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在反应抑制和错误处理期间的 fMRI 激活:DAT1 基因在典型发展的青少年和 ADHD 患者中的作用。

fMRI activation during response inhibition and error processing: the role of the DAT1 gene in typically developing adolescents and those diagnosed with ADHD.

机构信息

School of Psychology and Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland.

出版信息

Neuropsychologia. 2011 Jun;49(7):1641-50. doi: 10.1016/j.neuropsychologia.2011.01.001. Epub 2011 Jan 11.

Abstract

The DAT1 gene codes for the dopamine transporter, which clears dopamine from the synaptic cleft, and a variant of this gene has previously been associated with compromised response inhibition in both healthy and clinical populations. This variant has also been associated with ADHD, a disorder that is characterised by disturbed dopamine function as well as problems with response inhibition. In the present study we used fMRI to investigate the role of dopaminergic genetic variation on executive functioning by comparing how activation associated with successful and unsuccessful inhibitions differs based on DAT1-genotype and ADHD-diagnosis in adolescents performing a go/nogo task. The results identify regional specificity concerning which functional differences can be attributed to the possession of the high risk DAT1 genotype, the clinical condition or an interaction between the two. During response inhibition, individuals with two copies of the 10-repeat allele showed increased activation in frontal, medial, and parietal regions, which may indicate that inhibition is more effortful for this group. Conversely, this group displayed a reduced error response in the parahippocampal gyrus, suggestive of reduced learning from errors. There were also a number of frontal, parietal, medial and occipital regions, where the relationship between genotype and fMRI-activation differed between the ADHD group and the typically developing adolescents. Finally, the ADHD group displayed decreased activation in parietal and (pre)frontal regions during response inhibition, and in frontal and medial brain regions on error trials.

摘要

DAT1 基因编码多巴胺转运体,该转运体可清除突触间隙中的多巴胺,该基因的变异先前与健康人群和临床人群的反应抑制受损有关。这种变异也与 ADHD 有关,ADHD 的特征是多巴胺功能障碍以及反应抑制问题。在本研究中,我们使用 fMRI 通过比较执行功能中多巴胺能遗传变异的作用,通过比较在执行 Go/Nogo 任务时,根据 DAT1-基因型和 ADHD-诊断,成功和不成功抑制相关的激活有何不同,来研究执行功能。结果确定了区域特异性,即可以归因于高风险 DAT1 基因型、临床状况或两者之间相互作用的功能差异。在反应抑制期间,携带两个 10 重复等位基因的个体在前额、内侧和顶叶区域显示出增加的激活,这可能表明该组的抑制更为费力。相反,该组在海马旁回的错误反应减少,表明从错误中学习减少。在额、顶、内和枕叶区域也有一些区域,ADHD 组和典型发育青少年之间的基因型和 fMRI 激活之间的关系不同。最后,ADHD 组在反应抑制期间的顶叶和(前)额叶区域以及错误试验期间的额叶和内侧脑区域显示出激活减少。

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