Morè Lorenzo, Lauterborn Julie C, Papaleo Francesco, Brambilla Riccardo
School of Pharmacy and Biomedical Sciences, University of Central Lancashire, PR1 2XT, Preston, UK.
Department of Anatomy & Neurobiology, School of Medicine, University of California, Irvine, CA, 92617, USA.
Neurosci Biobehav Rev. 2020 Mar;110:28-45. doi: 10.1016/j.neubiorev.2019.02.003. Epub 2019 Apr 10.
In this review we discuss the role of environmental and pharmacological treatments to enhance cognition with special regards to neurodevelopmental related disorders and aging. How the environment influences brain structure and function, and the interactions between rearing conditions and gene expression, are fundamental questions that are still poorly understood. We propose a model that can explain some of the discrepancies in findings for effects of environmental enrichment on outcome measures. Evidence of a direct causal correlation of nootropics and treatments that enhanced cognition also will be presented, and possible molecular mechanisms that include neurotrophin signaling and downstream pathways underlying these processes are discussed. Finally we review recent findings achieved with a wide set of behavioral and cognitive tasks that have translational validity to humans, and should be useful for future work on devising appropriate therapies. As will be discussed, the collective findings suggest that a combinational therapeutic approach of environmental enrichment and nootropics could be particularly successful for improving learning and memory in both developmental disorders and normal aging.
在本综述中,我们讨论环境和药物治疗在增强认知方面的作用,特别关注与神经发育相关的疾病和衰老。环境如何影响大脑结构和功能,以及饲养条件与基因表达之间的相互作用,是一些仍未得到充分理解的基本问题。我们提出了一个模型,该模型可以解释环境富集对结果指标影响的一些研究结果差异。还将展示促智药和增强认知治疗之间直接因果关系的证据,并讨论包括神经营养因子信号传导和这些过程潜在的下游途径在内的可能分子机制。最后,我们回顾了通过一系列对人类具有转化效度的行为和认知任务所取得的最新研究结果,这些结果对未来设计适当疗法的工作应该是有用的。如将讨论的那样,总体研究结果表明,环境富集和促智药的联合治疗方法对于改善发育障碍和正常衰老中的学习和记忆可能特别成功。