Copenhagen University, University Psychiatric Center Glostrup, Denmark.
Psychiatry Res. 2011 Apr 30;186(2-3):431-6. doi: 10.1016/j.psychres.2010.09.019. Epub 2010 Oct 23.
Early mechanisms to limit the input of sensory information to higher brain areas are important for a healthy individual. In previous studies, we found that a low dose of 10mg escitalopram (SSRI) disrupts habituation, without affecting sensory and sensorimotor gating in healthy volunteers. In the current study a higher dose of 15 mg was used. The hypothesis was that this higher dose of escitalopram would not only disrupt habituation, but also sensory and sensorimotor gating. Twenty healthy male volunteers received either placebo or 15 mg escitalopram, after which they were tested in a P50 suppression, and a habituation and prepulse inhibition (PPI) of the startle reflex paradigm. Escitalopram significantly decreased P50 suppression and habituation, but had no effect on PPI. The results indicate that habituation and sensory gating are disrupted by increased serotonergic activity, while sensorimotor gating seems relatively insensitive to such a rise. Since the patients who are frequently treated with SSRIs (patients with schizophrenia and affective disorders) might already suffer from disrupted sensory gating and habituation, the current results call for caution in the determination of a proper dose.
早期限制感觉信息输入高级大脑区域的机制对于健康个体很重要。在之前的研究中,我们发现低剂量的 10 毫克依地普仑(SSRI)会破坏习惯化,而不会影响健康志愿者的感觉和感觉运动门控。在当前的研究中,使用了更高剂量的 15 毫克。假设是,这种更高剂量的依地普仑不仅会破坏习惯化,还会破坏感觉和感觉运动门控。二十名健康男性志愿者接受安慰剂或 15 毫克依地普仑治疗,然后在 P50 抑制和惊吓反射的习惯化和预备脉冲抑制(PPI)范式中进行测试。依地普仑显著降低了 P50 抑制和习惯化,但对 PPI 没有影响。结果表明,习惯化和感觉门控被增加的 5-羟色胺能活动破坏,而感觉运动门控似乎对这种增加相对不敏感。由于经常使用 SSRI(精神分裂症和情感障碍患者)治疗的患者可能已经患有感觉门控和习惯化破坏,因此当前的结果呼吁在确定适当剂量时要谨慎。