Department of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, California, USA.
Biol Psychiatry. 2010 Jul 1;68(1):5-16. doi: 10.1016/j.biopsych.2010.03.004. Epub 2010 May 21.
Schizophrenia patients suffer from cognitive impairments that are not satisfactorily treated by currently available medications. Cognitive dysfunction in schizophrenia encompasses deficits in several cognitive modalities that can be differentially responsive to different medications and are likely to be mediated by different neurobiological substrates. Translational animal models of cognitive deficits with relevance to schizophrenia are critical for gaining insights into the mechanisms underlying these impairments and developing more effective treatments. The five-choice serial reaction time task (5-CSRTT) is a cognitive task used in rodents that allows simultaneous assessment of several cognitive modalities, including attention, response inhibition, cognitive flexibility, and processing speed. Administration of N-methyl-D-aspartate (NMDA) glutamate receptor antagonists disrupts multiple 5-CSRTT performance measures in a way that mirrors various cognitive deficits exhibited by schizophrenia patients. Some of these disruptions are partially attenuated by antipsychotic medications that exhibit partial effectiveness on cognitive dysfunction in schizophrenia, suggesting that the model has predictive validity. Examination of the effects of pharmacological manipulations on 5-CSRTT performance disruptions induced by NMDA antagonists have implicated a range of brain regions, neurotransmitter systems, and specific receptor subtypes in schizophrenia-like impairment of different cognitive modalities. Thus, disruption of 5-CSRTT performance by NMDA antagonists represents a valuable tool for exploring the neurobiological bases of cognitive dysfunction in schizophrenia.
精神分裂症患者患有认知障碍,目前可用的药物无法令人满意地治疗这些障碍。精神分裂症的认知功能障碍包括几种认知方式的缺陷,这些缺陷对不同的药物有不同的反应,并且可能由不同的神经生物学基础介导。具有相关性的认知障碍的转化动物模型对于深入了解这些障碍的机制和开发更有效的治疗方法至关重要。五选择连续反应时任务(5-CSRTT)是一种用于啮齿动物的认知任务,可同时评估几种认知方式,包括注意力、反应抑制、认知灵活性和处理速度。N-甲基-D-天冬氨酸(NMDA)谷氨酸受体拮抗剂的给药以一种类似于精神分裂症患者表现出的各种认知缺陷的方式破坏了多种 5-CSRTT 性能测量。这些破坏中的一些部分被抗精神病药物减弱,这些药物对精神分裂症的认知功能障碍有一定的疗效,这表明该模型具有预测性。检查药理学处理对 NMDA 拮抗剂引起的 5-CSRTT 性能破坏的影响,表明在不同认知方式的类似精神分裂症的损伤中涉及一系列脑区、神经递质系统和特定受体亚型。因此,NMDA 拮抗剂对 5-CSRTT 性能的破坏代表了探索精神分裂症认知功能障碍神经生物学基础的有价值工具。