College of Pharmacy and Health Sciences, Drake University, 2507 University Ave, Des Moines, IA, 50311, USA.
Psychology Department, Central Michigan University, East Campus Dr, Mount Pleasant, MI, 48858, USA.
Psychopharmacology (Berl). 2021 Apr;238(4):1133-1140. doi: 10.1007/s00213-021-05760-8. Epub 2021 Jan 15.
Fragile X syndrome (FXS), the most prevalent genetic form of intellectual disability, is characterized by intellectual impairment, impaired sociability, aggression, self-injury, hyperactivity, and attention deficits. A consequence of the hyperactivity and attention deficits is that individuals with FXS are frequently diagnosed with attention deficit hyperactivity disorder (ADHD) and treated with medications approved for ADHD (e.g., the α-agonist clonidine). The pharmacotherapy of FXS is often accompanied with behavioral therapies that rely on positive reinforcement and other operant principles. Despite the commonplace mixture of drug and behavioral therapy, little attention has been paid to the observation that clonidine or other psychotropic drugs may alter operant processes.
In the present progressive ratio study, we used a knockout mouse model to test the effects of the fragile X genotype, the α-agonist clonidine, and the fragile X genotype and clonidine together on operant processes in a positive reinforcement task.
We found that clonidine decreased the progressive ratio breakpoint, increased the length of post-reinforcement pauses, and slowed the run rate. None of these effects varied by genotype. The effect on breakpoint suggests that clonidine alters motivation, but analysis using mathematical principles of reinforcement (MPR) did not rule out motor parameters as a contributor.
Our findings show that clonidine alters operant behavior and serve as a caution for combining clonidine with behavioral therapies that rely on positive reinforcement. Further research using different murine behaviors (e.g., touchscreen tasks) or different animal models (e.g., knockout rats) is needed to explore the interaction between pharmaco- and behavioral therapy.
脆性 X 综合征(FXS)是最常见的遗传性智力障碍,其特征为智力障碍、社交障碍、攻击性、自残、多动和注意力缺陷。多动和注意力缺陷的结果是,脆性 X 综合征患者经常被诊断为注意力缺陷多动障碍(ADHD),并接受治疗 ADHD 的药物(例如,α-激动剂可乐定)。FXS 的药物治疗通常伴随着行为疗法,这些疗法依赖于正强化和其他操作性原则。尽管药物和行为疗法的混合治疗很常见,但很少有人注意到可乐定或其他精神药物可能会改变操作性过程。
在本渐进比率研究中,我们使用了一种基因敲除小鼠模型,以测试脆性 X 基因型、α-激动剂可乐定以及脆性 X 基因型和可乐定共同对正强化任务中操作性过程的影响。
我们发现可乐定降低了渐进比率的断点,增加了强化后停顿的时间,降低了奔跑速度。这些影响都与基因型无关。对断点的影响表明可乐定改变了动机,但使用强化数学原理(MPR)的分析并未排除运动参数的影响。
我们的发现表明可乐定改变了操作性行为,这对于将可乐定与依赖正强化的行为疗法结合使用提出了警示。需要使用不同的小鼠行为(例如,触摸屏任务)或不同的动物模型(例如,基因敲除大鼠)进行进一步的研究,以探索药物治疗和行为治疗之间的相互作用。