Elsworth John D, Groman Stephanie M, Jentsch James D, Leranth Csaba, Redmond D Eugene, Kim Jung D, Diano Sabrina, Roth Robert H
Neuropsychopharmacology Research Unit, Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (Drs Elsworth, Groman, Redmond, and Roth); Department of Psychology and Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California (Dr Jentsch); Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut (Drs Leranth, Kim, and Diano).
Int J Neuropsychopharmacol. 2014 Oct 31;18(6):pyu048. doi: 10.1093/ijnp/pyu048.
Cognitive deficits are a core symptom of schizophrenia, yet they remain particularly resistant to treatment. The model provided by repeatedly exposing adult nonhuman primates to phencyclidine has generated important insights into the neurobiology of these deficits, but it remains possible that administration of this psychotomimetic agent during the pre-adult period, when the dorsolateral prefrontal cortex in human and nonhuman primates is still undergoing significant maturation, may provide a greater understanding of schizophrenia-related cognitive deficits.
The effects of repeated phencyclidine treatment on spine synapse number, dopamine turnover and BDNF expression in dorsolateral prefrontal cortex, and working memory accuracy were examined in pre-adult monkeys.
One week following phencyclidine treatment, juvenile and adolescent male monkeys demonstrated a greater loss of spine synapses in dorsolateral prefrontal cortex than adult male monkeys. Further studies indicated that in juvenile males, a cognitive deficit existed at 4 weeks following phencyclidine treatment, and this impairment was associated with decreased dopamine turnover, decreased brain derived neurotrophic factor messenger RNA, and a loss of dendritic spine synapses in dorsolateral prefrontal cortex. In contrast, female juvenile monkeys displayed no cognitive deficit at 4 weeks after phencyclidine treatment and no alteration in dopamine turnover or brain derived neurotrophic factor messenger RNA or spine synapse number in dorsolateral prefrontal cortex. In the combined group of male and female juvenile monkeys, significant linear correlations were detected between dopamine turnover, spine synapse number, and cognitive performance.
As the incidence of schizophrenia is greater in males than females, these findings support the validity of the juvenile primate phencyclidine model and highlight its potential usefulness in understanding the deficits in dorsolateral prefrontal cortex in schizophrenia and developing novel treatments for the cognitive deficits associated with schizophrenia.
认知缺陷是精神分裂症的核心症状,但它们对治疗仍具有特别的抗药性。通过反复让成年非人灵长类动物接触苯环己哌啶所提供的模型,已经对这些缺陷的神经生物学产生了重要见解,但仍有可能在成年前期给予这种拟精神病药物,此时人类和非人灵长类动物的背外侧前额叶皮质仍在经历显著的成熟过程,这可能会更深入地理解与精神分裂症相关的认知缺陷。
在未成年猴子中研究了反复给予苯环己哌啶治疗对背外侧前额叶皮质中棘突突触数量、多巴胺周转率和脑源性神经营养因子(BDNF)表达以及工作记忆准确性的影响。
苯环己哌啶治疗一周后,幼年和青春期雄性猴子背外侧前额叶皮质中的棘突突触损失比成年雄性猴子更大。进一步研究表明,在幼年雄性猴子中,苯环己哌啶治疗4周后存在认知缺陷,这种损害与多巴胺周转率降低、脑源性神经营养因子信使核糖核酸减少以及背外侧前额叶皮质中树突棘突触的损失有关。相比之下,雌性幼年猴子在苯环己哌啶治疗4周后未表现出认知缺陷,背外侧前额叶皮质中的多巴胺周转率、脑源性神经营养因子信使核糖核酸或棘突突触数量也没有改变。在幼年雄性和雌性猴子的联合组中,检测到多巴胺周转率、棘突突触数量和认知表现之间存在显著的线性相关性。
由于精神分裂症的发病率男性高于女性,这些发现支持了幼年灵长类动物苯环己哌啶模型的有效性,并突出了其在理解精神分裂症背外侧前额叶皮质缺陷以及开发针对与精神分裂症相关的认知缺陷的新疗法方面的潜在用途。