似曾相识?5-HT 受体激动剂普拉克索在海马依赖记忆任务中的神经和行为效应。

Déjà-vu? Neural and behavioural effects of the 5-HT receptor agonist, prucalopride, in a hippocampal-dependent memory task.

机构信息

Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.

Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK.

出版信息

Transl Psychiatry. 2021 Oct 4;11(1):497. doi: 10.1038/s41398-021-01568-4.

Abstract

Cognitive deficits commonly accompany psychiatric disorders but are often underrecognised, and difficult to treat. The 5-HT receptor is a promising potential treatment target for cognitive impairment because in animal studies 5-HT receptor agonists enhance hippocampal-dependent memory processes. To date, there has been little work translating these effects to humans. We tested whether short-term administration of the 5-HT partial agonist, prucalopride, modified behavioural and neural (fMRI) memory processing in 44 healthy human volunteers using an experimental medicine model. We found that participants who had received six days of prucalopride treatment were significantly better at recalling previously seen neutral images and distinguishing them from new images. At a neural level, prucalopride bilaterally increased hippocampal activity and activity in the right angular gyrus compared with placebo. Taken together, these findings demonstrate the potential of 5-HT-receptor activation for cognitive enhancement in humans, and support the potential of this receptor as a treatment target for cognitive impairment.

摘要

认知缺陷常伴随着精神疾病,但往往未被识别,且难以治疗。5-HT 受体是认知障碍有希望的潜在治疗靶点,因为在动物研究中,5-HT 受体激动剂增强了海马依赖的记忆过程。迄今为止,将这些效果转化为人类的研究很少。我们使用实验医学模型测试了短期给予 5-HT 部分激动剂普鲁卡必利是否会改变 44 名健康人类志愿者的行为和神经(fMRI)记忆处理。我们发现,接受普鲁卡必利治疗 6 天的参与者在回忆先前看到的中性图像并将其与新图像区分开方面明显更好。在神经水平上,与安慰剂相比,普鲁卡必利双侧增加了海马体和右侧角回的活动。总的来说,这些发现表明 5-HT 受体激活在人类认知增强方面具有潜力,并支持该受体作为认知障碍治疗靶点的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2d2/8488034/7392a93e171b/41398_2021_1568_Fig1_HTML.jpg

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