Gomes Felipe V, Guimarães Francisco S, Grace Anthony A
Department of Pharmacology, Medical School of Ribeirão Preto, University of São Paulo, Brazil (Drs Gomes and Guimarães); Center for Interdisciplinary Research on Applied Neurosciences, University of São Paulo, Brazil (Drs Gomes and Guimarães); Departments of Neuroscience, Psychiatry and Psychology, University of Pittsburgh, A210 Langley Hall, Pittsburgh, PA 15260 (Dr Grace).
Int J Neuropsychopharmacol. 2014 Dec 13;18(2):pyu018. doi: 10.1093/ijnp/pyu018.
Adolescent exposure to cannabinoids in vulnerable individuals is proposed to be a risk factor for psychiatric conditions later in life, particularly schizophrenia. Evidence from studies in animals has indicated that a combination of repeated pubertal cannabinoid administration with either neonatal prefrontocortical lesion, isolation rearing, or chronic NMDA receptor antagonism administration induces enhanced schizophrenia-like behavioral disruptions. The effects of adolescent exposure to CB1 receptor agonists, however, have not been tested in a developmental disruption model of schizophrenia.
This was tested in the methylazoxymethanol (MAM) model, in which repeated treatment with the synthetic cannabinoid agonist WIN 55,212-2 (WIN; 1.2mg/kg) was extended over 25 days throughout puberty (postnatal days 40-65) in control and MAM rats. The rats received 20 injections, which were delivered irregularly to mimic the human condition. Adult rats were tested for attentional set-shifting task and locomotor response to amphetamine, which was compared with in vivo recording from ventral tegmental area (VTA) dopamine (DA) neurons.
MAM-treated rats showed impairment in the attentional set-shifting task, augmented locomotor response to amphetamine administration, and an increased number of spontaneously active DA neurons in the VTA. Interestingly, pubertal WIN treatment in normal animals induced similar changes at adulthood as those observed in MAM-treated rats, supporting the notion that adolescence exposure to cannabinoids may represent a risk factor for developing schizophrenia-like signs at adulthood. However, contrary to expectations, pubertal WIN administration did not exacerbate the behavioral and electrophysiological changes in MAM-treated rats beyond that observed in WIN-treated saline rats (Sal). Indeed, WIN treatment actually attenuated the locomotor response to amphetamine in MAM rats without impacting DA neuron activity states.
Taken together, the present results indicate that the impact of cannabinoids during puberty/adolescence on schizophrenia models is more complex than may be predicted.
有观点认为,处于易损期的青少年接触大麻素是其日后出现精神疾病,尤其是精神分裂症的一个风险因素。动物研究的证据表明,青春期反复给予大麻素,再结合新生期前额叶皮质损伤、隔离饲养或慢性给予N-甲基-D-天冬氨酸(NMDA)受体拮抗剂,会导致类似精神分裂症的行为障碍加剧。然而,青春期接触CB1受体激动剂的影响尚未在精神分裂症的发育障碍模型中进行测试。
在甲基氧化偶氮甲醇(MAM)模型中对此进行了测试,在整个青春期(出生后第40 - 65天)的25天里,对对照大鼠和MAM大鼠反复给予合成大麻素激动剂WIN 55,212-2(WIN;1.2mg/kg)。大鼠接受20次注射,注射时间不规律,以模拟人类情况。对成年大鼠进行注意力转换任务测试以及对苯丙胺的运动反应测试,并与腹侧被盖区(VTA)多巴胺(DA)神经元的体内记录结果进行比较。
经MAM处理的大鼠在注意力转换任务中表现受损,对苯丙胺给药的运动反应增强,且VTA中自发活动的DA神经元数量增加。有趣的是,正常动物在青春期接受WIN处理后,成年时出现了与经MAM处理的大鼠类似的变化,这支持了青春期接触大麻素可能是成年后患精神分裂症样症状的一个风险因素这一观点。然而,与预期相反,青春期给予WIN并没有使经MAM处理的大鼠的行为和电生理变化比经WIN处理的生理盐水对照大鼠(Sal)更严重。事实上,WIN处理实际上减弱了MAM大鼠对苯丙胺的运动反应,而不影响DA神经元的活动状态。
综上所述,目前的结果表明,青春期/青少年期大麻素对精神分裂症模型的影响比预期更为复杂。