去甲肾上腺素能刺激对情境相关消退学习表现以及海马体和前额叶皮质中血氧水平依赖性功能磁共振成像激活的影响在表现出和未表现出恢复现象的参与者之间存在差异。

Effects of Noradrenergic Stimulation Upon Context-Related Extinction Learning Performance and BOLD Activation in Hippocampus and Prefrontal Cortex Differ Between Participants Showing and Not Showing Renewal.

作者信息

Lissek Silke, Klass Anne, Tegenthoff Martin

机构信息

Department of Neurology, BG University Hospital Bergmannsheil, Ruhr-University Bochum, Bochum, Germany.

出版信息

Front Behav Neurosci. 2019 Apr 24;13:78. doi: 10.3389/fnbeh.2019.00078. eCollection 2019.

Abstract

While the neural structures mediating context-related renewal of extinction are well established, the neurotransmitter systems processing renewal remain elusive. Noradrenergic stimulation before extinction improved learning, but did not alter renewal. Since context processing already during initial conditioning can influence renewal, in this fMRI study we investigated how noradrenergic stimulation by a single dose of atomoxetine (ATO) before initial acquisition of a context-related predictive-learning task affects subsequent learning and renewal in humans. ATO participants showing contextual renewal (REN) exhibited a selective extinction learning deficit compared to placebo (PLAC) and ATO participants lacking renewal (ATO NoREN), probably owing to formation of more stable associations during acquisition. New learning and retrieval during the extinction phase as well as initial acquisition were unimpaired. In ATO REN, higher activation in right inferior frontal gyrus (iFG) during acquisition may have supported the formation of more stable associations, while reduced activation in hippocampus and left iFG during extinction was associated with impaired context encoding and response inhibition. During recall, ATO REN showed reduced overall context-dependent renewal associated with higher activation in medial PFC and right hippocampus. The results demonstrate the importance of noradrenergic processing in inferior frontal cortex and hippocampus for human extinction learning, but not necessarily initial conditioning. Since an identical atomoxetine treatment evoked diverging blood-oxygen level dependent (BOLD) activation patterns in REN and NoREN participants, the effect is presumably related to the participants' preferred processing strategies that may have recruited differentially interconnected networks in which noradrenergic stimulation produced diverging consequences. In the ATO REN group, probably an additive effect of their preferred processing strategy, which pre-activated the noradrenergic system, and the experimental treatment caused a shift beyond the optimal working range of the noradrenergic system, thus modulating BOLD activation in a way that impaired extinction learning and recall.

摘要

虽然介导与情境相关的消退恢复的神经结构已得到充分证实,但处理恢复的神经递质系统仍不清楚。消退前的去甲肾上腺素能刺激改善了学习,但并未改变恢复。由于在初始条件反射期间的情境处理就可以影响恢复,因此在这项功能磁共振成像(fMRI)研究中,我们调查了在与情境相关的预测性学习任务的初始习得之前,单剂量托莫西汀(ATO)进行的去甲肾上腺素能刺激如何影响人类随后的学习和恢复。与安慰剂(PLAC)组以及未出现恢复的ATO组参与者相比,表现出情境恢复(REN)的ATO组参与者表现出选择性消退学习缺陷,这可能是由于在习得过程中形成了更稳定的关联。消退阶段以及初始习得期间的新学习和检索未受损害。在ATO REN组中,习得期间右下额叶回(iFG)的激活增加可能支持了更稳定关联的形成,而消退期间海马体和左iFG的激活减少与情境编码受损和反应抑制有关。在回忆期间,ATO REN组表现出与内侧前额叶皮质和右海马体激活增加相关的整体情境依赖性恢复减少。结果表明,去甲肾上腺素能在下额叶皮质和海马体中的处理对人类消退学习很重要,但不一定对初始条件反射重要。由于相同的托莫西汀治疗在REN组和NoREN组参与者中诱发了不同的血氧水平依赖(BOLD)激活模式,因此这种效应可能与参与者偏好的处理策略有关,这些策略可能招募了不同的相互连接网络,其中去甲肾上腺素能刺激产生了不同的后果。在ATO REN组中,可能是他们偏好的处理策略(该策略预激活了去甲肾上腺素能系统)与实验治疗的叠加效应导致超出了去甲肾上腺素能系统的最佳工作范围,从而以损害消退学习和回忆的方式调节了BOLD激活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b086/6491890/7540282336de/fnbeh-13-00078-g001.jpg

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