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功能磁共振成像中的药物-麻醉剂相互作用:以拟精神病药物苯环利定为例。

Drug-anaesthetic interaction in phMRI: the case of the psychotomimetic agent phencyclidine.

作者信息

Gozzi Alessandro, Schwarz Adam, Crestan Valerio, Bifone Angelo

机构信息

Department of Biology, Psychiatry CEDD, GlaxoSmithKline Medicines Research Centre, Verona, Italy.

出版信息

Magn Reson Imaging. 2008 Sep;26(7):999-1006. doi: 10.1016/j.mri.2008.01.012. Epub 2008 May 16.

DOI:10.1016/j.mri.2008.01.012
PMID:18486387
Abstract

Pharmacological magnetic resonance imaging (phMRI) provides a powerful means to map the effects of drugs on brain activity, with important applications in pharmacological research. However, phMRI studies in preclinical species are often conducted under general anaesthesia as a means to avoid head motion and to minimise the stress induced by the procedure. Under these conditions, the phMRI response to the drug of interest may be affected by interactions with the anaesthetic agent, with consequences for the interpretation of the data. Here, we have investigated the phMRI response to phencyclidine (PCP), an NMDA receptor blocker, in the halothane-anaesthetised rat for varying levels of anaesthesia and different PCP challenge doses. PCP induces psychotic-like symptoms in humans and laboratory animals and is widely applied as a pharmacological model of schizophrenia. However, PCP possesses anaesthetic properties per se, and its interactions with halothane might result in significant effects on the phMRI activation patterns. We observed two qualitatively different patterns of phMRI response. At 0.5 mg/kg iv PCP and 0.8% halothane maintenance anaesthesia, the lowest doses explored, an activation of discrete cortico-limbo-thalamic structures was observed, consistent with neuroimaging studies in humans and 2-deoxyglucose functional mapping in conscious animal models. However, higher anaesthetic concentrations or higher PCP challenge doses resulted in complete abolition of the positive response and in a widespread cortical deactivation (negative response). In the intermediate regime, we observed a dichotomic behaviour, with individual subjects showing one pattern or the other. These findings indicate a dose-dependent drug-anaesthetic interaction, with a complete reversal of the effects of PCP at higher challenge doses or HT concentrations.

摘要

药理磁共振成像(phMRI)为描绘药物对大脑活动的影响提供了一种强大的手段,在药理学研究中具有重要应用。然而,临床前物种的phMRI研究通常在全身麻醉下进行,以避免头部运动并将该过程引起的应激降至最低。在这些条件下,phMRI对感兴趣药物的反应可能会受到与麻醉剂相互作用的影响,从而影响数据的解释。在此,我们研究了在氟烷麻醉的大鼠中,针对不同麻醉水平和不同苯环己哌啶(PCP)激发剂量,phMRI对NMDA受体阻滞剂PCP的反应。PCP在人类和实验动物中会诱发类似精神病的症状,并被广泛用作精神分裂症的药理学模型。然而,PCP本身具有麻醉特性,其与氟烷的相互作用可能会对phMRI激活模式产生显著影响。我们观察到两种性质不同的phMRI反应模式。在静脉注射0.5 mg/kg PCP和维持0.8%氟烷麻醉(所探索的最低剂量)时,观察到离散的皮质-边缘-丘脑结构激活,这与人类神经影像学研究以及清醒动物模型中的2-脱氧葡萄糖功能图谱一致。然而,更高的麻醉浓度或更高的PCP激发剂量导致阳性反应完全消失,并出现广泛的皮质失活(阴性反应)。在中间状态下,我们观察到一种二分行为,个体受试者表现出一种或另一种模式。这些发现表明存在剂量依赖性的药物-麻醉剂相互作用,在更高的激发剂量或氟烷浓度下,PCP的作用会完全逆转。

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