力不集中也源于整个中丘脑通路的多巴胺能紊乱,这会增强高度集中或不允许注意力集中巩固。 结论:在ADHD中,注意力不集中与不限于中皮质系统的多巴胺能改变有关。
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