Graduate Program in Neural and Behavioral Science, State University of New York, Downstate Medical Center, Brooklyn, NY 11203, USA.
Neuron. 2012 Aug 23;75(4):714-24. doi: 10.1016/j.neuron.2012.06.016.
Brain abnormalities acquired early in life may cause schizophrenia, characterized by adulthood onset of psychosis, affective flattening, and cognitive impairments. Cognitive symptoms, like impaired cognitive control, are now recognized to be important treatment targets but cognition-promoting treatments are ineffective. We hypothesized that cognitive training during the adolescent period of neuroplastic development can tune compromised neural circuits to develop in the service of adult cognition and attenuate schizophrenia-related cognitive impairments that manifest in adulthood. We report, using neonatal ventral hippocampus lesion rats (NVHL), an established neurodevelopmental model of schizophrenia, that adolescent cognitive training prevented the adult cognitive control impairment in NVHL rats. The early intervention also normalized brain function, enhancing cognition-associated synchrony of neural oscillations between the hippocampi, a measure of brain function that indexed cognitive ability. Adolescence appears to be a critical window during which prophylactic cognitive therapy may benefit people at risk of schizophrenia.
大脑在生命早期获得的异常可能导致精神分裂症,其特征为成年期发病的精神病、情感迟钝和认知障碍。认知症状,如认知控制受损,现在被认为是重要的治疗靶点,但促进认知的治疗方法无效。我们假设,在神经可塑性发育的青少年时期进行认知训练,可以调整受损的神经回路,以促进成年认知,并减轻成年期表现出的与精神分裂症相关的认知障碍。我们报告了使用新生大鼠海马腹侧区损伤(NVHL)的实验结果,这是一种精神分裂症的神经发育模型,青少年认知训练可预防 NVHL 大鼠的成年认知控制障碍。早期干预还使大脑功能正常化,增强了海马之间与认知相关的神经振荡同步性,这是衡量大脑功能的一个指标,也是认知能力的指标。青春期似乎是一个关键时期,在此期间,预防认知疗法可能对有精神分裂症风险的人有益。