Department of Psychology, University of Jyvaskyla, PO Box 35, 40014 Jyvaskyla, Finland.
Eur J Neurosci. 2012 Dec;36(11):3521-30. doi: 10.1111/ejn.12007. Epub 2012 Oct 8.
Chemotherapy, especially if prolonged, disrupts attention, working memory and speed of processing in humans. Most cancer drugs that cross the blood-brain barrier also decrease adult neurogenesis. Because new neurons are generated in the hippocampus, this decrease may contribute to the deficits in working memory and related thought processes. The neurophysiological mechanisms that underlie these deficits are generally unknown. A possible mediator is hippocampal oscillatory activity within the theta range (3-12 Hz). Theta activity predicts and promotes efficient learning in healthy animals and humans. Here, we hypothesised that chemotherapy disrupts learning via decreases in hippocampal adult neurogenesis and theta activity. Temozolomide was administered to adult male Sprague-Dawley rats in a cyclic manner for several weeks. Treatment was followed by training with different types of eyeblink classical conditioning, a form of associative learning. Chemotherapy reduced both neurogenesis and endogenous theta activity, as well as disrupted learning and related theta-band responses to the conditioned stimulus. The detrimental effects of temozolomide only occurred after several weeks of treatment, and only on a task that requires the association of events across a temporal gap and not during training with temporally overlapping stimuli. Chemotherapy did not disrupt the memory for previously learned associations, a memory independent of (new neurons in) the hippocampus. In conclusion, prolonged systemic chemotherapy is associated with a decrease in hippocampal adult neurogenesis and theta activity that may explain the selective deficits in processes of learning that describe the 'chemobrain'.
化疗,特别是长期化疗,会破坏人类的注意力、工作记忆和处理速度。大多数能穿过血脑屏障的癌症药物也会减少成年神经发生。由于新的神经元是在海马体中产生的,这种减少可能导致工作记忆和相关思维过程的缺陷。这些缺陷背后的神经生理机制通常是未知的。一种可能的介导因素是海马体中的θ范围(3-12 Hz)的振荡活动。θ活动预测并促进健康动物和人类的有效学习。在这里,我们假设化疗通过减少海马体中的成年神经发生和θ活动来破坏学习。替莫唑胺以周期性方式施用于成年雄性 Sprague-Dawley 大鼠数周。治疗后,进行不同类型的眨眼经典条件反射训练,这是一种联想学习形式。化疗不仅减少了神经发生和内源性θ活动,还破坏了学习以及与条件刺激相关的θ带反应。替莫唑胺的有害作用仅在几周的治疗后才发生,并且仅在需要在时间间隙中关联事件的任务中发生,而不在具有时间重叠刺激的训练中发生。化疗并未破坏以前学习的联想的记忆,这种记忆独立于(新神经元)海马体。总之,长期系统性化疗与海马体中的成年神经发生和θ活动减少有关,这可能解释了描述“化疗脑”的学习过程中的选择性缺陷。