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Contextual and psychosocial factors influencing drug reward in humans: The importance of non-drug reinforcement 影响人类药物奖赏的情境和社会心理因素:非药物强化的重要性。
IF 3.6 3区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-06-10 DOI: 10.1016/j.pbb.2024.173802
Samuel F. Acuff , Lauren E. Oddo , Alexandra N. Johansen , Justin C. Strickland

The reinforcing efficacy, or behavior-strengthening effect, of a substance is a critical determinant of substance use typically quantified by measuring behavioral allocation to the substance under schedules of reinforcement with escalating response requirements. Although responses on these tasks are often used to indicate stable reinforcing effects or trait-level abuse potential for an individual, task designs often demonstrate within-person variability across varying degrees of a constraint within experimental procedures. As a result, quantifying behavioral allocation is an effective approach for measuring the impact of contextual and psychosocial factors on substance reward. We review studies using laboratory self-administration, behavioral economic purchase tasks, and ambulatory assessments to quantify the impact of various contextual and psychosocial factors on behavioral allocation toward consumption of a substance. We selected these assessment approaches because they cover the translational spectrum from experimental control to ecological relevance, with consistent support across these approaches representing greater confidence in the effect. Conceptually, we organized factors that influence substance value into two broad categories: factors that influence the cost/benefit ratio of the substance (social context, stress and affect, cue exposure), and factors that influence the cost/benefit ratio of an alternative (alternative non-drug reinforcers, alternative drug reinforcers, and opportunity costs). We conclude with an overview of future research directions and considerations for clinical application.

药物的强化效果或行为强化效应是决定药物使用的一个关键因素,通常通过测量在反应要求不断升级的强化计划下对药物的行为分配来量化。虽然在这些任务中的反应通常被用来表明个人的稳定强化效果或特质级滥用潜力,但任务设计通常会在实验程序中不同程度的限制条件下显示出人体内的差异性。因此,量化行为分配是衡量环境和社会心理因素对物质奖励影响的重要方法。我们回顾了使用实验室自我管理、行为经济购买任务和非卧床评估来量化各种情境和心理社会因素对物质消费行为分配的影响的研究。我们之所以选择这些评估方法,是因为它们涵盖了从实验控制到生态相关性的转化范围,这些方法的一致性支持代表了对效果的更大信心。从概念上讲,我们将影响物质价值的因素分为两大类:影响物质成本/收益比的因素(社会环境、压力和情绪、线索暴露),以及影响替代品成本/收益比的因素(替代性非药物强化物、替代性药物强化物和机会成本)。最后,我们概述了未来的研究方向和临床应用的注意事项。
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引用次数: 0
From past to future: 50 years of pharmacological interventions to treat narcolepsy 从过去到未来:药物干预治疗嗜睡症 50 年。
IF 3.6 3区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-06-07 DOI: 10.1016/j.pbb.2024.173804
Eric Konofal

The history of narcolepsy research began with the pioneering work of Jean-Baptiste-Édouard Gélineau in the late 19th century. In the 1880s, Gélineau introduced the term “narcolepsy” to describe a condition characterized by sudden and uncontrollable episodes of sleep. His clinical descriptions laid the foundation for our understanding of this complex disorder.

Over the last half-century, the pharmacological landscape for narcolepsy treatment has evolved remarkably, shifting from merely managing symptoms to increasingly targeting its underlying pathophysiology. By the 1930s, treatments such as ephedrine and amphetamine were introduced to alleviate excessive daytime sleepiness, marking significant advancements in narcolepsy management. These stimulants provided temporary relief, helping patients maintain wakefulness during the day.

As research progressed, the focus shifted towards understanding the disorder's underlying mechanisms. The discovery of orexin (also known as hypocretin) in the late 1990s revolutionized the field. This breakthrough underscored the importance of orexin in regulating sleep-wake cycles and provided new targets for pharmacological intervention.

Looking ahead, the future of narcolepsy pharmacotherapy is poised for further innovation. The ongoing exploration of orexin receptor agonists and the potential development of neuroprotective therapeutic targets underscore a promising horizon. Emerging research into the genetic and immunological underpinnings of narcolepsy opens new avenues for personalized medicine approaches and the identification of biomarkers for more precise treatment strategies. Additionally, the refinement of existing treatments through improved delivery systems and the investigation of combination therapies offer opportunities for enhanced efficacy and improved quality of life for patients with narcolepsy.

嗜睡症的研究历史始于 19 世纪末让-巴蒂斯特-爱德华-盖里诺(Jean-Baptiste-Édouard Gélineau)的开创性工作。19 世纪 80 年代,Gélineau 提出了 "嗜睡症 "一词,用来描述一种以突然和无法控制的睡眠发作为特征的疾病。他的临床描述为我们了解这种复杂的疾病奠定了基础。在过去的半个世纪里,嗜睡症的药物治疗发生了显著的变化,从单纯控制症状转变为越来越多地针对其潜在的病理生理学。到 20 世纪 30 年代,麻黄碱和安非他明等治疗药物开始用于缓解白天过度嗜睡,标志着嗜睡症治疗取得了重大进展。这些兴奋剂能暂时缓解症状,帮助患者在白天保持清醒。随着研究的深入,研究重点转向了解嗜睡症的内在机制。20 世纪 90 年代末,奥曲肽的发现(又称视网膜下素)彻底改变了这一领域。这一突破强调了奥曲肽在调节睡眠-觉醒周期中的重要性,并为药物干预提供了新的靶点。展望未来,嗜睡症药物疗法有望进一步创新。对奥曲肽受体激动剂的不断探索以及对神经保护治疗靶点的潜在开发,凸显了前景广阔。对嗜睡症基因和免疫学基础的新兴研究为个性化医疗方法和生物标志物的鉴定开辟了新的途径,以制定更精确的治疗策略。此外,通过改进给药系统和研究联合疗法来完善现有治疗方法,为提高嗜睡症患者的疗效和生活质量提供了机会。
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引用次数: 0
Deciphering the gut microbiota's (Coprococcus and Subdoligranulum) impact on depression: Network pharmacology and molecular dynamics simulation 解读肠道微生物群(Coprococcus 和 Subdoligranulum)对抑郁症的影响:网络药理学与分子动力学模拟
IF 3.6 3区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-06-05 DOI: 10.1016/j.pbb.2024.173805
Sarvesh Sabarathinam

Depression, a prevalent mental health condition, significantly impacts global mental impairment rates. While antidepressants are commonly used, treatment-resistant depression (TRD) poses a challenge. Emerging research highlights the role of the gut microbiota in depression through the gut-brain axis. This study identifies key genes associated with depression influenced by specific gut microbiota, Coprococcus and Subdoligranulum. Using bioinformatics tools, potential targets were elucidated, and molecular docking studies were performed. Furthermore, gene expression analysis identified hub-genes related to depression, intersecting with metabolite targets. Protein-protein interaction analysis revealed pivotal targets such as PTGS2 and MMP9. Molecular docking demonstrated 3-Indolepropionic acid's superior affinity over (R)-3-(4-Hydroxyphenyl)lactate. Physicochemical properties and toxicity profiles were compared, suggesting favorable attributes for 3-Indolepropionic acid. Molecular dynamics simulations confirmed stability and interactions of compounds with target proteins. This comprehensive approach sheds light on the complex interplay between gut microbiota, genes, and depression, emphasizing the potential for microbiota-targeted interventions in mental health management.

抑郁症是一种普遍存在的精神健康问题,严重影响全球精神损伤率。虽然抗抑郁药是常用药物,但耐药性抑郁症(TRD)的治疗却面临挑战。新近的研究强调了肠道微生物群通过肠道-大脑轴在抑郁症中的作用。这项研究确定了受特定肠道微生物群(Coprococcus 和 Subdoligranulum)影响的与抑郁症相关的关键基因。利用生物信息学工具,阐明了潜在的靶点,并进行了分子对接研究。此外,基因表达分析确定了与抑郁有关的枢纽基因,这些基因与代谢物靶标相互交叉。蛋白质-蛋白质相互作用分析揭示了关键靶点,如 PTGS2 和 MMP9。分子对接表明,3-吲哚丙酸的亲和力优于(R)-3-(4-羟基苯基)乳酸。通过比较理化性质和毒性特征,3-吲哚丙酸具有良好的属性。分子动力学模拟证实了化合物的稳定性以及与目标蛋白质的相互作用。这种综合方法揭示了肠道微生物群、基因和抑郁症之间复杂的相互作用,强调了以微生物群为目标的干预措施在心理健康管理方面的潜力。
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引用次数: 0
Human laboratory models of reward in substance use disorder 药物使用失调症奖赏的人体实验室模型。
IF 3.6 3区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-06-04 DOI: 10.1016/j.pbb.2024.173803
Alexandra N. Johansen , Samuel F. Acuff , Justin C. Strickland

Human laboratory models in substance use disorder provide a key intermediary step between highly controlled and mechanistically informative non-human preclinical methods and clinical trials conducted in human populations. Much like preclinical models, the variety of human laboratory methods provide insights into specific features of substance use disorder rather than modelling the diverse causes and consequences simultaneously in a single model. This narrative review provides a discussion of popular models of reward used in human laboratory research on substance use disorder with a focus on the specific contributions that each model has towards informing clinical outcomes (forward translation) and analogs within preclinical models (backward translation). Four core areas of human laboratory research are discussed: drug self-administration, subjective effects, behavioral economics, and cognitive and executive function. Discussion of common measures and models used, the features of substance use disorder that these methods are purported to evaluate, unique issues for measure validity and application, and translational links to preclinical models and special considerations for studies wishing to evaluate homology across species is provided.

药物使用失调的人体实验模型是高度可控、机理信息丰富的非人类临床前方法与在人群中进行的临床试验之间的一个关键中间步骤。与临床前模型一样,各种人体实验方法都能让人们深入了解药物使用障碍的具体特征,而不是在单一模型中同时模拟各种原因和后果。本叙事性综述讨论了药物使用障碍人体实验室研究中常用的奖励模型,重点是每种模型对临床结果(前向转化)和临床前模型中的类似物(后向转化)的具体贡献。本文讨论了人体实验室研究的四个核心领域:药物自我给药、主观效应、行为经济学以及认知和执行功能。讨论了常用的测量方法和模型、这些方法声称要评估的药物使用障碍的特征、测量有效性和应用的独特问题、与临床前模型的转化联系,以及希望评估跨物种同源性的研究的特别注意事项。
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引用次数: 0
Ramelteon protects against social defeat stress-associated abnormal behaviors 雷美替胺能防止与社会失败压力相关的异常行为。
IF 3.6 3区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-06-02 DOI: 10.1016/j.pbb.2024.173794
Chao-Wei Chen , Wei-Lan Yeh , Vichuda Charoensaensuk , Chingju Lin , Liang-Yo Yang , Sheng-Yun Xie , Hsien-Yuan Lane , Chieh-Hsin Lin , Yu-Wen Wang , Cheng-Fang Tsai , Dah-Yuu Lu

Psychological stress affects the neuroendocrine regulation, which modulates mental status and behaviors. Melatonin, a hormone synthesized primarily by the pineal gland, regulates many brain functions, including circadian rhythms, pain, sleep, and mood. Selective pharmacological melatonin agonist ramelteon has been clinically used to treat mood and sleep disorders. Posttraumatic stress disorder (PTSD) is a psychiatric condition associated with severe trauma; it is generally triggered by traumatic events, which lead to severe anxiety and uncontrollable trauma recall. We recently reported that repeated social defeat stress (RSDS) may induce robust anxiety-like behaviors and social avoidance in mice. In the present study, we investigated whether melatonin receptor activation by melatonin and ramelteon regulates RSDS-induced behavioral changes. Melatonin treatment improved social avoidance and anxiety-like behaviors in RSDS mice. Moreover, treatment of the non-selective MT1/MT2 receptor agonist, ramelteon, markedly ameliorated RSDS-induced social avoidance and anxiety-like behaviors. Moreover, activating melatonin receptors also balanced the expression of monoamine oxidases, glucocorticoid receptors, and endogenous antioxidants in the hippocampus. Taken together, our findings indicate that the activation of both melatonin and ramelteon regulates RSDS-induced anxiety-like behaviors and PTSD symptoms. The current study also showed that the regulatory effects of neuroendocrine mechanisms and cognitive behaviors on melatonin receptor activation in repeated social defeat stress.

心理压力会影响神经内分泌调节,从而调节精神状态和行为。褪黑激素是一种主要由松果体合成的荷尔蒙,可调节许多大脑功能,包括昼夜节律、疼痛、睡眠和情绪。选择性药理褪黑素激动剂雷美替胺已被临床用于治疗情绪和睡眠障碍。创伤后应激障碍(PTSD)是一种与严重创伤有关的精神疾病;它通常由创伤事件引发,导致严重焦虑和无法控制的创伤回忆。我们最近报道,重复社交失败应激(RSDS)可诱发小鼠强烈的焦虑样行为和社交回避。在本研究中,我们探讨了褪黑激素和雷美替胺对褪黑激素受体的激活是否能调节RSDS诱导的行为变化。褪黑素治疗改善了RSDS小鼠的社交回避和焦虑样行为。此外,非选择性 MT1/MT2 受体激动剂雷美替胺能明显改善 RSDS 诱导的社交回避和焦虑样行为。此外,激活褪黑激素受体还能平衡海马中单胺氧化酶、糖皮质激素受体和内源性抗氧化剂的表达。综上所述,我们的研究结果表明,激活褪黑激素和雷美替胺可调节 RSDS 诱导的焦虑样行为和创伤后应激障碍症状。目前的研究还表明,神经内分泌机制和认知行为对反复社会挫败应激中褪黑激素受体激活的调节作用。
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引用次数: 0
Characterization and validation of a spontaneous acute and protracted oxycodone withdrawal model in male and female mice 雄性和雌性小鼠自发急性和长期羟考酮戒断模型的特征和验证。
IF 3.3 3区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-06-02 DOI: 10.1016/j.pbb.2024.173795
Katherine M. Contreras , Belle Buzzi , Julian Vaughn , Martial Caillaud , Ahmad A. Altarifi , Emily Olszewski , D. Matthew Walentiny , Patrick M. Beardsley , M. Imad Damaj

Opioid use disorder (OUD) is a serious health problem that may lead to physical dependence, in addition to affective disorders. Preclinical models are essential for studying the neurobiology of and developing pharmacotherapies to treat these problems. Historically, chronic morphine injections have most often been used to produce opioid-dependent animals, and withdrawal signs indicative of dependence were precipitated by administering an opioid antagonist. In the present studies, we have developed and validated a model of dependence on oxycodone (a widely prescribed opioid) during spontaneous withdrawal in male and female C57BL/6J mice. Dependence was induced by chronically administering oxycodone through osmotic minipumps at different doses for 7 days. Somatic withdrawal signs were measured after 3, 6, 24, and 48 h following minipump removal. Additionally, sensitivity to mechanical, thermal, and cold stimuli, along with anxiety-like behavior, were also measured. Our results indicated that spontaneous withdrawal following discontinuation of oxycodone produced an increase in total withdrawal signs after 60 and 120 mg/kg/day regimens of oxycodone administration. These signs were reversed by the administration of clinically approved medications for OUD. In general, both female and male mice showed similar profiles of somatic signs of spontaneous withdrawal. Spontaneous withdrawal also resulted in mechanical and cold hypersensitivity lasting for 24 and 14 days, respectively, and produced anxiety-like behaviors after 2 and 3 weeks following oxycodone removal. These results help validate a new model of oxycodone dependence, including the temporally distinct emergence of somatic, hyperalgesic, and anxiety-like behaviors, potentially useful for mechanistic and translational studies of opioid dependence.

阿片类药物使用障碍(OUD)是一个严重的健康问题,除了情感障碍外,还可能导致身体依赖。临床前模型对于研究治疗这些问题的神经生物学和开发药物疗法至关重要。在历史上,长期注射吗啡最常用于制造阿片类依赖动物,通过注射阿片类拮抗剂来诱发表明依赖性的戒断症状。在本研究中,我们开发并验证了一种在雌雄 C57BL/6J 小鼠自发戒断过程中对羟考酮(一种广泛处方的阿片类药物)产生依赖的模型。通过不同剂量的渗透性微型泵长期给药羟考酮,诱导小鼠产生依赖性,持续7天。在移除微型泵后的 3、6、24 和 48 小时后测量了躯体戒断症状。此外,还测量了对机械、热和冷刺激的敏感性以及焦虑样行为。我们的研究结果表明,停用羟考酮后的自发戒断会导致总戒断症状的增加,在 60 毫克/千克/天和 120 毫克/千克/天的羟考酮给药方案中都出现了这种情况。通过服用临床认可的治疗 OUD 的药物,这些症状得以逆转。一般来说,雌性和雄性小鼠自发戒断的体征特征相似。自发戒断还导致机械过敏和冷过敏,分别持续了 24 天和 14 天,并在去除羟考酮 2 周和 3 周后产生焦虑样行为。这些结果有助于验证一种新的羟考酮依赖模型,包括在不同时间出现的躯体、痛觉过敏和焦虑样行为,可能有助于阿片类药物依赖的机理研究和转化研究。
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引用次数: 0
Chronic administration of caffeine, modafinil, AVL-3288 and CX516 induces time-dependent complex effects on cognition and mood in an animal model of sleep deprivation 在睡眠剥夺动物模型中,长期服用咖啡因、莫达非尼、AVL-3288 和 CX516 会对认知和情绪产生随时间变化的复杂影响。
IF 3.6 3区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-05-30 DOI: 10.1016/j.pbb.2024.173793
Muhammed Cihan Güvel , Utku Aykan , Gökçen Paykal , Canan Uluoğlu

Objective

Caffeine and modafinil are used to reverse effects of sleep deprivation. Nicotinic alpha-7 receptor and AMPA receptor positive allosteric modulators (PAM) are also potential substances in this context. Our objective is to evaluate the effects of caffeine, modafinil, AVL-3288 (nicotinic alpha-7 PAM) and CX516 (AMPA receptor PAM) on cognition and mood in a model of sleep deprivation.

Method

Modified multiple platform model is used to sleep-deprive mice for 24 days, for 8 h/day. Vehicle, Modafinil (40 mg/kg), Caffeine (5 mg/kg), CX516 (10 mg/kg), and AVL3288 (1 mg/kg) were administered intraperitoneally daily. A cognitive test battery was applied every six days for four times. The battery that included elevated plus maze, novel object recognition, and sucrose preference tests was administered on consecutive days.

Results

Sleep deprivation decreased novel object recognition skill, but no significant difference was found in anxiety and depressive mood. Caffeine administration decreased anxiety-like behavior in short term, but this effect disappeared in chronic administration. Caffeine administration increased memory performance in chronic period. AVL group showed better memory performance in short term, but this effect disappeared in the rest of experiment. Although, in the modafinil group, no significant change in mood and memory was observed, anhedonia was observed in the chronic period in vehicle, caffeine and modafinil groups, but not in AVL-3288 and CX-516 groups.

Conclusion

Caffeine has anxiolytic effect in acute administration. The improvement of memory in chronic period may be associated with the neuroprotective effects of caffeine. AVL-3288 had a short-term positive effect on memory, but tolerance to these effects developed over time. Furthermore, no anhedonia was observed in AVL-3288 and CX516 groups in contrast to vehicle, caffeine and modafinil groups. This indicates that AVL-3288 and CX516 may show protective effect against depression.

目的咖啡因和莫达非尼被用于逆转睡眠不足的影响。尼古丁α-7受体和AMPA受体正性异位调节剂(PAM)也是这方面的潜在药物。我们的目的是评估咖啡因、莫达非尼、AVL-3288(烟碱α-7受体PAM)和CX516(AMPA受体PAM)在睡眠剥夺模型中对认知和情绪的影响:方法:使用改良的多平台模型对小鼠进行为期 24 天、每天 8 小时的睡眠剥夺。每天腹腔注射药物、莫达非尼(40 毫克/千克)、咖啡因(5 毫克/千克)、CX516(10 毫克/千克)和 AVL3288(1 毫克/千克)。认知测试每六天进行一次,共进行四次。测试包括高架迷宫、新物体识别和蔗糖偏好测试:结果:剥夺睡眠会降低新物体识别能力,但在焦虑和抑郁情绪方面没有发现明显差异。服用咖啡因可在短期内减少焦虑样行为,但长期服用后这种效应消失。长期服用咖啡因可提高记忆力。AVL 组的短期记忆表现较好,但这种效果在实验的其余部分消失了。虽然莫达非尼组在情绪和记忆方面没有观察到显著变化,但在长期用药中,车辆组、咖啡因组和莫达非尼组都观察到了失神,而 AVL-3288 组和 CX-516 组则没有:结论:咖啡因在急性用药期有抗焦虑作用。结论:咖啡因在急性给药期有抗焦虑作用,在慢性给药期记忆力的改善可能与咖啡因的神经保护作用有关。AVL-3288 对记忆力有短期的积极影响,但随着时间的推移会产生耐受性。此外,与药物组、咖啡因组和莫达非尼组相比,AVL-3288 和 CX516 组未观察到失神。这表明 AVL-3288 和 CX516 可能对抑郁症有保护作用。
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引用次数: 0
Higher exploratory and vigilant behaviors related to higher central dopaminergic activities of Formosan wood mice (Apodemus semotus) in light-dark exploration tests 台山木鼠在光-暗探索试验中较高的探索和警惕行为与较高的中枢多巴胺能活动有关。
IF 3.6 3区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-05-26 DOI: 10.1016/j.pbb.2024.173792
Shu-Chuan Yang , Kun-Ruey Shieh

Formosan wood mice (Apodemus semotus) are endemic rodents in Taiwan. Recently Formosan wood mice exhibit similar locomotor behaviors in the laboratory environment as in the field environment has shown. Contemporaneously, Formosan wood mice have higher moving distances of and central dopaminergic (DAergic) activities than C57BL/6 mice in behavioral test. This study tried to compare the behavioral responses between male Formosan wood mice and male C57BL/6 mice in the light-dark exploration tests. We also measured the levels of DA and 3,4-dihydroxyphenylacetic acid (DOPAC), the primary metabolite of DA, to assess the dopaminergic activity of the medial prefrontal cortex, striatum, and nucleus accumbens. Our data show that Formosan wood mice revealed higher exploration and central DAergic activities than did C57BL/6 mice in the light-dark exploration tests, and diazepam (an anxiolytics) treatment reduced the exploratory activity and central dopaminergic activities in Formosan wood mice, but not in C57BL/6 mice. After repeated exposure to light-dark exploration tests, the latency to dark zone was increased, and the duration in light zone as well as the central DAergic activity were decreased in C57BL/6 mice. This study provides comparative findings; Formosan wood mice showed the higher exploratory activities than C57BL/6 mice did, and their central DAergic activities were related to the behavioral responses in these two mice. This could potentially shed light on the reasons behind the prevalence of higher exploration and central dopaminergic activities. Using Formosan wood mice as a model to study human diseases related to hyperactivity adds significant value to the potential research.

台湾木鼠(Apodemus semotus)是台湾特有的啮齿类动物。最近的研究表明,台山木鼠在实验室环境中的运动行为与在野外环境中的运动行为相似。同时,在行为测试中,台山木鼠的移动距离和中枢多巴胺能(DAergic)活性均高于C57BL/6小鼠。本研究试图比较雄性台塑小鼠和雄性C57BL/6小鼠在光-暗探索试验中的行为反应。我们还测量了DA和DA的主要代谢产物3,4-二羟基苯乙酸(DOPAC)的水平,以评估内侧前额叶皮层、纹状体和伏隔核的多巴胺能活动。我们的数据显示,在光-暗探索试验中,福尔摩沙小鼠的探索活动和中枢多巴胺能活动均高于C57BL/6小鼠,地西泮(一种抗焦虑药)治疗可降低福尔摩沙小鼠的探索活动和中枢多巴胺能活动,而C57BL/6小鼠则不会。在重复暴露于光-暗探索试验后,C57BL/6小鼠进入暗区的潜伏期增加,在光区的持续时间和中枢多巴胺能活性降低。这项研究提供了比较结果:台山木小鼠比C57BL/6小鼠表现出更高的探索活动,其中枢DA能活动与这两种小鼠的行为反应有关。这有可能揭示探索活动和中枢多巴胺能活动普遍较高的原因。用台山木小鼠作为模型来研究与多动相关的人类疾病,为潜在的研究增添了重要价值。
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引用次数: 0
Efficacy of ketamine versus esketamine in the treatment of perioperative depression: A review 氯胺酮与艾司氯胺酮治疗围手术期抑郁症的疗效对比:综述。
IF 3.3 3区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-05-26 DOI: 10.1016/j.pbb.2024.173773
Wen Wen , Zhao Wenjing , Xing Xia, Xiangjun Duan, Liang Zhang, Lin Duomao, Qi Zeyou, Sheng Wang, Mingxin Gao, Changcheng Liu, Haiyang Li, Jun Ma

Depression is a significant factor contributing to postoperative occurrences, and patients diagnosed with depression have a higher risk for postoperative complications. Studies on cardiovascular surgery extensively addresses this concern. Several studies report that people who undergo coronary artery bypass graft surgery have a 20% chance of developing postoperative depression. A retrospective analysis of medical records spanning 21 years, involving 817 patients, revealed that approximately 40% of individuals undergoing coronary artery bypass grafting (CABG) were at risk of perioperative depression.

Patients endure prolonged suffering from illness because each attempt with standard antidepressants requires several weeks to be effective. In addition, multi-drug combination adjuvants or combination medication therapy may alleviate symptoms for some individuals, but they also increase the risk of side effects. Conventional antidepressants primarily modulate the monoamine system, whereas different therapies target the serotonin, norepinephrine, and dopamine systems. Esketamine is a fast-acting antidepressant with high efficacy. Esketamine is the S-enantiomer of ketamine, a derivative of phencyclidine developed in 1956. Esketamine exerts its effect by targeting the glutaminergic system the glutaminergic system. In this paper, we discuss the current depression treatment strategies with a focus on the pharmacology and mechanism of action of esketamine. In addition, studies reporting use of esketamine to treat perioperative depressive symptoms are reviwed, and the potential future applications of the drug are presented.

抑郁症是导致术后并发症的一个重要因素,被诊断出患有抑郁症的患者出现术后并发症的风险更高。有关心血管手术的研究广泛涉及这一问题。多项研究报告显示,接受冠状动脉旁路移植手术的患者术后患抑郁症的几率为 20%。一项对 817 名患者长达 21 年的医疗记录进行的回顾性分析表明,接受冠状动脉旁路移植术(CABG)的患者中约有 40% 存在围手术期抑郁的风险。由于每次尝试使用标准抗抑郁药都需要数周时间才能见效,因此患者要忍受长时间的疾病折磨。此外,多种药物联合辅助治疗或联合用药治疗可能会减轻某些人的症状,但也会增加副作用的风险。传统的抗抑郁药物主要调节单胺系统,而不同的疗法则针对血清素、去甲肾上腺素和多巴胺系统。Esketamine 是一种高效的速效抗抑郁药。Esketamine 是氯胺酮的 S-对映体,是 1956 年开发的苯环利定的衍生物。氯胺酮是氯胺酮的S-对映体,是1956年开发的苯环利定的衍生物。氯胺酮通过靶向谷氨酸能系统产生作用。在本文中,我们讨论了当前的抑郁症治疗策略,重点是艾司氯胺酮的药理学和作用机制。此外,本文还重温了使用艾司氯胺酮治疗围手术期抑郁症状的研究报告,并介绍了该药物未来的潜在应用领域。
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引用次数: 0
Environmental enrichment enhances the antidepressant effect of ketamine and ameliorates spatial memory deficits in adult rats 丰富环境可增强氯胺酮的抗抑郁作用,并改善成年大鼠的空间记忆缺陷。
IF 3.6 3区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-05-17 DOI: 10.1016/j.pbb.2024.173790
Deren Aykan , Mert Genc , Gunes Unal

Ketamine is a rapid-acting antidepressant associated with various cognitive side effects. To mitigate these side effects while enhancing efficacy, it can be co-administered with other antidepressants. In our study, we adopted a similar strategy by combining ketamine with environmental enrichment, a potent sensory-motor paradigm, in adult male Wistar rats. We divided the animals into four groups based on a combination of housing conditions and ketamine versus vehicle injections. The groups included those housed in standard cages or an enriched environment for 50 days, which encompassed a 13-day-long behavioral testing period. Each group received either two doses of ketamine (20 mg/kg, IP) or saline as a vehicle. We tested the animals in the novel object recognition test (NORT), forced swim test (FST), open field test (OFT), elevated plus maze (EPM), and Morris water maze (MWM), which was followed by ex vivo c-Fos immunohistochemistry. We observed that combining environmental enrichment with ketamine led to a synergistic antidepressant effect. Environmental enrichment also ameliorated the spatial memory deficits caused by ketamine in the MWM. There was enhanced neuronal activity in the habenula of the enrichment only group following the probe trial of the MWM. In contrast, no differential activity was observed in enriched animals that received ketamine injections. The present study showed how environmental enrichment can enhance the antidepressant properties of ketamine while reducing some of its side effects, highlighting the potential of combining pharmacological and sensory-motor manipulations in the treatment of mood disorders.

氯胺酮是一种速效抗抑郁药,会对认知产生各种副作用。为了减轻这些副作用,同时提高疗效,氯胺酮可以与其他抗抑郁药物联合使用。在我们的研究中,我们采用了类似的策略,将氯胺酮与环境强化(一种有效的感觉运动范例)相结合,对成年雄性 Wistar 大鼠进行了研究。我们根据饲养条件和氯胺酮与车辆注射的组合将动物分为四组。各组包括在标准笼子或丰富环境中饲养 50 天的动物,其中包括长达 13 天的行为测试期。每组接受两次氯胺酮注射(20 毫克/千克,IP)或生理盐水作为载体。我们对动物进行了新物体识别试验(NORT)、强迫游泳试验(FST)、空地试验(OFT)、高架加迷宫(EPM)和莫里斯水迷宫(MWM)等测试,随后进行了体内c-Fos免疫组化。我们观察到,将环境富集与氯胺酮相结合可产生协同抗抑郁效果。环境富集还能改善氯胺酮导致的MWM空间记忆缺陷。在MWM探究试验后,仅强化组的后叶神经元活动增强。相比之下,在接受氯胺酮注射的富集动物中没有观察到不同的活动。本研究揭示了环境强化如何增强氯胺酮的抗抑郁特性,同时减少其副作用,突出了结合药理和感觉运动操作治疗情绪障碍的潜力。
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Pharmacology Biochemistry and Behavior
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