O'Donnell P, Grace A A
Department of Neuroscience, University of Pittsburgh, PA 15260, USA.
Neuroscience. 1998 Dec;87(4):823-30. doi: 10.1016/s0306-4522(98)00190-0.
The N-methyl-D-aspartate channel blocker phencyclidine is known to induce psychotic episodes in normal subjects and exacerbate psychosis in schizophrenics; however, its site of action is not clear. The prefrontal cortex, hippocampus, and basal ganglia are brain regions that appear to play a role in the pathophysiology of schizophrenia, and therefore are the most likely to be involved in the psychotomimetic action of phencyclidine. In this study, systemic administration of phencyclidine reduced the frequency and duration of the spontaneously occurring depolarized plateaus observed in the membrane potential of accumbens neurons recorded intracellularly in vivo. Furthermore, recordings from rats pretreated with phencyclidine yielded proportionately fewer neurons showing depolarized events compared with untreated animals. These results suggest that phencyclidine may interfere with the generation of the depolarized ("up") state of the accumbens neuron membrane potential, which we had previously shown is dependent upon hippocampal input and is necessary for action potential discharge in these neurons. This action of phencyclidine is proposed to impair the flow of cortical information through the nucleus accumbens, and thereby mimic the consequences of the hippocampal deficit proposed to contribute to the pathophysiology of schizophrenia.
N-甲基-D-天冬氨酸通道阻滞剂苯环己哌啶已知可在正常受试者中诱发精神病发作,并使精神分裂症患者的精神病症状加重;然而,其作用位点尚不清楚。前额叶皮质、海马体和基底神经节是在精神分裂症病理生理学中似乎起作用的脑区,因此最有可能参与苯环己哌啶的拟精神病作用。在本研究中,全身给予苯环己哌啶可降低在体内细胞内记录的伏隔核神经元膜电位中自发出现的去极化平台的频率和持续时间。此外,与未处理的动物相比,用苯环己哌啶预处理的大鼠的记录显示出现去极化事件的神经元比例相应减少。这些结果表明,苯环己哌啶可能会干扰伏隔核神经元膜电位去极化(“向上”)状态的产生,我们之前已表明这种状态依赖于海马体输入,并且是这些神经元动作电位发放所必需的。苯环己哌啶的这种作用被认为会损害通过伏隔核的皮质信息流,从而模拟出被认为导致精神分裂症病理生理学的海马体缺陷的后果。