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抗精神病药物诱导前额叶皮层 ΔFosB 的表达与负面行为结果有关。

ΔFosB induction in prefrontal cortex by antipsychotic drugs is associated with negative behavioral outcomes.

机构信息

1] Fishberg Department of Neuroscience and Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA [2] Department of Pharmacology and Toxicology and Institute on Addictions, University at Buffalo, Buffalo, NY, USA.

Fishberg Department of Neuroscience and Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

出版信息

Neuropsychopharmacology. 2014 Feb;39(3):538-44. doi: 10.1038/npp.2013.255. Epub 2013 Sep 26.

Abstract

ΔFosB, a FosB gene product, is induced in the prefrontal cortex (PFC) by repeated exposure to several stimuli including antipsychotic drugs such as haloperidol. However, the functional consequences of increased ΔFosB expression following antipsychotic treatment have not been explored. Here, we assessed whether ΔFosB induction by haloperidol mediates the positive or negative consequences or clinical-related actions of antipsychotic treatment. We show that individuals with schizophrenia who were medicated with antipsychotic drugs at their time of death display increased ΔFosB levels in the PFC, an effect that is replicated in rats treated chronically with haloperidol. In contrast, individuals with schizophrenia who were medication-free did not exhibit this effect. Viral-mediated overexpression of ΔFosB in the PFC of rodents induced cognitive deficits as measured by inhibitory avoidance, increased startle responses in prepulse inhibition tasks, and increased MK-801-induced anxiety-like behaviors. Together, these results suggest that ΔFosB induction in the PFC by antipsychotic treatment contributes to the deleterious effects of these drugs and not to their therapeutic actions.

摘要

Delta FosB,一种 FosB 基因产物,可被反复暴露于多种刺激物诱导,包括氟哌啶醇等抗精神病药物。然而,抗精神病治疗后 Delta FosB 表达增加的功能后果尚未得到探索。在这里,我们评估了氟哌啶醇诱导的 Delta FosB 是否介导了抗精神病治疗的阳性或阴性结果或临床相关作用。我们发现,死亡时接受抗精神病药物治疗的精神分裂症患者的 PFC 中 Delta FosB 水平升高,这一效应在长期接受氟哌啶醇治疗的大鼠中得到了复制。相比之下,未接受药物治疗的精神分裂症患者并未表现出这种效应。病毒介导的 PFC 中 Delta FosB 的过表达导致了啮齿动物的认知缺陷,如抑制性回避、在预脉冲抑制任务中增加的惊跳反应,以及增加的 MK-801 诱导的焦虑样行为。总之,这些结果表明,抗精神病药物治疗引起的 PFC 中 Delta FosB 的诱导导致了这些药物的有害作用,而不是其治疗作用。

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