Bethancourt José A, Camarena Zurislay Z, Britton Gabrielle B
Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT AIP), Cognición, Cerebro y Conducta, Panamá, Panama.
Behav Brain Res. 2009 Aug 24;202(1):50-7. doi: 10.1016/j.bbr.2009.03.015. Epub 2009 Mar 21.
Methylphenidate (MPH) is the most commonly prescribed medication used to treat the symptoms associated with attention-deficit hyperactivity disorder (ADHD). The increase in ADHD diagnosis and MPH use has raised concerns regarding the long-term consequences of early exposure to psychostimulants. Animals studies indicate that early developmental MPH treatment produces enduring changes in hippocampal-sensitive tasks, including novel object recognition (NOR) and long-term retention of contextual fear. We administered oral MPH to male Wistar rats at a therapeutically relevant dose (2 or 5 mg/kg) twice daily for 7 weeks beginning on post-natal day (PN) 27 through PN 71 (i.e., periadolescence through young adulthood). Behavioral tests began 18 days following the last MPH administration. MPH (5 mg/kg) produced an increase in the latency to reach criterion for sample object exploration during the first of two NOR tests, but did not produce memory deficits at either dose. MPH (5 mg/kg) enhanced freezing during the 24 h retention test, but did not affect responding at 48 h. Taken together, the results of both tasks suggest that treatment with MPH in a manner that approximates clinical exposure patterns transiently modifies hippocampal-sensitive learning in rats but does not produce cognitive impairments. We suggest that the effects of prolonged exposure to MPH treatment on cognitive processes vary as a function of the duration and pattern of drug administration, as well as task complexity, which may account for differences among studies regarding its long-term behavioral effects. Future preclinical studies examining the effects of early psychostimulant treatment should include different periods of exposure and assessment, as well as clinically relevant doses and routes of drug administration, in order to better understand the impact of pediatric medications on adult cognition.
哌甲酯(MPH)是治疗与注意力缺陷多动障碍(ADHD)相关症状时最常用的处方药。ADHD诊断率和MPH使用量的增加引发了人们对早期接触精神兴奋剂长期后果的担忧。动物研究表明,发育早期接受MPH治疗会对海马体敏感任务产生持久影响,包括新物体识别(NOR)和情境恐惧的长期记忆。从出生后第27天(PN)至PN 71天(即青春期至青年期),我们每天给雄性Wistar大鼠口服两次具有治疗相关性的剂量(2或5毫克/千克)的MPH,持续7周。行为测试在最后一次MPH给药18天后开始。在两项NOR测试的第一项中,MPH(5毫克/千克)使达到样本物体探索标准的潜伏期增加,但两种剂量均未产生记忆缺陷。在24小时的记忆测试中,MPH(5毫克/千克)增强了僵住反应,但在48小时时不影响反应。综合来看,两项任务的结果表明,以接近临床暴露模式的方式用MPH治疗会短暂改变大鼠海马体敏感学习,但不会产生认知障碍。我们认为,长期接触MPH治疗对认知过程的影响会因药物给药的持续时间和模式以及任务复杂性而有所不同,这可能解释了不同研究在其长期行为影响方面存在差异的原因。未来研究早期精神兴奋剂治疗效果的临床前研究应包括不同的暴露期和评估期,以及临床相关的药物剂量和给药途径,以便更好地了解儿科药物对成人认知的影响。