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一名老年男性使用前体多巴胺调节剂改善长期记忆提取:我们是否针对多巴胺张力?

Improvement of long-term memory access with a pro-dopamine regulator in an elderly male: Are we targeting dopamine tone?

作者信息

McLaughlin Thomas, Han David, Nicholson James, Steinberg Bruce, Blum Kenneth, Febo Marcelo, Braverman Eric, Li Mona, Fried Lyle, Badgaiyan Rajendra

机构信息

Center for Psychiatric Medicine, Lawrence, MA, USA.

Department of Management Science and Statistics, University of Texas at San Antonio, San Antonio, TX, USA.

出版信息

J Syst Integr Neurosci. 2017 May;3(3). doi: 10.15761/JSIN.1000165. Epub 2017 Jun 17.

Abstract

With aging, there is decline in both short-term and long-term memory. This effect is magnified by epigenetic insults on specific, dopamine- related genes (e.g., DRD2, DAT1) as well as by impaired or reduced mRNA transcription. In addition, long-term memory ability is positively correlated with dopamine function and there is evidence that aging is associated with a reduction in brain dopamine D2 receptors, with an acceleration seen in aging-induced dementia. As a result, the authors tested the acute effect of a Pro-Dopamine Regulator (KB220Z, liquid Nano variant) on an aspect of long-term memory performance in a 77-year-old, highly functional male, using the Animal Naming Test (ANT). An improvement in long-term memory retrieval had initially been noted during the subject's follow-up neurology exam, after he had been, for other reasons, taking KB220z. The patient had been given a number of ANTs by his primary and, later, another neurologist, from 2013 to 2016. Because the number of ANT observations was small (N = 7 with two groups) and the data uncorrelated, a non-parametric Wilcoxon-Mann-Whitney test was performed to test mean differences. After KB220z, the patient had much higher scores (p = 0.04762) on the ANT vs. when not taking it. His scores increased from the 30 percentile (pre-test) to the 76 percentile, after the first administration of KB220z and, later, to the 98 percentile, after a second administration of KB220z, six months later. The results indicate that KB220z, given acutely, increased a form of long-term memory retrieval in a highly functional, elderly male. Larger, double-blind, randomized controlled studies are encouraged.

摘要

随着年龄增长,短期和长期记忆都会衰退。这种影响会因对特定多巴胺相关基因(如DRD2、DAT1)的表观遗传损伤以及mRNA转录受损或减少而加剧。此外,长期记忆能力与多巴胺功能呈正相关,有证据表明衰老与脑多巴胺D2受体减少有关,在衰老引发的痴呆症中这种减少会加速。因此,作者使用动物命名测试(ANT),测试了一种前体多巴胺调节剂(KB220Z,液体纳米变体)对一名77岁、功能高度正常男性长期记忆表现的急性影响。在该受试者因其他原因服用KB220z后的后续神经学检查中,最初发现其长期记忆提取有所改善。从2013年到2016年,该患者的初级医生以及后来的另一位神经科医生对其进行了多次ANT测试。由于ANT观察次数较少(两组共7次)且数据不相关,因此进行了非参数Wilcoxon-Mann-Whitney检验以测试均值差异。服用KB220z后,患者在ANT测试中的得分比未服用时高得多(p = 0.04762)。在首次服用KB220z后,他的得分从第30百分位(测试前)提高到第76百分位,六个月后第二次服用KB220z后,得分提高到第98百分位。结果表明,急性给予KB220z可提高一名功能高度正常的老年男性的一种长期记忆提取能力。鼓励开展更大规模的双盲随机对照研究。

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