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甲基苯丙胺急性改变健康年轻成年人额皮质纹状体静息状态功能连接。

Methamphetamine acutely alters frontostriatal resting state functional connectivity in healthy young adults.

机构信息

Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois.

Department of Clinical Neurological Sciences, University of Western Ontario, London, Canada.

出版信息

Addict Biol. 2020 May;25(3):e12775. doi: 10.1111/adb.12775. Epub 2019 May 16.

Abstract

Chronic use of methamphetamine impairs frontostriatal structure and function, which may result in increased incentive-motivational responses to drug cues and decreased regulation of drug-seeking behavior. However, less is known regarding how the drug affects these circuits after acute administration. The current study examined the effects of a single dose of methamphetamine on resting state frontostriatal functional connectivity in healthy volunteers. Participants (n = 22, 12 female) completed two sessions in which they received methamphetamine (20 mg) and placebo before a resting state scan during functional magnetic resonance imaging. Participants also provided self-report measures of euphoria and stimulation at regular intervals. We conducted seed-based voxelwise functional connectivity analyses using three bilateral striatal seed regions: nucleus accumbens (NAcc), caudate, and putamen and compared connectivity following methamphetamine versus placebo administration. Additionally, we conducted correlational analyses to assess if drug-induced changes in functional connectivity were related to changes in subjective response. Methamphetamine increased NAcc functional connectivity with medial frontal regions (ie, orbitofrontal cortex, medial frontal gyrus, and superior frontal gyrus) and decreased NAcc functional connectivity with subgenual anterior cingulate cortex (ACC). Methamphetamine also increased functional connectivity between putamen and left inferior frontal gyrus (IFG), and individuals who displayed greater drug-induced increase in connectivity reported less euphoria and stimulation. These findings provide important information regarding the effects of methamphetamine on brain function in nonaddicted individuals. Further studies will reveal whether such effects contribute to the abuse potential of the drug and whether they are related to the frontostriatal impairments observed after chronic methamphetamine use.

摘要

慢性使用甲基苯丙胺会损害额纹体结构和功能,这可能导致对药物线索的激励动机反应增加,对觅药行为的调节减少。然而,关于药物在急性给药后如何影响这些回路,人们知之甚少。本研究探讨了单剂量甲基苯丙胺对健康志愿者静息状态额纹体功能连接的影响。参与者(n=22,12 名女性)完成了两次试验,在功能磁共振成像期间进行静息状态扫描之前,他们分别接受了 20 毫克甲基苯丙胺和安慰剂的治疗。参与者还定期提供欣快和刺激的自我报告测量。我们使用三个双侧纹状体种子区域(伏隔核、尾状核和壳核)进行了基于种子的体素水平功能连接分析,并比较了甲基苯丙胺给药后与安慰剂给药后的连接。此外,我们进行了相关性分析,以评估功能连接的药物诱导变化是否与主观反应的变化有关。甲基苯丙胺增加了伏隔核与内侧额区(即眶额皮质、内侧额回和额上回)的功能连接,减少了伏隔核与前扣带回皮质(ACC)的下亚区的功能连接。甲基苯丙胺还增加了壳核与左额下回(IFG)之间的功能连接,并且表现出更大的药物诱导连接增加的个体报告的欣快感和刺激感较少。这些发现提供了关于非成瘾个体中甲基苯丙胺对大脑功能影响的重要信息。进一步的研究将揭示这些影响是否有助于药物的滥用潜力,以及它们是否与慢性甲基苯丙胺使用后观察到的额纹体损伤有关。

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