Knott Verner, Millar Anne, Fisher Derek
University of Ottawa Institute of Mental Health Research, Ottawa, ON, Canada.
Neuroimage. 2009 Feb 1;44(3):992-1000. doi: 10.1016/j.neuroimage.2008.10.002. Epub 2008 Nov 1.
Impairments in sensory gating in schizophrenia have been reflected by diminished suppression of the scalp-recorded middle latency auditory P50 event-related potential (MLAERP) elicited by the second (S(2)) of a pair (S(1)-S(2)) of clicks. As understanding the functional neural substrates of aberrant gating would have important implications for schizophrenia, this study examined the location and time-course of the neural generators of the P50 MLAERP and its gating on subgroups of healthy volunteers exhibiting low (n=12) and high (n=12) P50 suppression. Suppressor differences were observed with S(1) P50 (high>low) and S(2) P50 (high<low) amplitudes, and current source density analysis with standardized Low Resolution Electromagnetic Tomography (sLORETA) evidenced an S(1) P50-related activation of limbic, temporal and parietal regions in the high but not the low suppressors. Distributed source localization of the Gating Difference Wave (GDW), obtained by subtracting the S(2) P50 response from the S(1) P50 response, also revealed a later and sustained frontal activation to characterize high suppressors. These findings suggest that impaired gating of the kind evident in schizophrenia may involve the deficient functioning of multiple interconnected and temporally overlapping activated brain regions.
精神分裂症患者感觉门控功能的损害表现为对一对(S(1)-S(2))点击声中第二个(S(2))点击所诱发的头皮记录的中潜伏期听觉P50事件相关电位(MLAERP)抑制减弱。由于了解异常门控的功能性神经基础对精神分裂症具有重要意义,本研究检查了P50 MLAERP神经发生器的位置和时间进程及其在表现出低(n = 12)和高(n = 12)P50抑制的健康志愿者亚组中的门控情况。观察到抑制者之间在S(1) P50(高>低)和S(2) P50(高<低)振幅上存在差异,并且使用标准化低分辨率电磁断层扫描(sLORETA)进行的电流源密度分析表明,在高抑制者而非低抑制者中,S(1) P50相关激活发生在边缘、颞叶和顶叶区域。通过从S(1) P50反应中减去S(2) P50反应获得的门控差异波(GDW)的分布式源定位也显示,高抑制者的额叶激活更晚且持续时间更长。这些发现表明,精神分裂症中明显的那种门控受损可能涉及多个相互连接且在时间上重叠的激活脑区的功能缺陷。