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美金刚对有和无酒精使用障碍家族史个体的事件相关电位、脑电振荡和复杂度的影响。

Effects of memantine on event-related potential, oscillations, and complexity in individuals with and without family histories of alcoholism.

机构信息

Olin Neuropsychiatry Research Center, Institute of Living, Hartford, Connecticut 06106, USA.

出版信息

J Stud Alcohol Drugs. 2013 Mar;74(2):245-57. doi: 10.15288/jsad.2013.74.245.

Abstract

OBJECTIVE

Enhanced N-methyl-D-aspartate (NMDA) receptor function associated with a positive family history of alcoholism (FHP) has been hypothesized to contribute to the heritable risk for alcoholism. The objective of this study was to evaluate the relationship of alcoholism family history, NMDA receptor function, and cortical information processing by testing acute effects of the NMDA receptor antagonist memantine on event-related potential (ERP).

METHOD

Twenty-two healthy FHP and 20 healthy family history-negative (FHN; no alcoholic relatives) subjects were administered placebo or 40 mg of memantine under double-blind counterbalanced conditions on two separate occasions. Electroencephalogram data were collected from eight channels with eyes open during an auditory oddball discrimination task. We evaluated P3b amplitude, total theta, alpha activity, and fractal dimension from ERP trials.

RESULTS

FHP and FHN subjects did not differ in P3b amplitude. A significant Group × Drug interaction was observed in theta, alpha activity, and fractal dimension at the parietal and occipital sites. FHP individuals exhibited significantly higher fractal dimension and lower theta and alpha activity after placebo relative to FHN subjects. Following memantine administration, theta activity decreased in both groups but more markedly for FHN individuals. Alpha activity decreased for FHN subjects and increased for FHP individuals, whereas the fractal dimension decreased for FHP subjects and increased for FHN subjects after memantine.

CONCLUSIONS

A plausible interpretation of these results is that FHP individuals may have altered NMDA receptor function compared with FHN individuals. These findings provide additional evidence of differences in the regulation of NMDA receptor function between FHP and FHN individuals.

摘要

目的

与酗酒家族史(FHP)相关的增强型 N-甲基-D-天冬氨酸(NMDA)受体功能,被假设为导致酗酒的遗传性风险因素之一。本研究旨在通过测试 NMDA 受体拮抗剂美金刚对事件相关电位(ERP)的急性影响,评估酗酒家族史、NMDA 受体功能和皮质信息处理之间的关系。

方法

将 22 名健康的 FHP 和 20 名健康的无酗酒家族史(FHN;无酗酒亲属)受试者在双盲条件下,分两次接受安慰剂或 40mg 美金刚治疗。在进行听觉Oddball 辨别任务时,受试者保持睁眼状态,通过 8 个通道采集脑电图数据。我们评估了 ERP 试验中的 P3b 振幅、总 theta、alpha 活动和分形维数。

结果

FHP 和 FHN 受试者的 P3b 振幅没有差异。在顶叶和枕叶部位观察到显著的组间×药物相互作用,涉及 theta、alpha 活动和分形维数。与 FHN 受试者相比,FHP 个体在接受安慰剂后表现出显著更高的分形维数和更低的 theta 和 alpha 活动。在接受美金刚治疗后,两组的 theta 活动均下降,但 FHN 组下降更为明显。FHN 组的 alpha 活动下降,而 FHP 组的 alpha 活动增加,而 FHP 组的分形维数下降,FHN 组的分形维数增加。

结论

这些结果的一个合理解释是,与 FHN 个体相比,FHP 个体可能具有改变的 NMDA 受体功能。这些发现为 FHP 和 FHN 个体之间 NMDA 受体功能调节的差异提供了额外的证据。

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