Laboratory of Neuropsychopharmacology, Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA.
Neuropsychopharmacology. 2011 Sep;36(10):2054-61. doi: 10.1038/npp.2011.96. Epub 2011 Jun 15.
Enduring cognitive deficits exist in schizophrenic patients, long-term abusers of phencyclidine (PCP), as well as in animal PCP models of schizophrenia. It has been suggested that cognitive performance and memory processes are coupled with remodeling of pyramidal dendritic spine synapses in prefrontal cortex (PFC), and that reduced spine density and number of spine synapses in the medial PFC of PCP-treated rats may potentially underlie, at least partially, the cognitive dysfunction previously observed in this animal model. The present data show that the decrease in number of asymmetric (excitatory) spine synapses in layer II/III of PFC, previously noted at 1-week post PCP treatment also occurs, to a lesser degree, in layer V. The decrease in the number of spine synapses in layer II/III was sustained and persisted for at least 4 weeks, paralleling the observed cognitive deficits. Both acute and chronic treatment with the atypical antipsychotic drug, olanzapine, starting at 1 week after PCP treatment at doses that restore cognitive function, reversed the asymmetric spine synapse loss in PFC of PCP-treated rats. Olanzapine had no significant effect on spine synapse number in saline-treated controls. These studies demonstrate that the effect of PCP on asymmetric spine synapse number in PFC lasts at least 4 weeks in this model. This spine synapse loss in PFC is reversed by acute treatment with olanzapine, and this reversal is maintained by chronic oral treatment, paralleling the time course of the restoration of the dopamine deficit, and normalization of cognitive function produced by olanzapine.
精神分裂症患者、长期使用苯环利定(PCP)的患者以及精神分裂症动物 PCP 模型均存在持久的认知缺陷。有研究表明,认知表现和记忆过程与前额叶皮层(PFC)中锥体树突棘突触的重塑有关,PCP 处理大鼠内侧 PFC 中的树突棘密度和数量减少可能至少部分导致了该动物模型中先前观察到的认知功能障碍。本数据显示,PCP 处理后 1 周观察到的 PFC Ⅱ/Ⅲ层不对称(兴奋性)棘突突触数量减少,在 V 层也以较小程度发生。Ⅱ/Ⅲ层棘突突触数量的减少持续存在至少 4 周,与观察到的认知缺陷相平行。在 PCP 处理后 1 周开始,以恢复认知功能的剂量,急性和慢性给予非典型抗精神病药物奥氮平,可逆转 PCP 处理大鼠 PFC 中的不对称棘突突触丧失。奥氮平对生理盐水处理的对照组的棘突突触数量没有显著影响。这些研究表明,在该模型中,PCP 对 PFC 中不对称棘突突触数量的影响至少持续 4 周。奥氮平的急性治疗可逆转 PFC 中的棘突突触丧失,这种逆转可通过慢性口服治疗维持,与奥氮平产生的多巴胺缺乏的恢复以及认知功能的正常化时间进程相平行。