Department of Psychiatry, University of California San Diego, 9500 Gilman Drive MC 0804, La Jolla, CA, 92093-0804, USA.
Research Service, VA San Diego Healthcare System, San Diego, CA, USA.
Psychopharmacology (Berl). 2020 Jul;237(7):1959-1972. doi: 10.1007/s00213-020-05511-1. Epub 2020 Apr 21.
Cognitive dysfunction mediates functional impairment in patients with schizophrenia, necessitating the timely development of pro-cognitive therapeutics. An important initial step in this process is to establish what, if any, pro-cognitive agents and associated mechanisms can be identified using cross-species translational paradigms. For example, attentional deficits-a core feature of schizophrenia-can be measured across species using the 5-choice continuous performance test (5C-CPT). The psychostimulant, amphetamine, improves human and rodent 5C-CPT performance.
Here, we tested whether amphetamine would similarly improve 5C-CPT performance in the presence of dopamine D2 receptor blockade, since pro-cognitive treatments in schizophrenia would virtually always be used in conjunction with D2 receptor antagonists.
We established the dose-response effects of amphetamine (0, 0.1, 0.3, or 1.0 mg/kg) and haloperidol (0, 3.2, 10, or 32 μg/kg) on 5C-CPT performance in Long Evans rats, and then tested an amphetamine (0.3 mg/kg) × haloperidol (10 μg/kg) interaction; the low dose was chosen because higher doses exerted deleterious non-specific effects on performance.
Amphetamine improved 5C-CPT performance in poorly performing rats by increasing target detection, independent of haloperidol pretreatment.
The pro-attentional effects of amphetamine were most likely mediated by dopamine release at D1-family receptors, since they persisted in the presence of acute D2 blockade. Alternative explanations for these findings are also discussed, as are their potential implications for future pro-cognitive therapeutics in schizophrenia.
认知功能障碍介导精神分裂症患者的功能障碍,因此需要及时开发促认知治疗药物。在这个过程中,一个重要的初始步骤是确定是否可以使用跨物种转化范式来识别任何促认知药物和相关机制。例如,注意力缺陷 - 精神分裂症的核心特征 - 可以使用 5 选择连续绩效测试(5C-CPT)在物种间进行测量。苯丙胺等精神兴奋剂可改善人类和啮齿动物的 5C-CPT 表现。
在这里,我们测试了苯丙胺是否在多巴胺 D2 受体阻断的情况下同样可以改善 5C-CPT 表现,因为精神分裂症的促认知治疗几乎总是与 D2 受体拮抗剂联合使用。
我们确定了苯丙胺(0、0.1、0.3 或 1.0 mg/kg)和氟哌啶醇(0、3.2、10 或 32 μg/kg)对长爪沙鼠 5C-CPT 表现的剂量反应效应,然后测试了苯丙胺(0.3 mg/kg)×氟哌啶醇(10 μg/kg)相互作用;选择低剂量是因为更高剂量会对表现产生有害的非特异性影响。
苯丙胺通过增加目标检测改善了表现不佳的大鼠的 5C-CPT 表现,而与氟哌啶醇预处理无关。
苯丙胺的促注意力作用很可能是通过多巴胺在 D1 家族受体上的释放介导的,因为在急性 D2 阻断存在的情况下它们仍然存在。还讨论了这些发现的其他解释及其对精神分裂症未来促认知治疗的潜在影响。