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健康受试者中右旋苯丙胺诱导的 P3a 和 P3b 减少。

Dexamphetamine-induced reduction of P3a and P3b in healthy participants.

机构信息

School of Medicine and Pharmacology, University of Western Australia, Perth, Australia.

出版信息

J Psychopharmacol. 2011 Dec;25(12):1623-31. doi: 10.1177/0269881110376686. Epub 2010 Aug 10.

Abstract

The reduced P3 is one of the most robust deficits involved in schizophrenia. Previous research with catecholaminergic agonists or releasers such as amphetamines have used doses too small to adequately demonstrate an effect on P3. In this study, we gave 0.45 mg/kg dexamphetamine to healthy volunteers (final n = 18) using both auditory and visual three-stimulus P3 procedures. Dexamphetamine significantly reduced P3 amplitudes to auditory target, rare non-target and standard stimulus amplitudes. The reduction in auditory P3 induced by dexamphetamine was proportional across stimulus types to placebo P3 values. There were no effects of dexamphetamine on visual P3. We demonstrate a reduced auditory P3 similar to that seen in schizophrenia and other psychotic illnesses. This possibly reflects a common pathology which is hypothesized within the P3 literature to be related to attention and working memory. Differences between auditory and visual P3 modulation may be related to regional variations in catecholamine or specifically dopamine receptor densities. One specific auditory P3 generator is the superior temporal cortex, an area with dopamine D(2) receptor enriched bands. This is contrasted with visual specific generators, such as the inferior temporal cortex and superior parietal cortex, which do not have these enriched bands.

摘要

P3 波幅降低是精神分裂症的一个最显著的缺陷。之前使用儿茶酚胺能激动剂或释放剂(如安非他命)的研究使用的剂量过小,无法充分证明对 P3 的影响。在这项研究中,我们给 18 名健康志愿者使用听觉和视觉三刺激 P3 程序给予 0.45mg/kg 的右旋苯丙胺。右旋苯丙胺显著降低了听觉靶、罕见非靶和标准刺激的 P3 波幅。右旋苯丙胺引起的听觉 P3 降低与安慰剂 P3 值在各种刺激类型之间成比例。右旋苯丙胺对视觉 P3 没有影响。我们证明了听觉 P3 的降低类似于精神分裂症和其他精神病的情况。这可能反映了一种共同的病理学,在 P3 文献中假设与注意力和工作记忆有关。听觉和视觉 P3 调节之间的差异可能与儿茶酚胺或特定的多巴胺受体密度的区域变化有关。一个特定的听觉 P3 发生器是颞上皮质,一个富含多巴胺 D2 受体的区域。这与视觉特异性发生器形成对比,如颞下皮质和顶上皮质,它们没有这些富集带。

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