青少年时期长期使用哌醋甲酯会对单胺能功能产生长期影响。

Chronic methylphenidate treatment during adolescence has long-term effects on monoaminergic function.

机构信息

Pharmacology and Neuroscience Research Group, Leicester School of Pharmacy, De Montfort University, Leicester, UK.

出版信息

J Psychopharmacol. 2019 Jan;33(1):109-121. doi: 10.1177/0269881118805494. Epub 2018 Oct 18.

Abstract

BACKGROUND

Psychostimulants like methylphenidate or D-amphetamine are often prescribed for attention deficit and hyperactivity disorders in children. Whether such drugs can be administered into a developing brain without consequences in adulthood is still an open question.

METHODS

Here, using in vivo extracellular electrophysiology in anesthetised preparations, combined with behavioural assays, we have examined the long-term consequences in adulthood of a chronic methylphenidate oral administration (5 mg/kg/day, 15 days) in early adolescent (post-natal day 28) and late adolescent (post-natal day 42) rats, by evaluating body weight change, sucrose preference (indicator of anhedonia), locomotor sensitivity to D-amphetamine and electrical activities of ventral tegmental area dopamine and dorsal raphe nucleus serotonin neurons.

RESULTS

Chronic methylphenidate treatment during early or late adolescence did not induce weight deficiencies and anhedonia-like behaviours at adulthood. However, it increased bursting activities of dorsal raphe nucleus serotonin neurons. Furthermore, chronic methylphenidate treatment during early but not during late adolescence enhanced D-amphetamine-induced rearing activity, as well as ventral tegmental area dopamine cell excitability (firing, burst and population activity), associated with a partial desensitisation of dopamine D auto-receptors.

CONCLUSIONS

We have demonstrated here that early, but not late, adolescent exposure to oral methylphenidate may induce long-lasting effects on monoamine neurotransmission. The possible clinical implication of these data will be discussed.

摘要

背景

哌醋甲酯或苯丙胺等精神兴奋剂常用于治疗儿童注意力缺陷多动障碍。这些药物在儿童期长期使用是否会对成年后的大脑造成影响,目前仍存在争议。

方法

本研究采用麻醉动物模型的活体细胞外电生理记录和行为学检测,评估了在青少年早期(出生后第 28 天)和晚期(出生后第 42 天)连续 15 天经口给予 5mg/kg/天哌醋甲酯对成年大鼠的长期影响,评估指标包括体重变化、蔗糖偏好(快感缺失的指标)、对 D-苯丙胺的运动敏感性以及腹侧被盖区多巴胺和中缝背核 5-羟色胺神经元的电活动。

结果

青少年早期或晚期连续给予哌醋甲酯治疗不会导致成年期体重减轻和快感缺失样行为。然而,它增加了中缝背核 5-羟色胺神经元的爆发活动。此外,青少年早期而非晚期连续给予哌醋甲酯治疗增强了 D-苯丙胺诱导的后肢站立活动,以及腹侧被盖区多巴胺细胞的兴奋性(放电、爆发和群体活动),同时多巴胺 D 自身受体的部分脱敏。

结论

本研究表明,青少年早期而非晚期暴露于口服哌醋甲酯可能会对单胺能神经传递产生持久影响。这些数据可能具有重要的临床意义。

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