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关于具有潜在抗焦虑活性的新型中枢神经系统药物ABIO-08/01药效学的双盲、安慰剂对照、多剂量递增研究。2. 基于低分辨率脑电磁断层扫描(LORETA)的脑电图断层扫描结果。

Double-blind, placebo-controlled, multiple-ascending-dose study on the pharmacodynamics of ABIO-08/01, a new CNS drug with potential anxiolytic activity. 2. EEG-tomography findings based on LORETA (low-resolution brain electromagnetic tomography).

作者信息

Saletu Bernd, Anderer Peter, Wolzt Michael, Nosiska Dorothea, Assandri Alessandro, Noseda Emanuele, Nannipieri Fabrizio, Saletu-Zyhlarz Gerda M

机构信息

Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.

出版信息

Neuropsychobiology. 2009;59(2):110-22. doi: 10.1159/000212380. Epub 2009 Apr 10.

Abstract

Effects of ABIO-08/01, a new potentially anxiolytic isoxazoline, on regional electrical brain generators were investigated by 3-dimensional EEG tomography. In a double- blind, placebo-controlled, multiple-ascending-dose study, 16 healthy males (30.2 +/- 5.7 years) received 3 oral drug doses (10, 20, 40 mg) and placebo for 7 days (8-day wash-out) in a randomized non-balanced design for phase-1 studies. A 3-min vigilance-controlled (V) EEG, a 4-min resting (R) EEG with eyes closed, a 1-min eyes-open (EO) EEG and psychometric tests were performed 0, 1 and 6 h after taking the drug on days 1 and 5. Low-resolution brain electromagnetic tomography (LORETA) was computed from the spectrally analyzed EEG data, and differences between drug and placebo were displayed as statistical parametric maps. Data were registered to the Talairach-Tournoux Human Brain Atlas available as a digitized MRI. An overall omnibus significance test followed by a voxel-by-voxel t test demonstrated significant regional EEG changes after ABIO-08/01 versus placebo, dependent on recording condition, dose and time. While in the EO-EEG specifically the lowest dose of ABIO-08/01 induced pronounced sedative effects (delta/theta and beta increase) 1 h after acute and slightly less so after superimposed administration, in the 6th hour a decrease in alpha and beta activity signaled less sedative and more relaxant action. In the V-EEG these changes were less pronounced, in the R-EEG partly opposite. Hemisphere-specific changes were observed, suggesting increases in LORETA power over the left temporal, parietal, superior frontal regions and decreases over the right prefrontal, temporal pole and occipital regions. These LORETA changes are discussed in the light of neuroimaging findings on anxiety and anxiolytics.

摘要

通过三维脑电图断层扫描研究了新型潜在抗焦虑异恶唑啉ABIO-08/01对局部脑电发生器的影响。在一项双盲、安慰剂对照、多剂量递增研究中,16名健康男性(30.2±5.7岁)按照随机非平衡设计接受3种口服药物剂量(10、20、40毫克)和安慰剂,为期7天(洗脱期8天),用于1期研究。在第1天和第5天服药后0、1和6小时进行3分钟警觉控制(V)脑电图、4分钟闭眼静息(R)脑电图、1分钟睁眼(EO)脑电图和心理测量测试。从经频谱分析的脑电图数据计算低分辨率脑电磁断层扫描(LORETA),药物与安慰剂之间的差异以统计参数图显示。数据已注册到可作为数字化MRI获得的Talairach-Tournoux人脑图谱。总体综合显著性检验随后进行逐体素t检验,结果表明与安慰剂相比,ABIO-08/01给药后局部脑电图有显著变化,这取决于记录条件、剂量和时间。在EO脑电图中,特别是ABIO-08/01的最低剂量在急性给药后1小时诱导明显的镇静作用(δ/θ和β增加),叠加给药后作用稍弱,而在第6小时,α和β活动的减少表明镇静作用减弱,放松作用增强。在V脑电图中,这些变化不太明显,在R脑电图中部分相反。观察到半球特异性变化,提示左颞叶、顶叶、额上区的LORETA功率增加,右前额叶、颞极和枕区的LORETA功率降低。根据焦虑和抗焦虑药物的神经影像学研究结果对这些LORETA变化进行了讨论。

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