Brailowsky S, Knight R T
Department of Neurology, University of California-Davis, V.A.M.C., Martinez 94553.
Neurobiol Aging. 1987 Sep-Oct;8(5):441-7. doi: 10.1016/0197-4580(87)90039-x.
We investigated the participation of catecholaminergic mechanisms in the functional recovery from motor cortex lesions in young (9 months) and aged (26 months) rats. The animals were studied during the recovery period from an hemiplegic syndrome secondary to small motor cortex lesions potentiated by the localized, chronic (7 days) infusion of GABA into the lesion site. Acute administration of haloperidol (0.1 mg/kg IP) to these recovered animals induced a re-emergence of the contralateral motor syndrome in both groups. In the young group, the haloperidol-induced hemiplegia lasted one day whereas in the aged animals the deficit was significantly prolonged lasting three days. Apomorphine administration (0.5 mg/kg IP) prior to or immediately after haloperidol injection failed to prevent or reverse the reappearance of the motor deficit. Adult animals recovered from motor cortex aspirations performed 7 to 12 months prior were refractory to haloperidol effects. Amphetamine administration to young rats treated chronically with saline or GABA infusion into the somatomotor region also failed to alter the clinical evolution of the motor deficit. The evidence suggests that dopaminergic mechanisms are involved in the functional recovery from brain lesions and that these mechanisms are most susceptible to neuroleptic blockade during the early post-lesional period. The deleterious effects of dopaminergic blockade are heightened in aged populations. The use of dopaminergic antagonists in brain-lesioned subjects, and particularly in geriatric populations, is considered potentially harmful, particularly in the early stages of the recovery process.
我们研究了儿茶酚胺能机制在年轻(9个月)和老年(26个月)大鼠运动皮层损伤功能恢复中的作用。在因局部慢性(7天)向损伤部位注入GABA而加重的小运动皮层损伤继发偏瘫综合征的恢复期对动物进行研究。对这些恢复的动物急性给予氟哌啶醇(0.1mg/kg,腹腔注射)后,两组均再次出现对侧运动综合征。在年轻组中,氟哌啶醇诱导的偏瘫持续一天,而在老年动物中,功能缺陷明显延长,持续三天。在氟哌啶醇注射前或注射后立即给予阿扑吗啡(0.5mg/kg,腹腔注射)未能预防或逆转运动缺陷的再次出现。7至12个月前从运动皮层损毁中恢复的成年动物对氟哌啶醇的作用具有抗性。对长期经生理盐水或向躯体运动区注入GABA处理的年轻大鼠给予苯丙胺也未能改变运动缺陷的临床演变。证据表明,多巴胺能机制参与脑损伤后的功能恢复,且这些机制在损伤后的早期最易受神经阻滞剂的阻断作用影响。多巴胺能阻断的有害作用在老年群体中更为明显。在脑损伤患者,尤其是老年群体中使用多巴胺能拮抗剂被认为具有潜在危害,特别是在恢复过程的早期阶段。