Balleine Bernard W
Decision Neuroscience Lab, School of Psychology, UNSW Sydney, Sydney, NSW, Australia.
Prog Brain Res. 2022;269(1):227-255. doi: 10.1016/bs.pbr.2022.01.006. Epub 2022 Feb 8.
Parkinson's disease (PD) has historically been considered a motor disorder induced by a loss of dopaminergic neurons in the substantia nigra pars compacta. More recently, it has been recognized to have significant non-motor symptoms, most prominently cognitive symptoms associated with a dysexecutive syndrome. It is common in the literature to see motor and cognitive symptoms treated separately and, indeed, there has been a general call for specialized treatment of the latter, particularly in the more severe cases of PD with mild cognitive impairment and dementia. Animal studies have similarly been developed to model the motor or non-motor symptoms. Nevertheless, considerable research has established that segregating consideration of cognition from the precursors to motor movement, particularly movement associated with goal-directed action, is difficult if not impossible. Indeed, on some contemporary views cognition is embodied in action control, something that is particularly prevalent in theory and evidence relating to the integration of goal-directed and habitual control processes. The current paper addresses these issues within the literature detailing animal models of cognitive dysfunction in PD and their neural and neurochemical bases. Generally, studies using animal models of PD provide some of the clearest evidence for the integration of these action control processes at multiple levels of analysis and imply that consideration of this integrative process may have significant benefits for developing new approaches to the treatment of PD.
帕金森病(PD)在历史上一直被认为是一种由黑质致密部多巴胺能神经元丧失所诱发的运动障碍。最近,人们认识到它具有显著的非运动症状,最突出的是与执行功能障碍综合征相关的认知症状。在文献中,运动症状和认知症状通常被分开处理,实际上,人们普遍呼吁对后者进行专门治疗,特别是在患有轻度认知障碍和痴呆的更严重帕金森病病例中。类似地,动物研究也已开展,以模拟运动或非运动症状。然而,大量研究表明,将认知与运动行为的前体,特别是与目标导向行动相关的运动行为分离开来考虑,即便不是不可能,也是困难的。事实上,根据一些当代观点,认知体现在行动控制中,这在与目标导向和习惯性控制过程整合相关的理论和证据中尤为普遍。本文在详细阐述帕金森病认知功能障碍动物模型及其神经和神经化学基础的文献范围内探讨这些问题。一般来说,使用帕金森病动物模型的研究为在多个分析层面整合这些行动控制过程提供了一些最清晰的证据,并暗示考虑这一整合过程可能对开发帕金森病的新治疗方法具有重大益处。