Arnsten A F, Goldman-Rakic P S
Section of Neurobiology, Yale Medical School, New Haven, Conn 06520-8001, USA.
Arch Gen Psychiatry. 1998 Apr;55(4):362-8. doi: 10.1001/archpsyc.55.4.362.
Stress can exacerbate a number of psychiatric disorders, many of which are associated with prefrontal cortical (PFC) cognitive deficits. Biochemical studies demonstrate that mild stress preferentially increases dopamine turnover in the PFC. Our study examined the effects of acute, mild stress exposure on higher cognitive function in monkeys and the role of dopaminergic mechanisms in the stress response.
The effects of loud (105-dB) noise stress were examined on a spatial working memory task (delayed response) dependent on the PFC, and on a reference memory task with similar motor and motivational demands (visual pattern discrimination) dependent on the inferior temporal cortex. The role of dopamine mechanisms was tested by challenging the stress response with agents that decrease dopamine receptor stimulation.
Exposure to noise stress significantly impaired delayed-response performance. Stress did not impair performance on "0-second" delay control trials and did not alter visual pattern discrimination performance, which is consistent with impaired PFC cognitive function rather than nonspecific changes in performance. Stress-induced deficits in delayed-response performance were ameliorated by pretreatment with drugs that block dopamine receptors (haloperidol, SCH 23390) or reduce stress-induced PFC dopamine turnover in rodents (clonidine, naloxone hydrochloride).
These results indicate that stress impairs PFC cognitive function through a hyperdopaminergic mechanism. Stress may take the PFC "off-line" to allow more habitual responses mediated by posterior cortical and subcortical structures to regulate behavior. This mechanism may have survival value, but may often be maladaptive in human society, contributing to the vulnerability of the PFC in many neuropsychiatric disorders.
压力会加重多种精神疾病,其中许多与前额叶皮质(PFC)认知缺陷有关。生化研究表明,轻度压力会优先增加PFC中的多巴胺周转率。我们的研究考察了急性轻度应激暴露对猴子高级认知功能的影响以及多巴胺能机制在应激反应中的作用。
研究了105分贝的大声噪音应激对依赖PFC的空间工作记忆任务(延迟反应)以及对依赖颞下皮质、具有相似运动和动机要求的参考记忆任务(视觉模式辨别)的影响。通过用降低多巴胺受体刺激的药物挑战应激反应来测试多巴胺机制的作用。
暴露于噪音应激显著损害了延迟反应表现。应激并未损害“0秒”延迟对照试验的表现,也未改变视觉模式辨别表现,这与PFC认知功能受损而非表现的非特异性变化一致。通过用阻断多巴胺受体的药物(氟哌啶醇、SCH 23390)预处理或用降低啮齿动物应激诱导的PFC多巴胺周转率的药物(可乐定、盐酸纳洛酮)预处理,可改善应激诱导的延迟反应表现缺陷。
这些结果表明,应激通过高多巴胺能机制损害PFC认知功能。应激可能使PFC“离线”,以便由后皮质和皮质下结构介导的更多习惯性反应来调节行为。这种机制可能具有生存价值,但在人类社会中往往可能是适应不良 的,导致PFC在许多神经精神疾病中易受影响。