Franzen John D, Wilson Tony W
Department of Psychiatry, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Neuroreport. 2012 Aug 22;23(12):731-5. doi: 10.1097/WNR.0b013e328356bb59.
Amphetamine-based medications robustly suppress symptoms of attention-deficit/hyperactivity disorder (ADHD), but their exact mechanisms remain poorly understood. Recent hemodynamic imaging studies have suggested that amphetamines may modulate the prefrontal and anterior cingulate brain regions, although few studies have been published and the results have not been entirely consistent. Meanwhile, several electrophysiological studies have shown that abnormal fast oscillations (in the γ range) may be closely linked to inattention and other cardinal symptoms of ADHD. In this study, we utilized magnetoencephalography to examine how amphetamines modulate high-frequency brain activity in adults with ADHD. Participants performed an auditory attention task, which required sustained attention in one block and passive listening in a separate block. Participants completed the task twice in the on-medication and off-medication states. All data were analyzed using beamforming techniques to resolve cortical regions showing event-related synchronizations and desynchronizations. Our primary findings indicated that oral administration of amphetamine decreased γ-band event-related desynchronization activity significantly in the medial prefrontal area and decreased event-related synchronization in bilateral superior parietal areas, left inferior parietal, and the left inferior frontal gyrus. These results suggest that psychostimulants strongly modulate γ activity in frontal and parietal cortical areas, which are known to be central to the brain's core attentional networks.
基于苯丙胺的药物能有效抑制注意力缺陷多动障碍(ADHD)的症状,但其确切机制仍知之甚少。最近的血液动力学成像研究表明,苯丙胺可能会调节前额叶和前扣带回脑区,不过相关研究发表较少且结果并不完全一致。与此同时,多项电生理研究表明,异常的快速振荡(γ频段)可能与ADHD的注意力不集中及其他主要症状密切相关。在本研究中,我们利用脑磁图来检测苯丙胺如何调节患有ADHD的成年人的高频脑活动。参与者执行一项听觉注意力任务,其中一个阶段需要持续注意力,另一个单独阶段则是被动聆听。参与者在服药和未服药状态下各完成该任务两次。所有数据均采用波束形成技术进行分析,以解析显示事件相关同步化和去同步化的皮质区域。我们的主要研究结果表明,口服苯丙胺显著降低了内侧前额叶区域的γ频段事件相关去同步化活动,并降低了双侧顶上叶区域、左侧顶下叶和左侧额下回的事件相关同步化。这些结果表明,精神兴奋剂强烈调节额叶和顶叶皮质区域的γ活动,而这些区域已知是大脑核心注意力网络的关键部位。