Lodge Daniel J, Grace Anthony A
Department of Neuroscience, Psychiatry, and Psychology, University of Pittsburgh, Pittsburgh, PA 15260, USA.
Neurotox Res. 2008 Oct;14(2-3):97-104. doi: 10.1007/BF03033801.
Studies into the pathophysiology of schizophrenia have consistently demonstrated a dysfunction of dopamine (DA) system regulation in this disorder. This includes hyper-responsivity to DA agonists, the therapeutic efficacy of DA antagonists, and augmented striatal DA release in response to amphetamine. Nonetheless, there is little evidence for a pathological alteration with the DA system itself in schizophrenia. Instead, it is suggested that the disturbance lies in the manner by which the DA system is regulated. Recently, rodent models of schizophrenia have been advanced based on developmental disruption that recapitulates many of the symptoms observed in human schizophrenia patients. We found that administration of the mitotoxin methylazoxymethanol acetate (MAM) to rats at gestational day 17 leads to adult rats that exhibit neuroanatomical, pharmacological, and behavioral characteristics consistent with schizophrenia. These rats also exhibit hyperactivity within the ventral subiculum of the hippocampus that corresponds to a loss of parvalbumin-containing interneurons. This hyperactivity causes an increase in the population activity of the DA neurons (i.e., more DA neurons are firing spontaneously), thus increasing the responsivity of the DA system to stimuli. When the ventral subiculum is inactivated, DA neuron population activity is restored to baseline, and the hyper-responsivity to amphetamine is normalized to that observed in control rats. These findings demonstrate a direct link between the hippocampal pathophysiology, interneuronal alterations, and hyperdopaminergic state observed in the schizophrenia patient. Moreover, this suggests an alternate pharmacotherapeutic approach based on the normalization of hippocampal activity in the treatment of schizophrenia in humans.
对精神分裂症病理生理学的研究一直表明,该疾病中多巴胺(DA)系统调节存在功能障碍。这包括对DA激动剂的高反应性、DA拮抗剂的治疗效果以及对苯丙胺反应时纹状体DA释放增加。然而,几乎没有证据表明精神分裂症中DA系统本身存在病理性改变。相反,有人提出干扰在于DA系统的调节方式。最近,基于发育破坏建立了精神分裂症的啮齿动物模型,这种发育破坏概括了人类精神分裂症患者中观察到的许多症状。我们发现,在妊娠第17天给大鼠施用线粒体毒素乙酸甲基偶氮甲醇(MAM),会导致成年大鼠表现出与精神分裂症一致的神经解剖学、药理学和行为特征。这些大鼠在海马腹侧下托内也表现出活动亢进,这与含小白蛋白的中间神经元缺失相对应。这种活动亢进导致DA神经元群体活动增加(即更多的DA神经元自发放电),从而增加了DA系统对刺激的反应性。当腹侧下托失活时,DA神经元群体活动恢复到基线水平,对苯丙胺的高反应性恢复到对照大鼠中观察到的水平。这些发现证明了在精神分裂症患者中观察到的海马病理生理学、中间神经元改变和多巴胺能亢进状态之间的直接联系。此外,这表明在治疗人类精神分裂症时,基于使海马活动正常化的另一种药物治疗方法。