Department of Pharmacology & Center for Biomedical Neuroscience, University of Texas Health Science Center at San Antonio, San Antonio, Texas; Department of Physiology, Medical School of Xi'an Jiaotong University, Xi'an, Shaanxi, China; Department of Pathophysiology, Medical School of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Dev Neurobiol. 2014 Sep;74(9):907-17. doi: 10.1002/dneu.22172. Epub 2014 Mar 3.
Schizophrenia is a disease typically associated with an adolescent onset. Although there have been a considerable number of imaging studies investigating the transition to psychosis in prodromal patients, there are relatively few preclinical studies examining potential mechanisms that may contribute to adolescent onset. We have previously demonstrated, in the methylazoxymethanol acetate (MAM) rodent model of schizophrenia, that an enhanced activity within the ventral hippocampus may underlie the dopamine system hyperfunction, suggested to contribute to positive symptoms in patients. Here we demonstrate that the aberrant regulation of dopamine system function, in MAM-treated rats, is present prior to puberty. Furthermore, we now report that while the afferent regulation of ventral tegmental area dopamine neurons (from the hippocampus and pedunculopontine tegmental area) appears intact in preadolescent rats, the behavioral response to alterations in dopamine system function appears to be attenuated in preadolescent rats. Thus, we posit that the pathological alterations underlying psychosis may be present prior to symptom onset and that the "normal" development of the postsynaptic side of the dopamine system may underlie the transition to psychosis.
精神分裂症通常与青少年发病有关。虽然已经有相当数量的影像学研究调查了前驱期患者向精神病的转变,但相对较少的临床前研究检查了可能导致青少年发病的潜在机制。我们之前在精神分裂症的甲基乙氧甲酮乙酸酯(MAM)啮齿动物模型中证明,腹侧海马内的活动增强可能是多巴胺系统功能亢进的基础,这被认为是导致患者阳性症状的原因。在这里,我们证明了 MAM 处理的大鼠中多巴胺系统功能的异常调节在青春期前就存在。此外,我们现在报告说,虽然腹侧被盖区多巴胺神经元(来自海马体和脑桥被盖区)的传入调节在前青春期大鼠中似乎完整,但对多巴胺系统功能变化的行为反应似乎在青春期前大鼠中减弱。因此,我们假设精神病的病理改变可能在症状出现之前就存在,而多巴胺系统突触后侧的“正常”发育可能是向精神病转变的基础。