Department of Experimental Psychology, University of Cambridge, Downing Site, Cambridge, UK.
Neurosci Biobehav Rev. 2010 Jan;34(1):50-72. doi: 10.1016/j.neubiorev.2009.07.003. Epub 2009 Jul 15.
Many common psychiatric conditions, such as attention deficit/hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), Parkinson's disease, addiction and pathological gambling are linked by a failure in the mechanisms that control, or inhibit, inappropriate behavior. Models of rat behavioral inhibition permit us to study in detail the anatomical and pharmacological bases of inhibitory failure, using methods that translate directly with patient assessment in the clinic. This review updates current ideas relating to behavioral inhibition based on two significant lines of evidence from rat studies: (1) To integrate new findings from the stop-signal task into existing models of behavioral inhibition, in particular relating to 'impulsive action' control. The stop-signal task has been used for a number of years to evaluate psychiatric conditions and has recently been translated for use in the rat, bringing a wealth of new information to behavioral inhibition research. (2) To consider the importance of the subthalamic nucleus (STN) in the neural circuitry of behavioral inhibition. This function of this nucleus is central to a number of 'disinhibitory' disorders such as Parkinson's disease and OCD, and their therapies, but its role in behavioral inhibition is still undervalued, and often not considered in preclinical models of behavioral control. Integration of these findings has pinpointed the orbitofrontal cortex (OF), dorsomedial striatum (DMStr) and STN within a network that normally inhibits many forms of behavior, including both impulsive and compulsive forms. However, there are distinct differences between behavioral subtypes in their neurochemical modulation. This review brings new light to the classical view of the mechanisms that inhibit behavior, in particular suggesting a far more prominent role for the STN, a structure that is usually omitted from conventional behavioral-inhibition networks. The OF-DMStr-STN circuitry may form the basis of a control network that defines behavioral inhibition and that acts to suppress or countermand many forms of inappropriate or maladaptive behavior.
许多常见的精神疾病,如注意力缺陷/多动障碍(ADHD)、强迫症(OCD)、帕金森病、成瘾和病态赌博,都与控制或抑制不当行为的机制失效有关。大鼠行为抑制模型使我们能够使用可直接与临床患者评估相转化的方法,详细研究抑制失败的解剖学和药理学基础。本综述基于大鼠研究的两条重要证据线更新了与行为抑制相关的当前观点:(1)将停止信号任务的新发现整合到行为抑制的现有模型中,特别是与“冲动行为”控制有关。停止信号任务已被用于评估多种精神疾病多年,并最近已被翻译为大鼠使用,为行为抑制研究带来了大量新信息。(2)考虑底丘脑核(STN)在行为抑制神经回路中的重要性。该核的功能对于帕金森病和 OCD 等多种“去抑制”疾病及其治疗方法至关重要,但它在行为抑制中的作用仍被低估,并且在行为控制的临床前模型中通常不被考虑。这些发现的整合确定了眶额皮层(OF)、背内侧纹状体(DMStr)和 STN 位于一个网络内,该网络通常会抑制多种行为,包括冲动和强迫行为。然而,在其神经化学调节方面,行为亚型之间存在明显差异。本综述为抑制行为的机制的经典观点带来了新的启示,特别是建议 STN 发挥更为突出的作用,STN 通常是传统行为抑制网络中省略的结构。OF-DMStr-STN 回路可能构成控制网络的基础,该网络定义了行为抑制,并作用于抑制或撤销多种不当或适应不良的行为。