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精神分裂症工作记忆缺陷的启发式模型。

A heuristic model for working memory deficit in schizophrenia.

作者信息

Qi Zhen, Yu Gina P, Tretter Felix, Pogarell Oliver, Grace Anthony A, Voit Eberhard O

机构信息

Department of Biomedical Engineering, Georgia Institute of Technology and Emory University School of Medicine, Atlanta, GA 30332, USA; Integrative BioSystems Institute, Georgia Institute of Technology, Atlanta, GA 30332, USA.

Department of Biomedical Engineering, Georgia Institute of Technology and Emory University School of Medicine, Atlanta, GA 30332, USA.

出版信息

Biochim Biophys Acta. 2016 Nov;1860(11 Pt B):2696-705. doi: 10.1016/j.bbagen.2016.04.031. Epub 2016 May 10.

Abstract

BACKGROUND

The life of schizophrenia patients is severely affected by deficits in working memory. In various brain regions, the reciprocal interactions between excitatory glutamatergic neurons and inhibitory GABAergic neurons are crucial. Other neurotransmitters, in particular dopamine, serotonin, acetylcholine, and norepinephrine, modulate the local balance between glutamate and GABA and therefore regulate the function of brain regions. Persistent alterations in the balances between the neurotransmitters can result in working memory deficits.

METHODS

Here we present a heuristic computational model that accounts for interactions among neurotransmitters across various brain regions. The model is based on the concept of a neurochemical interaction matrix at the biochemical level and combines this matrix with a mobile model representing physiological dynamic balances among neurotransmitter systems associated with working memory.

RESULTS

The comparison of clinical and simulation results demonstrates that the model output is qualitatively very consistent with the available data. In addition, the model captured how perturbations migrated through different neurotransmitters and brain regions. Results showed that chronic administration of ketamine can cause a variety of imbalances, and application of an antagonist of the D2 receptor in PFC can also induce imbalances but in a very different manner.

CONCLUSIONS

The heuristic computational model permits a variety of assessments of genetic, biochemical, and pharmacological perturbations and serves as an intuitive tool for explaining clinical and biological observations.

GENERAL SIGNIFICANCE

The heuristic model is more intuitive than biophysically detailed models. It can serve as an important tool for interdisciplinary communication and even for psychiatric education of patients and relatives. This article is part of a Special Issue entitled "System Genetics" Guest Editor: Dr. Yudong Cai and Dr. Tao Huang.

摘要

背景

精神分裂症患者的生活受到工作记忆缺陷的严重影响。在各个脑区,兴奋性谷氨酸能神经元和抑制性γ-氨基丁酸能神经元之间的相互作用至关重要。其他神经递质,特别是多巴胺、5-羟色胺、乙酰胆碱和去甲肾上腺素,调节谷氨酸和γ-氨基丁酸之间的局部平衡,从而调节脑区的功能。神经递质之间平衡的持续改变可导致工作记忆缺陷。

方法

在此,我们提出一种启发式计算模型,该模型考虑了不同脑区神经递质之间的相互作用。该模型基于生化水平上神经化学相互作用矩阵的概念,并将此矩阵与一个移动模型相结合,该移动模型代表了与工作记忆相关的神经递质系统之间的生理动态平衡。

结果

临床结果与模拟结果的比较表明,模型输出在质量上与现有数据非常一致。此外,该模型捕捉到了扰动如何通过不同的神经递质和脑区迁移。结果显示,长期给予氯胺酮可导致多种失衡,而在额叶前额皮质应用D2受体拮抗剂也可诱导失衡,但方式截然不同。

结论

启发式计算模型允许对遗传、生化和药理学扰动进行各种评估,并作为解释临床和生物学观察结果的直观工具。

普遍意义

启发式模型比生物物理详细模型更直观。它可作为跨学科交流的重要工具,甚至可用于患者及其亲属的精神科教育。本文是名为“系统遗传学”的特刊的一部分,客座编辑:蔡宇东博士和黄涛博士。

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