The School of Pharmacy, University of Bradford, Bradford, West Yorkshire, BD7 1DP, UK.
Pharmacol Ther. 2010 Dec;128(3):419-32. doi: 10.1016/j.pharmthera.2010.07.004. Epub 2010 Aug 10.
Cognitive deficits in schizophrenia remain an unmet clinical need. Improved understanding of the neuro- and psychopathology of these deficits depends on the availability of carefully validated animal models which will assist the development of novel therapies. There is much evidence that at least some of the pathology and symptomatology (particularly cognitive and negative symptoms) of schizophrenia results from a dysfunction of the glutamatergic system which may be modelled in animals through the use of NMDA receptor antagonists. The current review examines the validity of this model in rodents. We review the ability of acute and sub-chronic treatment with three non-competitive NMDA antagonists; phencyclidine (PCP), ketamine and MK801 (dizocilpine) to produce cognitive deficits of relevance to schizophrenia in rodents and their subsequent reversal by first- and second-generation antipsychotic drugs. Effects of NMDA receptor antagonists on the performance of rodents in behavioural tests assessing the various domains of cognition and negative symptoms are examined: novel object recognition for visual memory, reversal learning and attentional set shifting for problem solving and reasoning, 5-Choice Serial Reaction Time for attention and speed of processing; in addition to effects on social behaviour and neuropathology. The evidence strongly supports the use of NMDA receptor antagonists to model cognitive deficit and negative symptoms of schizophrenia as well as certain pathological disturbances seen in the illness. This will facilitate the evaluation of much-needed novel pharmacological agents for improved therapy of cognitive deficits and negative symptoms in schizophrenia.
精神分裂症的认知缺陷仍然是一个未满足的临床需求。对这些缺陷的神经病理学和精神病理学的理解的提高取决于是否有经过精心验证的动物模型,这些模型将有助于新疗法的开发。有大量证据表明,精神分裂症的至少一些病理学和症状(特别是认知和阴性症状)是由于谷氨酸能系统的功能障碍引起的,而通过使用 NMDA 受体拮抗剂可以在动物中模拟这种功能障碍。本综述检查了该模型在啮齿动物中的有效性。我们回顾了三种非竞争性 NMDA 拮抗剂——苯环利定(PCP)、氯胺酮和 MK801(地卓西平)在急性和亚慢性治疗中产生与精神分裂症相关的认知缺陷的能力,以及第一代和第二代抗精神病药物对其的后续逆转作用。我们还检查了 NMDA 受体拮抗剂对评估认知和阴性症状各个领域的行为测试中啮齿动物表现的影响:新物体识别用于视觉记忆、反转学习和注意力设定转移用于解决问题和推理、5 选择序列反应时间用于注意力和处理速度;以及对社会行为和神经病理学的影响。这一证据强烈支持使用 NMDA 受体拮抗剂来模拟精神分裂症的认知缺陷和阴性症状,以及该疾病中出现的某些病理性紊乱。这将有助于评估急需的新型药理学药物,以改善精神分裂症的认知缺陷和阴性症状的治疗效果。