Hospital del Mar Medical Research Institute, Barcelona Biomedical Research Park, 08003 Barcelona, Spain.
Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Cereb Cortex. 2022 Aug 3;32(16):3472-3487. doi: 10.1093/cercor/bhab427.
Neural synchrony and functional connectivity are disrupted in schizophrenia. We investigated changes in prefrontal-hippocampal neural dynamics during psychosis-like states induced by the NMDAR antagonist phencyclidine and subsequent rescue by two atypical antipsychotic drugs (AAPDs), risperidone and clozapine, and the classical APD haloperidol. The psychotomimetic effects of phencyclidine were associated with prefrontal hypersynchronization, hippocampal desynchronization, and disrupted circuit connectivity. Phencyclidine boosted prefrontal oscillatory power at atypical bands within delta, gamma, and high frequency ranges, while irregular cross-frequency and spike-LFP coupling emerged. In the hippocampus, phencyclidine enhanced delta rhythms but suppressed theta oscillations, theta-gamma coupling, and theta-beta spike-LFP coupling. Baseline interregional theta-gamma coupling, theta phase coherence, and hippocampus-to-cortex theta signals were redirected to delta frequencies. Risperidone and clozapine, but not haloperidol, reduced phencyclidine-induced prefrontal and cortical-hippocampal hypersynchrony. None of the substances restored hippocampal and circuit desynchronization. These results suggest that AAPDs, but not typical APDs, target prefrontal-hippocampal pathways to elicit antipsychotic action. We investigated whether the affinity of AAPDs for serotonin receptors could explain their distinct effects. Serotonin 5-HT2AR antagonism by M100907 and 5-HT1AR agonism by 8-OH-DPAT reduced prefrontal hypersynchronization. Our results point to fundamentally different neural mechanisms underlying the action of atypical versus typical APDs with selective contribution of serotonin receptors.
神经同步和功能连接在精神分裂症中被打乱。我们研究了 N-甲基-D-天冬氨酸(NMDA)受体拮抗剂苯环利定(PCP)诱导的类精神病状态下前额叶-海马神经动力学的变化,以及随后两种非典型抗精神病药物(AAPD)利培酮和氯氮平以及经典的 APD 氟哌啶醇的挽救作用。PCP 的精神病样效应与前额叶过度同步化、海马去同步化和连接中断有关。PCP 增强了前额叶在 delta、gamma 和高频范围内的非典型波段的振荡功率,而不规则的交叉频率和尖峰-LFP 耦合出现。在海马体中,PCP 增强了 delta 节律,但抑制了 theta 振荡、theta-gamma 耦合和 theta-beta 尖峰-LFP 耦合。基线的区域间 theta-gamma 耦合、theta 相位相干性和海马体到皮层的 theta 信号被重定向到 delta 频率。利培酮和氯氮平,但不是氟哌啶醇,减少了 PCP 诱导的前额叶和皮质-海马体过度同步化。没有一种物质能恢复海马体和回路去同步化。这些结果表明,AAPD 而非典型 APD 靶向前额叶-海马通路以产生抗精神病作用。我们研究了 AAPD 对 5-羟色胺受体的亲和力是否能解释它们的不同作用。M100907 对 5-HT2AR 的拮抗作用和 8-OH-DPAT 对 5-HT1AR 的激动作用降低了前额叶的过度同步化。我们的结果表明,非典型与典型 APD 的作用背后存在根本不同的神经机制,5-羟色胺受体的选择性参与。