Behavioral and Clinical Neuroscience Institute, Cambridge, UK.
Neuropsychopharmacology. 2010 May;35(6):1290-301. doi: 10.1038/npp.2009.233. Epub 2010 Jan 27.
Depressed patients show cognitive deficits that may depend on an abnormal reaction to positive and negative feedback. The precise neurochemical mechanisms responsible for such cognitive abnormalities have not yet been clearly characterized, although serotoninergic dysfunction is frequently associated with depression. In three experiments described here, we investigated the effects of different manipulations of central serotonin (5-hydroxytryptamine, 5-HT) levels in rats performing a probabilistic reversal learning task that measures response to feedback. Increasing or decreasing 5-HT tone differentially affected behavioral indices of cognitive flexibility (reversals completed), reward sensitivity (win-stay), and reaction to negative feedback (lose-shift). A single low dose of the selective serotonin reuptake inhibitor citalopram (1 mg/kg) resulted in fewer reversals completed and increased lose-shift behavior. By contrast, a single higher dose of citalopram (10 mg/kg) exerted the opposite effect on both measures. Repeated (5 mg/kg, daily, 7 days) and subchronic (10 mg/kg, b.i.d., 5 days) administration of citalopram increased the number of reversals completed by the animals and increased the frequency of win-stay behavior, whereas global 5-HT depletion had the opposite effect on both indices. These results show that boosting 5-HT neurotransmission decreases negative feedback sensitivity and increases reward (positive feedback) sensitivity, whereas reducing it has the opposite effect. However, these effects depend on the nature of the manipulation used: acute manipulations of the 5-HT system modulate negative feedback sensitivity, whereas long-lasting treatments specifically affect reward sensitivity. These results parallel some of the findings in humans on effects of 5-HT manipulations and are relevant to hypotheses of altered response to feedback in depression.
抑郁患者表现出认知缺陷,这可能取决于对正反馈和负反馈的异常反应。尽管 5-羟色胺能功能障碍常与抑郁有关,但导致这种认知异常的确切神经化学机制尚未明确描述。在本文描述的三个实验中,我们研究了在大鼠进行概率反转学习任务时,中央 5-羟色胺(5-HT)水平的不同操作对反馈反应的影响。增加或减少 5-HT 张力会对认知灵活性(完成的反转)、奖励敏感性(赢留)和对负反馈的反应(输移)的行为指标产生不同的影响。单一低剂量的选择性 5-羟色胺再摄取抑制剂西酞普兰(1mg/kg)导致完成的反转次数减少和增加的输移行为。相比之下,单一高剂量的西酞普兰(10mg/kg)对这两个指标都产生了相反的影响。重复(5mg/kg,每天一次,7 天)和亚慢性(10mg/kg,每天两次,5 天)给予西酞普兰增加了动物完成的反转次数,并增加了赢留行为的频率,而 5-HT 总体耗竭对这两个指标都有相反的影响。这些结果表明,增强 5-HT 神经传递会降低负反馈敏感性并增加奖励(正反馈)敏感性,而降低其敏感性则会产生相反的效果。然而,这些效果取决于所使用的操作的性质:5-HT 系统的急性操作调节负反馈敏感性,而长期治疗则专门影响奖励敏感性。这些结果与人类对 5-HT 操作影响的一些发现相平行,并与抑郁患者对反馈反应改变的假设有关。