Dumas Julie A, Filippi Christopher G, Newhouse Paul A, Naylor Magdalena R
1Clinical Neuroscience Research Unit, Department of Psychiatry 2Department of Neurology, University of Vermont College of Medicine, Burlington, VT 3Department of Biomedical Imaging and Translational Sciences, Hofstra University School of Medicine and North Shore University Hospital-LIJ, Hempstead, NY 4Center for Cognitive Medicine, Department of Psychiatry, Vanderbilt University School of Medicine, Nashville, TN 5Geriatric Research and Educational Center, Tennessee Valley Veterans Affairs Medical Center, Nashville, TN.
Menopause. 2017 Feb;24(2):163-170. doi: 10.1097/GME.0000000000000738.
The current study examined the effects of pharmacologic dopaminergic manipulations on working memory-related brain activation in postmenopausal women to further understand the neurochemistry underlying cognition after menopause.
Eighteen healthy postmenopausal women, mean age 55.21 years, completed three study days with dopaminergic drug challenges during which they performed a functional magnetic resonance imaging visual verbal N-back test of working memory. Acute stimulation with 1.25 mg oral D2 agonist bromocriptine, acute blockade with 1.5 mg oral haloperidol, and matching placebo were administered randomly and blindly on three study days.
We found that dopaminergic stimulation increased activation primarily in the posterior regions of the working memory network compared with dopaminergic blockade using a whole brain cluster-level corrected analysis. The dopaminergic medications did not affect working memory performance.
Patterns of increased blood-oxygen-level dependent signal activation after dopaminergic stimulation were found in this study in posterior brain regions with no effect on working memory performance. Further studies should examine specific dopaminergic contributions to brain functioning in healthy postmenopausal women to determine the effects of the increased brain activation on cognition and behavior.
本研究探讨了药物性多巴胺能调控对绝经后女性工作记忆相关脑激活的影响,以进一步了解绝经后认知背后的神经化学机制。
18名健康绝经后女性,平均年龄55.21岁,在三个研究日完成多巴胺能药物激发试验,在此期间她们进行了工作记忆的功能磁共振成像视觉言语n-back测试。在三个研究日随机、盲法给予1.25毫克口服D2激动剂溴隐亭急性刺激、1.5毫克口服氟哌啶醇急性阻断以及匹配的安慰剂。
通过全脑簇水平校正分析,我们发现与多巴胺能阻断相比,多巴胺能刺激主要增加了工作记忆网络后部区域的激活。多巴胺能药物不影响工作记忆表现。
本研究发现多巴胺能刺激后,脑后部区域血氧水平依赖信号激活增加,但对工作记忆表现无影响。进一步研究应考察健康绝经后女性中特定多巴胺能对脑功能的贡献,以确定脑激活增加对认知和行为的影响。