Department of Psychology, University of British Columbia, Djavad Mowafaghian Centre for Brain Health, 2215 Westbrook Mall, Vancouver, BC, V6T 1Z3, Canada.
Department of Psychology, University of British Columbia, Djavad Mowafaghian Centre for Brain Health, 2215 Westbrook Mall, Vancouver, BC, V6T 1Z3, Canada.
Behav Brain Res. 2021 Feb 1;398:112941. doi: 10.1016/j.bbr.2020.112941. Epub 2020 Sep 28.
Impairments in decision making under uncertainty, as measured by the Iowa Gambling Task (IGT), are observed in persons suffering from temporal lobe epilepsy (TLE), in which seizures originate in the amygdala and hippocampal formations. Gambling disorder is also more prevalent in this population. Individuals with amygdala damage show similar deficits in decision-making, as do rats with lesions restricted to the basolateral amygdala (BLA) performing an analogous rat gambling task (rGT), yet whether hyperstimulation of the BLA impacts risky decision-making has yet to be demonstrated. We therefore investigated whether kindling of the BLA affected rGT performance. In this task, sugar pellet profits are maximised through consistent selection of options associated with smaller per-trial gains but shorter punishing time-outs. Just as in the IGT, subjects must avoid the risky options, as penalties are disproportionately high despite the higher reward available. Most rats adopt the optimal strategy, but some instead make high numbers of risky, disadvantageous choices. Once stable choice preferences had been established on-task, sixteen male Long Evans rats were implanted unilaterally with a bipolar electrode targeting the BLA and stimulated twice daily until three stage five seizures had been elicited. The electrodes revealed to be nearly evenly places in the BLA and the Central Nucleus of the Amygdala (CeA). Kindling transiently increased choice of the option paired with the smallest reward but also the lowest level of punishment- a risk-averse, but suboptimal, choice. Risk-preferring rats also made more premature responses, a marker of motor impulsivity, and were faster to make a choice, whereas these variables were unaffected in optimal decision-makers. These data suggest epileptiform activity originating within the amygdala can impair choice and promote impulsivity, at least in some individuals.
在颞叶癫痫(TLE)患者中,可观察到在不确定条件下进行决策的能力受损,这些患者的癫痫起源于杏仁核和海马结构。在这些人群中,赌博障碍也更为普遍。杏仁核损伤的个体在决策中表现出类似的缺陷,而在执行类似的大鼠赌博任务(rGT)时,仅损伤基底外侧杏仁核(BLA)的大鼠也表现出类似的决策缺陷,但是 BLA 的过度刺激是否会影响风险决策尚未得到证实。因此,我们研究了 BLA 的点燃是否会影响 rGT 的表现。在这个任务中,通过一致选择与较小的每次试验收益相关但惩罚时间较短的选项,可以最大限度地获得糖丸收益。就像在 IGT 中一样,受试者必须避免冒险选项,因为尽管有更高的奖励,但惩罚不成比例地高。大多数大鼠采用最优策略,但有些大鼠则会做出大量高风险、不利的选择。一旦在任务中建立了稳定的选择偏好,十六只雄性长耳兔被单侧植入一个双极电极,靶向 BLA,并每天刺激两次,直到引发三次 5 级癫痫发作。电极被证明几乎均匀地放置在 BLA 和杏仁核中央核(CeA)中。点燃会暂时增加与最小奖励相关的选项的选择,但也会增加与最低惩罚相关的选项的选择,这是一种风险规避但次优的选择。风险偏好的大鼠也会做出更多的过早反应,这是一种运动冲动的标志物,并且做出选择的速度也更快,而这些变量在最优决策者中不受影响。这些数据表明,起源于杏仁核的癫痫样活动至少在某些个体中会损害选择并促进冲动性。