Escuela Superior de Medicina, Laboratorio de Farmacología Conductual, Instituto Politécnico Nacional.
Facultad de Medicina, Departamento de Fisiología, Universidad Nacional Autónoma de México, Mexico City, Mexico.
Behav Pharmacol. 2023 Apr 1;34(2-3):80-91. doi: 10.1097/FBP.0000000000000689. Epub 2022 Sep 12.
Schizophrenia is a serious neuropsychiatric disorder characterized by the presence of positive symptoms (hallucinations, delusions, and disorganization of thought and language), negative symptoms (abulia, alogia, and affective flattening), and cognitive impairment (attention deficit, impaired declarative memory, and deficits in social cognition). Dopaminergic hyperactivity seems to explain the positive symptoms, but it does not completely clarify the appearance of negative and cognitive clinical manifestations. Preclinical data have demonstrated that acute and subchronic treatment with NMDA receptor antagonists such as ketamine (KET) represents a useful model that resembles the schizophrenia symptomatology, including cognitive impairment. This latter has been explained as a hypofunction of NMDA receptors located on the GABA parvalbumin-positive interneurons (near to the cortical pyramidal cells), thus generating an imbalance between the inhibitory and excitatory activity in the corticomesolimbic circuits. The use of behavioral models to explore alterations in different domains of memory is vital to learn more about the neurobiological changes that underlie schizophrenia. Thus, to better understand the neurophysiological mechanisms involved in cognitive impairment related to schizophrenia, the purpose of this review is to analyze the most recent findings regarding the effect of KET administration on these processes.
精神分裂症是一种严重的神经精神疾病,其特征为阳性症状(幻觉、妄想和思维及语言紊乱)、阴性症状(意志缺乏、言语贫乏和情感迟钝)和认知障碍(注意力缺陷、陈述性记忆受损和社会认知缺陷)。多巴胺能活动亢进似乎可以解释阳性症状,但并不能完全阐明阴性和认知临床表现的出现。临床前数据表明,急性和亚慢性使用 NMDA 受体拮抗剂,如氯胺酮(KET),代表了一种有用的模型,类似于精神分裂症的症状,包括认知障碍。后者被解释为位于 GABA 中间神经元(靠近皮质锥体细胞)上的 NMDA 受体功能低下,从而导致皮质-中脑边缘回路中抑制和兴奋活动之间的不平衡。使用行为模型来探索不同记忆领域的变化对于了解精神分裂症相关的神经生物学变化至关重要。因此,为了更好地理解与精神分裂症相关的认知障碍所涉及的神经生理机制,本综述的目的是分析关于 KET 给药对这些过程影响的最新发现。