Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
J Psychopharmacol. 2011 Nov;25(11):1508-16. doi: 10.1177/0269881110391832. Epub 2011 Jan 24.
The cholinergic system is involved in the modulation of both bottom-up and top-down attentional control. Top-down attention engages multiple executive control processes, but few studies have investigated whether all or selective elements of executive functions are modulated by the cholinergic system. To investigate the acute effects of the pro-cholinergic donepezil in young, healthy volunteers on distinct components of executive functions we conducted a double-blind, placebo-controlled, independent-groups design study including 42 young healthy male participants who were randomly assigned to one of three oral treatments: glucose (placebo), donepezil 5 mg or donepezil 7.5 mg. The test battery included measures of different executive components (shifting, updating, inhibition, dual-task performance, planning, access to long-term memory), tasks that evaluated arousal/vigilance/visuomotor performance, as well as functioning of working memory subsidiary systems. Donepezil improved sustained attention, reaction times, dual-task performance and the executive component of digit span. The positive effects in these executive tasks did not correlate with arousal/visuomotor/vigilance measures. Among the various executive domains investigated donepezil selectively increased dual-task performance in a manner that could not be ascribed to improvement in arousal/vigilance/visuomotor performance nor working memory slave systems. Other executive tasks that rely heavily on visuospatial processing may also be modulated by the cholinergic system.
胆碱能系统参与自上而下和自下而上注意力控制的调节。自上而下的注意力涉及多种执行控制过程,但很少有研究调查执行功能的所有或选择性元素是否都受到胆碱能系统的调节。为了研究拟胆碱能药物多奈哌齐对年轻健康志愿者执行功能不同成分的急性影响,我们进行了一项双盲、安慰剂对照、独立组设计的研究,包括 42 名年轻健康的男性参与者,他们被随机分配到三种口服治疗之一:葡萄糖(安慰剂)、多奈哌齐 5 毫克或多奈哌齐 7.5 毫克。测试电池包括不同执行成分的测量(转换、更新、抑制、双重任务表现、计划、访问长期记忆)、评估唤醒/警觉/视动表现以及工作记忆附属系统功能的任务。多奈哌齐改善了持续注意力、反应时间、双重任务表现和数字跨度的执行成分。这些执行任务中的积极影响与唤醒/视动/警觉测量无关。在研究的各种执行领域中,多奈哌齐选择性地提高了双重任务表现,这种表现不能归因于唤醒/警觉/视动表现的改善,也不能归因于工作记忆附属系统的改善。其他严重依赖于视空间处理的执行任务也可能受到胆碱能系统的调节。