Svensson T H, Grenhoff J, Engberg G
Department of Pharmacology, Karolinska Institutet, Stockholm, Sweden.
Ciba Found Symp. 1990;152:169-80; discussion 180-5. doi: 10.1002/9780470513965.ch10.
Burst firing in the mesolimbocortical dopamine (DA) neurons, originating in the ventral tegmental area (VTA), is facilitated by systemic administration of nicotine. Pharmacological results show that bursting in VTA-DA cells is critically dependent on a tonic, excitatory amino acid drive, probably originating from the medial prefrontal cortex. Cold inactivation of the prefrontal cortex caused pacemaker-like firing of VTA-DA cells, an effect partly antagonized by systemic nicotine. Clinically, hypofrontality has been associated with negative symptoms in chronic schizophrenia and with chronic alcoholism. Thus, smoking may provide a means to partially restore the dynamics of the VTA-DA system in such disorders. Intravenous nicotine also induces a selective activation of bursting in noradrenaline neurons of the pontine nucleus locus ceruleus. Pharmacological and physiological experiments clearly suggest that this effect is indirect, e.g. peripherally elicited and relayed to the locus ceruleus through its excitatory amino acid input from the paragigantocellular nucleus. The locus ceruleus activation is rapid in onset, dose dependent, short lasting and can be repeated within minutes. This effect of nicotine, which would imply an instant coping response, may be relevant to nicotine dependence, particularly in depressive states.
源自腹侧被盖区(VTA)的中脑边缘皮质多巴胺(DA)神经元的爆发式放电,会因全身性给予尼古丁而增强。药理学结果表明,VTA-DA细胞的爆发式放电严重依赖于一种可能源自内侧前额叶皮质的持续性兴奋性氨基酸驱动。前额叶皮质的冷失活导致VTA-DA细胞出现类似起搏器的放电,全身性尼古丁可部分拮抗这种效应。临床上,前额叶功能低下与慢性精神分裂症的阴性症状以及慢性酒精中毒有关。因此,吸烟可能提供了一种手段,可部分恢复此类疾病中VTA-DA系统的动态变化。静脉注射尼古丁还会诱导脑桥蓝斑核去甲肾上腺素能神经元的爆发式放电选择性激活。药理学和生理学实验清楚地表明,这种效应是间接的,例如通过外周引发,并通过其来自巨细胞旁核的兴奋性氨基酸输入传递至蓝斑核。蓝斑核的激活起效迅速、剂量依赖性、持续时间短且可在数分钟内重复。尼古丁的这种效应意味着一种即时应对反应,可能与尼古丁依赖有关,尤其是在抑郁状态下。