Mundt Adrian, Klein Julia, Joel Daphna, Heinz Andreas, Djodari-Irani Anais, Harnack Daniel, Kupsch Andreas, Orawa Helmut, Juckel Georg, Morgenstern Rudolf, Winter Christine
Department of Psychiatry and Psychotherapy, Charité Campus Mitte, Charité University Medicine, Berlin, Germany.
Eur J Neurosci. 2009 Jun;29(12):2401-12. doi: 10.1111/j.1460-9568.2009.06777.x. Epub 2009 May 29.
Electrical deep brain stimulation (DBS) is currently studied in the treatment of therapy-refractory obsessive compulsive disorders (OCDs). The variety of targeted brain areas and the inconsistency in demonstrating anti-compulsive effects, however, highlight the need for better mapping of brain regions in which stimulation may produce beneficial effects in OCD. Such a goal may be advanced by the assessment of DBS in appropriate animal models of OCD. Currently available data on DBS of the nucleus accumbens (NAc) on OCD-like behavior in rat models of OCD are contradictory and partly in contrast to clinical data and theoretical hypotheses about how the NAc might be pathophysiologically involved in the manifestation of OCD. Consequently, the present study investigates the effects of DBS of the NAc core and shell in a quinpirole rat model of OCD. The study demonstrates that electrical modulation of NAc core and shell activity via DBS reduces quinpirole-induced compulsive checking behavior in rats. We therefore conclude that both, the NAc core and shell constitute potential target structures in the treatment of OCD.
目前正在研究电深部脑刺激(DBS)治疗难治性强迫症(OCD)。然而,靶向脑区的多样性以及在证明抗强迫作用方面的不一致性,凸显了更好地绘制在OCD中刺激可能产生有益效果的脑区图谱的必要性。通过在适当的OCD动物模型中评估DBS,这一目标可能会得以推进。目前关于伏隔核(NAc)的DBS对OCD大鼠模型中类似OCD行为影响的现有数据相互矛盾,并且部分与关于NAc在OCD表现中可能的病理生理参与的临床数据和理论假设相反。因此,本研究调查了在喹吡罗大鼠OCD模型中伏隔核核心和壳部的DBS效应。该研究表明,通过DBS对伏隔核核心和壳部活动进行电调制可减少喹吡罗诱导的大鼠强迫检查行为。因此,我们得出结论,伏隔核核心和壳部均构成OCD治疗中的潜在靶结构。