[抗冲动药物及其作用机制]。

Yu Ohmura, Iku Tsutsui-Kimura, Mitsuhiro Yoshioka
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引用次数: 0

摘要

较高的冲动性可能是吸毒成瘾、犯罪和自杀的风险因素。此外,在注意缺陷/多动障碍、精神分裂症和双相情感障碍等几种精神疾病中观察到较差的抑制控制。因此,临床药物除了对原发疾病有治疗作用外,还应具有抗冲动作用。至少最好使用不会增加冲动的临床药物。我们开发了一个三选择系列反应时间任务,并检查了临床药物对使用该任务的大鼠冲动的影响。我们发现了几种抗冲动药物(锂、坦多螺酮和米那西普兰),并阐明了其中一些药物的作用机制。例如,我们证明了milnacpran通过激活边缘下皮层的d1样受体来增强对冲动行为的控制。本文就该领域的研究进展作一综述,并对今后抗冲动药物的研究方向作一展望。
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[Anti-impulsivity drugs and their mechanisms of action].

Higher impulsivity could be a risk factor for drug addiction, criminal involvement, and suicide. Moreover, poor inhibitory control is observed in several psychiatric disorders such as attention-deficit/hyperactivity disorder, schizophrenia, and bipolar disorder. Thus it is preferred that clinical drugs have anti-impulsive effects in addition to the therapeutic effects on the primary disease. At least it is better to use clinical drugs that do not increase impulsivity. We have developed a 3-choice serial reaction time task and examined the effects of clinical drugs on impulsivity in rats using the task. We have found several anti-impulsive drugs (lithium, tandospirone, and milnacipran) and elucidated the mechanism of action in some of these drugs. For example, we demonstrated that milnacipran enhanced the control of impulsive action by activating D1-like receptors in the infralimbic cortex. In this review, we introduce recent advances in this field and suggest future directions to develop anti-impulsive drugs.

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