Prepulse Facilitation and Prepulse Inhibition in Schizophrenia Patients and Their Unaffected Siblings Jonathan K

Total Page:16

File Type:pdf, Size:1020Kb

Prepulse Facilitation and Prepulse Inhibition in Schizophrenia Patients and Their Unaffected Siblings Jonathan K Prepulse Facilitation and Prepulse Inhibition in Schizophrenia Patients and Their Unaffected Siblings Jonathan K. Wynn, Michael E. Dawson, Anne M. Schell, Mark McGee, Dustin Salveson, and Michael F. Green Background: Deficits in schizophrenia patients and their first-degree relatives have been reported in prepulse inhibition (PPI), a phenomenon that measures an early stage of information processing (sensorimotor gating). It is less clear whether these information processing deficits extend to prepulse facilitation (PPF), which measures a later stage of generalized alerting or orienting. Methods: This study examined three separate issues: first, whether schizophrenia patients have deficits in PPI and PPF; second, whether the siblings of patients show deficits in these processes; and third, whether prepulse duration influences the degree of the deficits. These issues were examined in 76 schizophrenia patients, 36 of their siblings, and 41 normal control subjects. Results: Patients and siblings did not differ from control subjects in PPI, perhaps due to the use of different procedural parameters compared with other laboratories that have consistently found PPI deficits in schizophrenia patients. Patients and their siblings produced significantly less PPF than control subjects. For both PPI and PPF, prepulse duration was not a significant factor. Conclusions: These results imply that PPF deficits reveal a generalized alerting or orienting deficit that is present in both schizophrenia patients and their siblings, suggesting that this deficit may be tapping an endophenotypic vulnerability factor. Key Words: Startle, prepulse inhibition, prepulse facilitation, ori- PPF in a passive attention paradigm is thought to reflect a classical activating effect (Graham 1975), indicating alerting or enting, schizophrenia, endophenotypic marker attention or automatically elicited generalized orienting (as op- tartle eyeblink modification (SEM) is a powerful tool for posed to specific orienting during a task that requires attention to be paid to specific stimuli; Graham and Hackley 1991). Prepulses studying information processing by examining how a star- appear to cause subjects to orient to incoming information, thus tle eyeblink is modified by a preceding, nonstartling stim- S enhancing the subsequent amount of eyeblink to the startle ulus (prepulse). When the prepulse precedes the startle pulse by burst, if the prepulse and startle burst are in the same modality a short interval (known as the lead interval), for example, less (Graham 1980). Deficits in orienting have been related to deficits than 500 msec, the startle eyeblink is inhibited, a phenomenon in allocation of processing resources to external stimuli and a known as prepulse inhibition (PPI). When the lead interval is reduction in available processing resources, traits also exhibited longer, for example, greater than 1000 msec, the startle eyeblink by schizophrenia patients (for a review, see Nuechterlein and is facilitated, particularly if the prepulse and startle stimulus are in Dawson 1984). Moreover, deficits in orienting have been shown the same sensory modality, a phenomenon known as prepulse to be stable trait markers for schizophrenia patients (Dawson et facilitation (PPF). Investigators have used SEM to study informa- al 1994; Spohn et al 1989) and at-risk populations (Simons 1981). tion processing deficits in schizophrenia for many years (Braff et Although PPI is thought to be automatic, several studies have al 1978; Cadenhead et al 1997; Dawson et al 1993; Hazlett et al shown that by directing attention toward the prepulse, PPI and 1998). More recently, PPI has been used with schizotypal indi- PPF can be enhanced (Dawson et al 1993; Filion et al 1993, 1994; viduals (Cadenhead et al 1993) and first-degree relatives of Hawk et al 2002; Hazlett et al 1998; Schell et al 2000). Some schizophrenics (Cadenhead et al 2000) as a possible endophe- investigators (e.g., Braff et al 1992; Cadenhead et al 2000) notypic marker. This article examines both PPI and PPF in interpret the PPI deficits exhibited by schizophrenia patients as schizophrenia patients, their first-degree relatives (siblings), and reflecting automatic sensorimotor gating deficits during a passive normal control subjects. It is thought that PPI and PPF reflect two separate mecha- attention task. Others (e.g., Dawson et al 1993, 2000) suggest that nisms: PPI is believed to index an automatic sensorimotor gating PPI deficits exhibited by schizophrenia patients are in the mechanism or a protection of processing mechanism (Braff et al controlled attentional modulation of PPI during an active atten- 1992; Graham 1980) whereby the processing of the prepulse tion task; however, differences in the methods used to elicit PPI gates out the sensory information of the startle stimulus. Deficits and PPF can have substantial impact on the results. The methods in PPI could theoretically lead to cognitive overload and frag- used in our study differ in several ways from those of laboratories mentation, traits exhibited by some pathologic populations such that consistently find absolute PPI deficits in schizophrenia as schizophrenia patients (Braff and Geyer 1990). In contrast, patients, for example, differences in level of background noise (which makes the prepulse less easily detectable), recording electromyogram (EMG) from the right eye, and the use of different types of prepulses. From the Department of Psychiatry and Biobehavioral Sciences (JKW, MM, DS, MFG), University of California, Los Angeles; Veterans Affairs Greater This study addressed one parameter that could lead to Los Angeles Healthcare System (JKW, MM, DS, MFG); Department of differences in findings across laboratories. Specifically, laborato- Psychology (MED), University of Southern California; and Department of ries that find deficits in absolute, automatic PPI in a passive Psychology (AMS), Occidental College, Los Angeles, California. attention paradigm in schizophrenia patients and at-risk subjects Address reprint requests to Jonathan K. Wynn, Ph.D., Veterans Affairs use discrete white noise prepulses (which begin and end before Greater Los Angeles Healthcare System, 11301 Wilshire Blvd. (MIRECC startle onset), whereas those that find deficits only in attentional 210A), Building 210, Los Angeles, CA 90073. modulation of PPI and PPF use continuous pure-tone prepulses Received March 28, 2003; revised August 26, 2003; accepted October 24, 2003. (which begin and continue up to and beyond startle onset) in an 0006-3223/04/$30.00 BIOL PSYCHIATRY 2004;55:518–523 doi:10.1016/j.biopsych.2003.10.018 © 2004 Society of Biological Psychiatry J.K. Wynn et al BIOL PSYCHIATRY 2004;55:518–523 519 active attention paradigm. Our study included both types of Table 1. Demographic Data prepulses in a passive attention paradigm. In passive attention paradigms, PPI has been proposed as a Schizophrenia Siblings Controls vulnerability indicator for schizophrenia. Those presumably at n 76 36 41 risk for developing schizophrenia (psychometrically defined; Age (years)a 42.70 (8.46) 38.23 (9.61) 35.64 (7.96) e.g., Simons and Giardina 1992) and those diagnosed with Range 20–55 18–55 21–50 schizotypal personality disorder (Cadenhead et al 1993) have Sex (M:F)b 74:2 17:19 19:21 exhibited PPI deficits. Only one published study, to our knowl- Antipsychotic Medicationc 22:43 edge, examined PPI in first-degree relatives of schizophrenia (typical:atypical) patients (Cadenhead et al 2000). In this study, deficient PPI in BPRS first-degree relatives was found under a specific condition— Total 47.78 (10.67) namely, measuring PPI from the right (but not left) eye at a Thinking Disturbance 2.95 (1.15) 30-msec lead interval, but not at lead intervals of 60 or 120 msec. Withdrawal-Retardation 2.30 (1.10) Although there have been numerous studies on PPI in Baseline Startle (␮V) 17.34 (28.82) 20.12 (22.34) 12.89 (14.43) schizophrenia, schizophrenia-spectrum populations, and at-risk Data are Mean (SD). populations, the literature concerning PPF deficits is sparse. M, male; F, female; BPRS, Brief Psychiatric Rating Scale. There is only one published study, to our knowledge, that aSchizophrenia patients significantly older than controls, p Ͻ .001. examined PPF in a passive paradigm in schizophrenia. Braff et al bLarger proportion of males in the schizophrenia group, p Ͻ .001. c (1978) examined both PPI and PPF in schizophrenia patients. For patients on known medications. Although the patients were deficient in PPI, they did not show any PPF differences from normal control subjects. Other studies schizophrenia based on the Structured Clinical Interview for have found PPF attentional modulation deficits during an active DSM-IV (SCID; First et al 1996b). All patients with useable startle attention task (i.e., failure to produce more PPF during a eyeblink data (see Subject Exclusions) were receiving antipsy- to-be-attended prepulse) in both schizophrenia patients (Daw- chotic medication at the time of testing: 43 were on atypical son et al 1993, 2000) and subjects putatively at risk based on the antipsychotics, 22 were on typical antipsychotics, and 11 were on Chapman scales (Schell et al 1995). mixed or unknown (e.g., blinded) antipsychotics. Our research examined three separate issues. First, we tested Psychiatric symptoms were assessed in the patient group whether schizophrenia patients have deficits in PPI and PPF with using the 24-item Brief Psychiatric Rating Scale (BPRS; Ventura et the parameters used in
Recommended publications
  • Alterations in Behavioral Responses to a Cholinergic Agonist In
    Neuropsychopharmacology (2005) 30, 1076–1087 & 2005 Nature Publishing Group All rights reserved 0893-133X/05 $30.00 www.neuropsychopharmacology.org Alterations in Behavioral Responses to a Cholinergic Agonist in Post-Pubertal Rats with Neonatal Ventral Hippocampal Lesions: Relationship to Changes in Muscarinic Receptor Levels 1,2 1 1 ,1,2 Franc¸ois Laplante , Osamu Nakagawasai , Lalit K Srivastava and Re´mi Quirion* 1 2 Douglas Hospital Research Centre, Department of Psychiatry, McGill University, Montreal, Que´bec, Canada; Department of Pharmacology/ Therapeutics, McGill University, Montre´al, Que´bec, Canada Excitotoxic neonatal ventral hippocampal (NVH) lesion in rats is considered as a putative animal model of schizophrenia as lesioned animals show characteristic post-pubertal emergence of neurochemical and behavioral abnormalities analogous to some of those seen in this disease. Converging evidence points to the involvement of central cholinergic system in this neuropsychiatric disorder, and our previous studies have suggested that cholinergic neurotransmission may be altered in post-pubertal NVH lesioned rats. We investigated here muscarinic receptor reactivity in NVH lesioned animals by measuring the effects of the muscarinic receptor agonist oxotremorine on physiological responses known to be modulated by these receptors such as body temperature, salivation, tremor, pain, and prepulse inhibition of the acoustic startle (PPI). Quantitative receptor autoradiography revealed that post-pubertal NVH lesioned animals display increased levels of [3H]pirenzepine/M -like and [3H]AFDX-384/M -like receptor binding sites in the striatum, nucleus accumbens, and in 1 2 subareas of the dorsal hippocampus. Moreover, in response to the systemic administration of oxotremorine (0.25 mg/kg), post-pubertal NVH lesioned rats exhibited increases in salivation and tremor, and a greater reduction in body temperature compared to sham control animals.
    [Show full text]
  • Lamotrigine Effects Sensorimotor Gating in WAG/Rij Rats
    Published online: 2019-11-13 Original Article Lamotrigine effects sensorimotor gating in WAG/Rij rats Ipek Komsuoglu Celikyurt, Guner Ulak, Oguz Mutlu, Furuzan Yildiz Akar, Faruk Erden, Sezer Sener Komsuoglu1 Department of Pharmacology, Faculty of Medicine, Psychopharmacology Laboratory, Kocaeli University, 1Department of Neurology, Faculty of Medicine, Kocaeli University, Kocaeli,Turkey ABSTRACT Introduction: Prepulse inhibition (PPI) is a measurable form of sensorimotor gating. Disruption of PPI reflects the impairment in the neural filtering process of mental functions that are related to the transformation of an external stimuli to a response. Impairment of PPI is reported in neuropsychiatric illnesses such as schizophrenia, Huntington’s disease, Parkinson’s diseases, Tourette syndrome, obsessive compulsive disorder, and temporal lobe epilepsy with psychosis. Absence epilepsy is the most common type of primary generalized epilepsy. Lamotrigine is an antiepileptic drug that is preferred in absence epilepsy and acts by stabilizing the voltage-gated sodium channels. Aim: In this study, we have compared WAG-Rij rats (genetically absence epileptic rats) with Wistar rats, in order to clarify if there is a deficient sensorimotor gating in absence epilepsy, and have examined the effects of lamotrigine (15, 30 mg/kg, i.p.) on this phenomenon. Materials and Methods: Depletion in PPI percent value is accepted as a disruption in sensory-motor filtration function. The difference between the Wistar and WAG/Rij rats has been evaluated with the student t test and the effects of lamotrigine on the PPI percent have been evaluated by the analysis of variance (ANOVA) post-hoc Dunnett’s test. Results: The PPI percent was low in the WAG/Rij rats compared to the controls (P<0.0001, t:9,612).
    [Show full text]
  • Prepulse Inhibition in Patients with Bipolar Disorder
    Mao et al. BMC Psychiatry (2019) 19:282 https://doi.org/10.1186/s12888-019-2271-8 RESEARCH ARTICLE Open Access Prepulse inhibition in patients with bipolar disorder: a systematic review and meta-analysis Zhen Mao1,2, Qijing Bo1,2* , Weidi Li1,2, Zhimin Wang1,2, Xin Ma1,2 and Chuanyue Wang1,2 Abstract Background: Prepulse inhibition (PPI) is a measurement method for the sensory gating process, which helps the brain adapt to complex environments. PPI may be reduced in patients with bipolar disorder (BD). This study investigated PPI deficits in BD and pooled the effect size of PPI in patients with BD. Methods: We conducted a literature search on PPI in patients with BD from inception to July 27, 2019 in PubMed, Embase, Cochrane Library databases, and Chinese databases. No age, sex, and language restriction were set. The calculation formula was PPI = 100 - [100*((prepulse - pulse amplitude) / pulse amplitude)]. The Newcastle-Ottawa Scale (NOS) was used to assess the quality of studies. Results: Ten eligible papers were identified, of which five studies including a total of 141 euthymic patients and 132 healthy controls (HC) were included in the meta-analysis. Compared with HC, euthymic patients with BD had significantly lower PPI at the 60 ms interstimulus interval (ISI) between pulse and prepulse (P = 0.476, I2 = 0.0%, SMD = − 0.32, 95% CI = − 0.54 - -0.10). Sensitivity analysis shows no significant change in the combined effect value after removing any single study. There was no publication bias using the Egger’s test at 60 ms (P = 0.606).
    [Show full text]
  • Prepulse Inhibition of the Auditory Startle Reflex Assessment As A
    brain sciences Review Prepulse Inhibition of the Auditory Startle Reflex Assessment as a Hallmark of Brainstem Sensorimotor Gating Mechanisms Ricardo Gómez-Nieto 1,2,3 , Sebastián Hormigo 1,4 and Dolores E. López 1,2,3,* 1 Institute of Neurosciences of Castilla y León, University of Salamanca, 37007 Salamanca, Spain; [email protected] (R.G.-N.); sebifi[email protected] (S.H.) 2 Institute Biomedical Research of Salamanca, University Hospital of Salamanca, 37007 Salamanca, Spain 3 Department of Cell Biology and Pathology, University of Salamanca, 37008 Salamanca, Spain 4 Department of Neuroscience, University of Connecticut Health Center, Farmington, CT 06030, USA * Correspondence: [email protected] Received: 11 August 2020; Accepted: 14 September 2020; Published: 16 September 2020 Abstract: When a low-salience stimulus of any type of sensory modality—auditory, visual, tactile—immediately precedes an unexpected startle-like stimulus, such as the acoustic startle reflex, the startle motor reaction becomes less pronounced or is even abolished. This phenomenon is known as prepulse inhibition (PPI), and it provides a quantitative measure of central processing by filtering out irrelevant stimuli. As PPI implies plasticity of a reflex and is related to automatic or attentional processes, depending on the interstimulus intervals, this behavioral paradigm might be considered a potential marker of short- and long-term plasticity. Assessment of PPI is directly related to the examination of neural sensorimotor gating mechanisms, which are plastic-adaptive operations for preventing overstimulation and helping the brain to focus on a specific stimulus among other distracters. Despite their obvious importance in normal brain activity, little is known about the intimate physiology, circuitry, and neurochemistry of sensorimotor gating mechanisms.
    [Show full text]
  • Prepulse Inhibition of the Startle Response in Men with Schizophrenia Effects of Age of Onset of Illness, Symptoms, and Medication
    ORIGINAL ARTICLE Prepulse Inhibition of the Startle Response in Men With Schizophrenia Effects of Age of Onset of Illness, Symptoms, and Medication Veena Kumari, MA, PhD; William Soni, MB, BS, MSc; Vallakalil M. Mathew, MB, BS, MRCPsych; Tonmoy Sharma, MSc, MRCPsych Background: Prepulse inhibition of the startle reflex re- Methods: Thirty-eight male schizophrenic patients and sponse refers to the ability of a weak prestimulus to tran- 20 healthy male controls underwent testing for pre- siently inhibit the response to a closely following strong pulse inhibition of the acoustic startle response. sensory stimulus. This effect represents an operational index of sensorimotor gating and is found to be defi- Results: Earlier onset of illness was associated with re- cient in schizophrenia. Prepulse inhibition deficits in duced prepulse inhibition, while adult onset of illness was schizophrenia seem to be partially normalized by typi- not. No significant relationships occurred between cur- cal antipsychotics and more fully by some atypical anti- rent symptoms and prepulse inhibition. Patients given psychotics. Early onset of schizophrenia, particularly in typical, but not atypical, antipsychotics exhibited less men, has been associated with abnormal brain matura- prepulse inhibition compared with healthy controls. tion, profound neuropsychological deficits, and less re- sponsiveness to antipsychotic medication. We evalu- Conclusion: Early onset of illness is associated with pro- ated the effects of the age of onset of illness, current found deficits in prepulse inhibition of the startle re- positive and negative symptoms, and the type of medi- sponse in men with schizophrenia. cation (typical vs atypical) on prepulse inhibition of the startle response in schizophrenia.
    [Show full text]
  • A Study in D1 and D2 Receptor Knock-Out Mice
    The Journal of Neuroscience, November 1, 2002, 22(21):9604–9611 Differential Effects of Direct and Indirect Dopamine Agonists on Prepulse Inhibition: A Study in D1 and D2 Receptor Knock-Out Mice Rebecca J. Ralph-Williams,1 Virginia Lehmann-Masten,2 Veronica Otero-Corchon,3 Malcolm J. Low,3,4 and Mark A. Geyer2 1Alcohol and Drug Abuse Research Center, Harvard Medical School and McLean Hospital, Belmont, Massachusetts 02478, 2Department of Psychiatry, University of California, San Diego, La Jolla, California 92093-0804, 3Vollum Institute and 4Department of Behavioral Neuroscience, Oregon Health and Science University, Portland, Oregon 97201 Stimulation of the dopamine (DA) system disrupts prepulse indirect agonist in mice. As reported previously, amphetamine inhibition (PPI) of the acoustic startle response. On the basis of (10 mg/kg) failed to disrupt PPI in D2R knock-out mice, sup- rat studies, it appeared that DA D2 receptors (D2Rs) rather than porting a unique role of the D2R in the modulation of PPI. D1 receptors (D1Rs) regulate PPI, albeit possibly in synergism Dizocilpine (0.3 mg/kg) induced similar PPI deficits in D1R and with D1Rs. To characterize the DA receptor modulation of PPI in D2R mutant mice, confirming that the influences of the NMDA another species, we tested DA D1R and D2R mutant mice with receptor on PPI are independent of D1Rs and D2Rs in rodents. direct and indirect DA agonists and with the glutamate receptor Thus, both D1Rs and D2Rs modulate aspects of PPI in mice in antagonist, dizocilpine (MK-801). Neither the mixed D1/D2 ag- a manner that differs from dopaminergic modulation in rats.
    [Show full text]
  • Inhibition of Auditory Evoked Potentials and Prepulse Inhibition of Startle in DBA/2J and DBA/2Hsd Inbred Mouse Substrains
    Brain Research 992 (2003) 85–95 www.elsevier.com/locate/brainres Research report Inhibition of auditory evoked potentials and prepulse inhibition of startle in DBA/2J and DBA/2Hsd inbred mouse substrains Patrick M. Connollya,1, Christina R. Maxwella,1, Stephen J. Kanesb, Ted Abelc, Yuling Lianga, Jan Tokarczykb, Warren B. Bilkerd, Bruce I. Turetskyb, Raquel E. Gurb, Steven J. Siegela,b,* a Stanley Center for Experimental Therapeutics in Psychiatry, Division of Neuropsychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA b Division of Neuropsychiatry, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA c Department of Biology, University of Pennsylvania, Philadelphia, PA 19104, USA d Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA 19104, USA Accepted 21 August 2003 Abstract Previous data have shown differences among inbred mouse strains in sensory gating of auditory evoked potentials, prepulse inhibition (PPI) of startle, and startle amplitude. These measures of sensory and sensorimotor gating have both been proposed as models for genetic determinants of sensory processing abnormalities in patients with schizophrenia and their first-degree relatives. Data from our laboratory suggest that auditory evoked potentials of DBA/2J mice differ from those previously described for DBA/2Hsd. Therefore, we compared evoked potentials and PPI in these two closely related substrains based on the hypothesis that any observed endophenotypic differences are more likely to distinguish relevant from incidental genetic heterogeneity than similar approaches using inbred strains that vary across the entire genome. We found that DBA/2Hsd substrain exhibited reduced inhibition of evoked potentials and reduced startle relative to the DBA/ 2J substrain without alterations in auditory sensitivity, amplitude of evoked potentials or PPI of startle.
    [Show full text]
  • The Effects of Memantine on Prepulse Inhibition
    Neuropsychopharmacology (2009) 34, 1854–1864 & 2009 Nature Publishing Group All rights reserved 0893-133X/09 $32.00 www.neuropsychopharmacology.org The Effects of Memantine on Prepulse Inhibition ,1 1 1 1 1 NR Swerdlow* , DP van Bergeijk , F Bergsma , E Weber and J Talledo 1Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA Reduced prepulse inhibition (PPI) of startle provides evidence of deficient sensorimotor gating in several disorders, including schizophrenia. The role of NMDA neurotransmission in the regulation of PPI is unclear, due to cross-species differences in the effects of NMDA antagonists on PPI. Recent reports suggest that drug effects on PPI differ in subgroups of normal humans that differ in the levels of baseline PPI or specific personality domains; here, we tested the effects of these variables on the sensitivity of PPI to the NMDA antagonist, memantine. PPI was measured in male Sprague–Dawley rats, after treatment with memantine (0, 10 or 20 mg/kg, s.c.). Baseline PPI was then measured in 37 healthy adult men. Next, subjects were tested twice, in a double-blind crossover design, comparing either (1) placebo vs 20 mg of the NMDA antagonist memantine (n ¼ 19) or (2) placebo vs 30 mg memantine (n ¼ 18). Tests included measures of acoustic startle amplitude, PPI, autonomic indices and subjective self-rating scales. Memantine had dose- and interval- dependent effects on PPI in rats. Compared with vehicle, 10 mg/kg increased short-interval (10–20 ms) PPI, and 20 mg/kg decreased long-interval (120 ms) PPI. In humans, memantine caused dose-dependent effects on psychological and somatic measures: 20 mg was associated with increased ratings of happiness, and 30 mg was associated with increased ratings of dizziness.
    [Show full text]
  • Reduced Prepulse Inhibition As a Biomarker of Schizophrenia
    fnbeh-10-00202 October 15, 2016 Time: 11:54 # 1 View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by idUS. Depósito de Investigación Universidad de Sevilla ORIGINAL RESEARCH published: 18 October 2016 doi: 10.3389/fnbeh.2016.00202 Reduced Prepulse Inhibition as a Biomarker of Schizophrenia Auxiliadora Mena1, Juan C. Ruiz-Salas1, Andrea Puentes2, Inmaculada Dorado3, Miguel Ruiz-Veguilla3 and Luis G. De la Casa1* 1 Department of Experimental Psychology, University of Seville, Seville, Spain, 2 Neurosciences Institute, El Bosque University, Bogotá, Colombia, 3 Institute of Biomedicine, University Hospital Virgen del Rocío, Seville, Spain The startle response is composed by a set of reflex behaviors intended to prepare the organism to face a potentially relevant stimulus. This response can be modulated by several factors as, for example, repeated presentations of the stimulus (startle habituation), or by previous presentation of a weak stimulus (Prepulse Inhibition [PPI]). Both phenomena appear disrupted in schizophrenia that is thought to reflect an alteration in dopaminergic and glutamatergic neurotransmission. In this paper we analyze whether the reported deficits are indicating a transient effect restricted to the acute phase of the disease, or if it reflects a more general biomarker or endophenotype of the disorder. To this end, we measured startle responses in the same set of thirteen schizophrenia patients with a cross-sectional design at two periods: 5 days after hospital admission and 3 months after discharge. The results showed that both startle habituation and PPI were impaired in the schizophrenia patients at the acute stage as compared to a control group composed by 13 healthy participants, and that PPI but not startle habituation remained disrupted when registered 3 months after the discharge.
    [Show full text]
  • Amphetamine Effects on Prepulse Inhibition Across-Species: Replication and Parametric Extension
    Neuropsychopharmacology (2003) 28, 640–650 & 2003 Nature Publishing Group All rights reserved 0893-133X/03 $25.00 www.neuropsychopharmacology.org Amphetamine Effects on Prepulse Inhibition Across-Species: Replication and Parametric Extension Neal R Swerdlow*,1, Nora Stephany1, Lindsay C Wasserman1, Jo Talledo1, Jody Shoemaker1 and Pamela P 1 Auerbach 1Department of Psychiatry, UCSD School of Medicine, La Jolla, CA, USA Despite the similarities of prepulse inhibition (PPI) of the startle reflex and its apparent neural regulation in rodents and humans, it has been difficult to demonstrate cross-species homology in the sensitivity of PPI to pharmacologic challenges. PPI is disrupted in rats by the indirect dopamine (DA) agonist amphetamine, and while studies in humans have suggested similar effects of amphetamine, these effects have been limited to populations characterized by smoking status and specific personality features. In the context of a study assessing the time course of several DA agonist effects on physiological variables, we failed to detect PPI-disruptive effects of amphetamine in a small group of normal males. The present study was designed to reexamine this issue, using a larger sample and a paradigm that should be more sensitive for detecting drug effects. PPI in rats was shown to be disrupted by the highest dose of amphetamine (3.0 mg/kg) at relatively longer prepulse intervals (430 ms). In humans, between-subject comparisons of placebo (n ¼ 15) vs 20 mg amphetamine (n ¼ 15) failed to detect significant PPI-disruptive effects of amphetamine, but significant PPI-disruptive effects at short (10–20 ms) prepulse intervals were detected using within-subject analyses of postdrug PPI levels relative to each subject’s baseline PPI.
    [Show full text]
  • Deficient Prepulse Inhibition in Schizophrenia Detected by the Multi-Site COGS
    UC San Diego UC San Diego Previously Published Works Title Deficient prepulse inhibition in schizophrenia detected by the multi-site COGS. Permalink https://escholarship.org/uc/item/3mg2c7tp Journal Schizophrenia research, 152(2-3) ISSN 0920-9964 Authors Swerdlow, Neal R Light, Gregory A Sprock, Joyce et al. Publication Date 2014-02-01 DOI 10.1016/j.schres.2013.12.004 Peer reviewed eScholarship.org Powered by the California Digital Library University of California Schizophrenia Research 152 (2014) 503–512 Contents lists available at ScienceDirect Schizophrenia Research journal homepage: www.elsevier.com/locate/schres Review Deficient prepulse inhibition in schizophrenia detected by the multi-site COGS Neal R. Swerdlow a,⁎, Gregory A. Light a,i,JoyceSprocka,i, Monica E. Calkins b, Michael F. Green e,f, Tiffany A. Greenwood a,RaquelE.Gurb, Ruben C. Gur b, Laura C. Lazzeroni g,h, Keith H. Nuechterlein e, Allen D. Radant c,d, Amrita Ray g,h, Larry J. Seidman j,k,LarryJ.Sieverl,m, Jeremy M. Silverman l,m, William S. Stone j,k, Catherine A. Sugar e,i,n, Debby W. Tsuang c,d,MingT.Tsuanga,o,p, Bruce I. Turetsky b, David L. Braff a,i a Department of Psychiatry, University of California San Diego, La Jolla, CA, United States b Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, United States c Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States d VA Puget Sound Health Care System, Seattle, WA, United States e Department of Psychiatry and Biobehavioral Sciences, Geffen School of
    [Show full text]
  • Sensorimotor Gating Deficits in Schizophrenia: Advancing Our Understanding of the Phenotype, Its Neural Circuitry and Genetic Substrates
    UC San Diego UC San Diego Previously Published Works Title Sensorimotor gating deficits in schizophrenia: Advancing our understanding of the phenotype, its neural circuitry and genetic substrates. Permalink https://escholarship.org/uc/item/82r82866 Authors Swerdlow, Neal R Light, Gregory A Publication Date 2018-08-01 DOI 10.1016/j.schres.2018.02.042 Peer reviewed eScholarship.org Powered by the California Digital Library University of California SCHRES-07735; No of Pages 5 Schizophrenia Research xxx (2018) xxx–xxx Contents lists available at ScienceDirect Schizophrenia Research journal homepage: www.elsevier.com/locate/schres Guest editorial Sensorimotor gating deficits in schizophrenia: Advancing our understanding of the phenotype, its neural circuitry and genetic substrates ARTICLE INFO Article history: Received 21 February 2018 Accepted 23 February 2018 Available online xxxx Keywords: Antipsychotic Genetics Prepulse inhibition Schizophrenia Sensorimotor gating Startle reflex 1. Introduction In the 80 years since Peak's systematic studies of blink inhibition, and the 40 years since Braff's published observation of impaired In her 1936 report of paired-pulse blink inhibition in 13 Yale prepulse inhibition (PPI) in schizophrenia patients, PPI has been studied undergraduate men, Helen Peak described “quantitative variation in many thousands of patients, and PPI findings have been reported in in amount of inhibition of the second response incident to changes approximately 3000 Medline publications. While a relationship in intensity of the first
    [Show full text]