Muthukumaraswamy Suresh D, Routley Bethany, Droog Wouter, Singh Krish D, Hamandi Khalid
School of Pharmacy, Auckland University, Auckland, New Zealand; School of Psychology, Auckland University, Auckland, New Zealand.
CUBRIC, School of Psychology, Cardiff, United Kingdom.
Cortex. 2016 Aug;81:266-75. doi: 10.1016/j.cortex.2016.03.004. Epub 2016 Mar 31.
The generation of gamma-band (>30 Hz) cortical activity is thought to depend on the reciprocal connections of excitatory glutamatergic principal cells with inhibitory GABAergic interneurons. Both in vitro and in vivo animal studies have shown that blockade of glutamatergic α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptors reduces the amplitude of gamma-band activity. In this registered report, we hypothesised that similar effects would be observed in humans following administration of perampanel, a first in class AMPA antagonist, used in the treatment of epilepsy. In a single-blind placebo-controlled crossover study, 20 healthy male participants completed two study days. On one day participants were given a 6 mg dose of perampanel and on the other an inactive placebo. magnetoencephalography (MEG) recordings of brain activity were taken before and two hours after drug administration, with activity in the visual cortex probed using a stimulation protocol known to induce gamma-band activity in the primary visual cortex. As hypothesised, our results indicated a decrease in gamma-band amplitudes following perampanel administration. The decreases in gamma-band amplitudes observed were temporally restricted to the early time-period of stimulus presentation (up to 400 msec) with no significant effects observed on early evoked responses or alpha rhythms. This suggests that the early time-window of induced visual gamma-band activity, thought to reflect input to the visual cortex from the lateral geniculate nucleus, is most sensitive to AMPA blocking drugs.
γ波段(>30Hz)皮质活动的产生被认为依赖于兴奋性谷氨酸能主细胞与抑制性γ-氨基丁酸能中间神经元的相互连接。体外和体内动物研究均表明,阻断谷氨酸能α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)受体可降低γ波段活动的幅度。在本预注册报告中,我们假设,在使用治疗癫痫的首个AMPA拮抗剂吡仑帕奈治疗的人类患者中会观察到类似效果。在一项单盲安慰剂对照交叉研究中,20名健康男性参与者完成了两个研究日。一天,参与者服用6mg剂量的吡仑帕奈,另一天服用无活性的安慰剂。在给药前和给药后两小时进行脑磁图(MEG)记录大脑活动,使用已知能在初级视觉皮层诱导γ波段活动的刺激方案探测视觉皮层的活动。正如所假设的,我们的结果表明服用吡仑帕奈后γ波段振幅降低。观察到的γ波段振幅降低在时间上仅限于刺激呈现的早期时间段(长达400毫秒),对早期诱发反应或α节律没有显著影响。这表明,被认为反映外侧膝状体核向视觉皮层输入的诱发视觉γ波段活动的早期时间窗对AMPA阻断药物最为敏感。