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精神分裂症听觉刺激特异性可塑性的电生理学评估。

Electrophysiological assessment of auditory stimulus-specific plasticity in schizophrenia.

机构信息

Research Service, VA Boston Healthcare System, Department of Psychiatry, Harvard Medical School, Boston, MA 02130, USA.

出版信息

Biol Psychiatry. 2012 Mar 15;71(6):503-11. doi: 10.1016/j.biopsych.2011.12.016. Epub 2012 Jan 24.

DOI:10.1016/j.biopsych.2011.12.016
PMID:22277333
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3766368/
Abstract

BACKGROUND

Disrupted neuroplasticity may be an important aspect of the neural basis of schizophrenia. We used event-related brain potentials (ERPs) to assay neuroplasticity after auditory conditioning in chronic schizophrenia patients (SZ) and matched healthy control subjects (HC).

METHODS

Subjects (15 HC, 14 SZ) performed an auditory oddball task during electroencephalogram recording before and after auditory tetanic stimulation (Pre/Post Blocks). Each oddball block consisted of 1000-Hz and 1500-Hz standards and 400-Hz targets. During tetanic conditioning, 1000-Hz tones were presented at 11 Hz for 2.4 min. We analyzed the standard trials, comparing the ERPs evoked by the tetanized stimuli (1000 Hz tones: TS+) and untetanized stimuli (1500 Hz tones: TS-) in the Post Blocks with ERPs from the Pre Blocks (averaged into Baseline ERPs).

RESULTS

In Post Block 1 in HC, TS+ tones evoked a negative shift (60-350 msec) at right temporal electrodes relative to Baseline. No pre-/post-tetanus effects were found in SZ. In Post Block 2 in HC, TS+ tones evoked a positive shift (200-300 msec) at bilateral frontal electrodes. In SZ, TS+ tones evoked a positive shift (100-400 msec) at right frontotemporal electrodes. No pre-/post-tetanus effects were found in either subject group for the TS- tones. The right temporal Post Block 1 and 2 effects were correlated in SZ, suggesting a trade-off in the expression of these effects.

CONCLUSIONS

These results suggest that stimulus-specific auditory neuroplasticity is abnormal in schizophrenia. The electrophysiologic assessment of stimulus-specific plasticity may yield novel targets for drug treatment in schizophrenia.

摘要

背景

神经可塑性障碍可能是精神分裂症神经基础的一个重要方面。我们使用事件相关电位(ERPs)来检测慢性精神分裂症患者(SZ)和匹配的健康对照者(HC)在听觉条件作用后的神经可塑性。

方法

在脑电图记录期间,受试者(15 名 HC,14 名 SZ)进行听觉Oddball 任务,在听觉强直刺激前后(Pre/Post Blocks)。每个Oddball 块由 1000Hz 和 1500Hz 标准和 400Hz 靶组成。在强直条件作用期间,1000Hz 音调以 11Hz 频率呈现 2.4 分钟。我们分析了标准试验,比较了强直刺激(1000Hz 音调:TS+)和未强直刺激(1500Hz 音调:TS-)在 Post 块中引起的 ERP 与 Pre 块中的 ERP(平均为 Baseline ERPs)。

结果

在 HC 的 Post Block 1 中,TS+ 音调在右侧颞叶电极处引起负移(60-350ms),相对于 Baseline。SZ 中未发现预/强直后效应。在 HC 的 Post Block 2 中,TS+ 音调在双侧额电极处引起正移(200-300ms)。在 SZ 中,TS+ 音调在右侧额颞叶电极处引起正移(100-400ms)。在两个受试者组中,TS- 音调均未引起预/强直后效应。SZ 中的右侧颞叶 Post Block 1 和 2 效应相关,表明这些效应的表达存在权衡。

结论

这些结果表明,精神分裂症患者的特定刺激听觉神经可塑性异常。特定刺激可塑性的电生理评估可能为精神分裂症的药物治疗提供新的靶点。