Department of Medicine, Royal Melbourne Hospital, Melbourne Brain Centre, University of Melbourne, Parkville, VIC, Australia.
Transl Psychiatry. 2016 Apr 19;6(4):e784. doi: 10.1038/tp.2016.51.
Recent heuristic models of schizophrenia propose that abnormalities in the gamma frequency cerebral oscillations may be closely tied to the pathophysiology of the disorder, with hypofunction of N-methyl-d-aspartate receptors (NMDAr) implicated as having a crucial role. Prepulse inhibition (PPI) is a behavioural measure of sensorimotor gating that is disrupted in schizophrenia. We tested the ability for antipsychotic drugs with diverse pharmacological actions to (1) ameliorate NMDAr antagonist-induced disruptions to gamma oscillations and (2) attenuate NMDAr antagonist-induced disruptions to PPI. We hypothesized that antipsychotic-mediated improvement of PPI deficits would be accompanied by a normalization of gamma oscillatory activity. Wistar rats were implanted with extradural electrodes to facilitate recording of electroencephalogram during PPI behavioural testing. In each session, the rats were administered haloperidol (0.25 mg kg(-1)), clozapine (5 mg kg(-1)), olanzapine (5 mg kg(-1)), LY379268 (3 mg kg(-1)), NFPS (sarcosine, 1 mg kg(-1)), d-serine (1800 mg kg(-1)) or vehicle, followed by the NMDAr antagonists MK-801(0.16 mg kg(-1)), ketamine (5 mg kg(-1)) or vehicle. Outcome measures were auditory-evoked, as well as ongoing, gamma oscillations and PPI. Although treatment with all the clinically validated antipsychotic drugs reduced ongoing gamma oscillations, clozapine was the only compound that prevented the sensory-evoked gamma deficit produced by ketamine and MK-801. In addition, clozapine was also the only antipsychotic that attenuated the disruption to PPI produced by the NMDAr antagonists. We conclude that disruptions to evoked, but not ongoing, gamma oscillations caused by NMDAr antagonists are functionally relevant, and suggest that compounds, which restore sensory-evoked gamma oscillations may improve sensory processing in patients with schizophrenia.
最近的精神分裂症启发式模型提出,γ 频率脑振荡的异常可能与该疾病的病理生理学密切相关,其中 N-甲基-D-天冬氨酸受体(NMDAr)的功能低下被认为具有关键作用。前脉冲抑制(PPI)是一种感觉运动门控的行为测量方法,在精神分裂症中受到干扰。我们测试了具有不同药理作用的抗精神病药物的能力,(1)改善 NMDAr 拮抗剂引起的γ 振荡中断,(2)减轻 NMDAr 拮抗剂引起的 PPI 中断。我们假设,抗精神病药物介导的 PPI 缺陷改善将伴随着γ 振荡活动的正常化。Wistar 大鼠被植入硬膜外电极,以促进 PPI 行为测试期间的脑电图记录。在每次会议中,大鼠给予氟哌啶醇(0.25mg/kg)、氯氮平(5mg/kg)、奥氮平(5mg/kg)、LY379268(3mg/kg)、NFPS(肌氨酸,1mg/kg)、D-丝氨酸(1800mg/kg)或载体,然后给予 NMDAr 拮抗剂 MK-801(0.16mg/kg)、氯胺酮(5mg/kg)或载体。测量指标是听觉诱发的,以及正在进行的,γ 振荡和 PPI。尽管所有经临床验证的抗精神病药物治疗均降低了正在进行的γ 振荡,但氯氮平是唯一能防止氯胺酮和 MK-801 产生的感觉诱发γ 缺陷的化合物。此外,氯氮平也是唯一能减轻 NMDAr 拮抗剂对 PPI 破坏的抗精神病药物。我们的结论是,NMDAr 拮抗剂引起的感觉诱发而非持续的γ 振荡中断具有功能相关性,并表明恢复感觉诱发γ 振荡的化合物可能改善精神分裂症患者的感觉处理。