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静息态功能 EEG 连接在突显网络和默认模式网络及其与 NMDA 受体拮抗作用期间分离症状的关系。

Resting-state functional EEG connectivity in salience and default mode networks and their relationship to dissociative symptoms during NMDA receptor antagonism.

机构信息

School of Psychology, University of Ottawa, Ottawa, ON, Canada.

Department of Cellular and Molecular Medicine, University of Ottawa, Ottawa, ON, Canada.

出版信息

Pharmacol Biochem Behav. 2021 Feb;201:173092. doi: 10.1016/j.pbb.2020.173092. Epub 2020 Dec 30.

Abstract

N-methyl-d-aspartate receptor (NMDAR) antagonists administered to healthy humans results in schizophrenia-like symptoms, which are thought in part to be related to glutamatergically altered electrophysiological connectivity in large-scale intrinsic functional brain networks. Here, we examine resting-state source electroencephalographic (EEG) connectivity within and between the default mode (DMN: for self-related cognitive activity) and salience networks (SN: for detection of salient stimuli in internal and external environments) in 21 healthy volunteers administered a subanesthetic dose of the dissociative anesthetic and NMDAR antagonist, ketamine. In addition to provoking symptoms of dissociation, which are thought to originate from an altered sense of self that is common to schizophrenia, ketamine induces frequency-dependent increases and decreases in connectivity within and between DMN and SN. These altered interactive network couplings together with emergent dissociative symptoms tentatively support an NMDAR-hypofunction hypothesis of disturbed electrophysiologic connectivity in schizophrenia.

摘要

N-甲基-D-天冬氨酸受体(NMDAR)拮抗剂在健康人类中使用会导致类似精神分裂症的症状,这部分被认为与在大型内在功能大脑网络中谷氨酸能改变的电生理连通性有关。在这里,我们在 21 名健康志愿者中检查了静息状态下源脑电图(EEG)的内在和内在默认模式网络(DMN:用于与自我相关的认知活动)和显着性网络(SN:用于检测内部和外部环境中的显着刺激)之间的连通性在给予亚麻醉剂量的分离麻醉剂和 NMDAR 拮抗剂氯胺酮后。除了引发分离症状外,这些症状被认为源自精神分裂症中常见的自我感改变,氯胺酮诱导 DMN 和 SN 内和之间的连通性的频率依赖性增加和减少。这些改变的交互网络耦合以及新出现的分离症状暂时支持精神分裂症中电生理连通性紊乱的 NMDAR 功能低下假说。

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