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精神分裂症新治疗方法开发的神经生理学模型:早期感觉途径

Neurophysiological models for new treatment development in schizophrenia: early sensory approaches.

作者信息

Javitt Daniel C

机构信息

Department of Psychiatry, Columbia University Medical Center, New York, New York; Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York.

出版信息

Ann N Y Acad Sci. 2015 May;1344:92-104. doi: 10.1111/nyas.12689. Epub 2015 Feb 26.

Abstract

Schizophrenia is a major mental disorder associated with core neurocognitive impairments. The ability to recreate these deficits in animal models is limited, hampering ongoing translational drug development efforts. This paper reviews the use of electroencephalography (EEG)-based neurophysiological measures, such as event-related potentials (ERPs) or event-related spectral perturbations (ERSPs), as novel translational biomarkers for both etiological and treatment development research in neuropsychiatry. In schizophrenia, cognitive impairments manifest as deficits not only in high-level processes, such as working memory or executive processing, but also as deficits in neurophysiological responses to simple auditory and visual stimuli. Moreover, neurophysiological responses can be assessed even in untrained animals and are therefore particularly amenable to translational, cross-species investigation. To date, several sensory-level ERP measures, including auditory mismatch negativity and N1, and visual P1 and steady-state responses, have been validated in both human clinical investigations and animal models. Deficits have been tied to impaired neurotransmission at N-methyl-d-aspartate-type glutamate receptors (NMDARs). Time-frequency analysis of ERSP permits further extension of these findings from physiological to circuit/cellular levels of analysis.

摘要

精神分裂症是一种与核心神经认知障碍相关的主要精神障碍。在动物模型中重现这些缺陷的能力有限,这阻碍了正在进行的转化药物开发工作。本文综述了基于脑电图(EEG)的神经生理学测量方法,如事件相关电位(ERP)或事件相关频谱扰动(ERSP),作为神经精神病学病因学和治疗开发研究的新型转化生物标志物。在精神分裂症中,认知障碍不仅表现为高级过程(如工作记忆或执行加工)的缺陷,还表现为对简单听觉和视觉刺激的神经生理反应缺陷。此外,即使在未经训练的动物中也可以评估神经生理反应,因此特别适合进行转化性跨物种研究。迄今为止,包括听觉失配负波和N1以及视觉P1和稳态反应在内的几种感觉水平ERP测量方法已在人类临床研究和动物模型中得到验证。这些缺陷与N-甲基-D-天冬氨酸型谷氨酸受体(NMDARs)处的神经传递受损有关。ERSP的时频分析允许将这些发现从生理水平进一步扩展到电路/细胞水平的分析。

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