Department of Pharmacology and the Interdisciplinary Program in Neuroscience, Georgetown University Medical Center, 3900 Reservoir Rd. NW, Washington, DC 20007, USA.
Neuropharmacology. 2011 Jun;60(7-8):1262-8. doi: 10.1016/j.neuropharm.2010.12.018. Epub 2010 Dec 23.
Nootropic agents or cognitive enhancers are purported to improve mental functions such as cognition, memory, or attention. The aim of our study was to determine the effects of two possible cognitive enhancers, huperzine A and IDRA 21, in normal young adult monkeys performing a visual memory task of varying degrees of difficulty. Huperzine A is a reversible acetylcholinesterase (AChE) inhibitor, its administration results in regionally specific increases in acetylcholine levels in the brain. In human clinical trials, Huperzine A resulted in cognitive improvement in patients with mild to moderate form of Alzheimer's disease (AD) showing its potential as a palliative agent in the treatment of AD. IDRA 21 is a positive allosteric modulator of glutamate AMPA receptors. It increases excitatory synaptic strength by attenuating rapid desensitization of AMPA receptors and may thus have beneficial therapeutic effects to ameliorate memory deficits in patients with cognitive impairments, including AD. The present study evaluated the effects of the two drugs in normal, intact, young adult monkeys to determine whether they can result in cognitive enhancement in a system that is presumably functioning optimally. Six young pigtail macaques (Macaca nemestrina) were trained on delayed non-matching-to-sample task, a measure of visual recognition memory, up to criterion of 90% correct responses on each of the four delays (10s, 30s, 60s, and 90s). They were then tested on two versions of the task: Task 1 included the four delays intermixed within a session and the monkeys performed it with the accuracy of 90%. Task 2 included, in each of 24 trials, a list of six objects presented in succession. Two objects from the list were then presented for choice paired with novel objects and following two of the four delays intermixed within a session. This task with a higher mnemonic demand yielded an average performance of 64% correct. Oral administration of huperzine A did not significantly affect the monkeys' performance on either task. However, a significant negative correlation was found between the baseline performance on each delay and the change in performance under huperzine A, suggesting that under conditions in which the subjects were performing poorly (55-69%), the drug resulted in improved performance, whereas no improvement was obtained when the baseline was close to 90%. In fact, when the subjects were performing very well, huperzine A tended to reduce the performance accuracy, indicating that in a system that functions optimally, the increased availability of acetylcholine does not improve performance or memory, especially when the animals are close to the maximum performance. In contrast, oral administration of IDRA 21 significantly improved performance on Task 2, especially on the longest delay. This finding supports the potential use of this drug in treatment of cognitive and memory disorders. This article is part of a Special Issue entitled 'Trends in neuropharmacology: in memory of Erminio Costa'.
益智药或认知增强剂据称可改善认知、记忆或注意力等心理功能。我们的研究目的是确定两种可能的认知增强剂,石杉碱 A 和 IDRA 21,在执行不同难度视觉记忆任务的正常年轻成年猴子中的作用。石杉碱 A 是一种可逆的乙酰胆碱酯酶(AChE)抑制剂,其给药导致大脑中乙酰胆碱水平在区域特异性增加。在人类临床试验中,石杉碱 A 使轻度至中度阿尔茨海默病(AD)患者的认知得到改善,表明其作为 AD 治疗中的姑息治疗剂具有潜在用途。IDRA 21 是谷氨酸 AMPA 受体的正变构调节剂。它通过减弱 AMPA 受体的快速脱敏来增加兴奋性突触强度,因此可能对改善包括 AD 在内的认知障碍患者的记忆缺陷具有有益的治疗作用。本研究评估了两种药物在正常、完整的年轻成年猴子中的作用,以确定它们是否能在一个功能正常的系统中导致认知增强。六只年轻的长尾猕猴(Macaca nemestrina)接受了延迟非匹配样本任务的训练,这是一种视觉识别记忆的测量方法,在每个四个延迟(10s、30s、60s 和 90s)上达到 90%的正确反应标准。然后,它们在两个版本的任务上进行了测试:任务 1 包括四个延迟在一个会话中混合,猴子以 90%的准确率完成。任务 2 在 24 次试验中的每次试验中都包含一个连续呈现的六个物体的列表。然后,从列表中选择两个物体与新物体配对,并在一个会话中混合四个延迟中的两个。这项具有更高记忆需求的任务平均产生 64%的正确反应。口服给予石杉碱 A 对猴子在两种任务上的表现均无显著影响。然而,在每个延迟的基线表现与石杉碱 A 下的表现变化之间发现了显著的负相关,这表明在受试者表现不佳(55-69%)的情况下,药物导致表现改善,而当基线接近 90%时则未获得改善。事实上,当受试者表现非常好时,石杉碱 A 往往会降低表现准确性,表明在功能最佳的系统中,增加乙酰胆碱的可利用性不会改善表现或记忆,特别是当动物接近最大表现时。相比之下,口服给予 IDRA 21 显著改善了任务 2 的表现,尤其是在最长的延迟上。这一发现支持了该药物在治疗认知和记忆障碍中的潜在用途。本文是特刊“神经药理学趋势:纪念 Erminio Costa”的一部分。