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Biomedical subjects

Akinori Ueki

Publications and source records attributed to Akinori Ueki.

5 recordsLinked to original sources

Prepulse inhibition of acoustic startle response in mild cognitive impairment and mild dementia of Alzheimer type.

Amnestic mild cognitive impairment (MCI) describes the condition of memory-impaired individuals who otherwise function well and do not meet the clinical criteria for dementia. Such individuals are considered to represent a transitional stage between normal aging and dementia of Alzheimer type (DAT). Neurobiologic changes in amnestic MCI, and their significance for psychophysiologic function, are poorly understood. In this study, the authors compared acoustic prepulse inhibition (PPI) between subjects with amnestic MCI and mild DAT to characterize sensorimotor gating. The acoustic startle reflex, which the authors measured using an accelerometer and electromyogram, involves whole-body movement and eye blink in response to a sudden loud noise (115 dB). PPI is inhibition of this reflex by a softer noise (prepulse; 85 dB) preceding the startle stimulus by 30 ms. PPI was examined in 30 controls, 20 subjects with amnestic MCI, and 20 subjects with mild DAT. Neither amnestic MCI nor mild DAT affected startle movement amplitude. Subjects with amnestic MCI showed significantly enhanced PPI (gating facilitation), while subjects with mild DAT exhibited significantly less PPI than controls (gating deficit). This pattern of PPI changes suggests that neuropathologic changes in the limbic cortex, mainly the entorhinal cortex, at the earliest stage of DAT might be responsible for PPI abnormalities via disturbed regulation of the limbic cortico-striato-pallido-pontine circuitry. Startle PPI changes could be used as a biologic marker for amnestic MCI and mild DAT.

Acoustic Stimulation↗

Involvement of nucleus accumbens dopaminergic transmission in acoustic startle: observations concerning prepulse inhibition in rats with entorhinal cortex lesions.

The relationship between the entorhinal cortex and prepulse inhibition (PPI) as well as the nucleus accumbens dopaminergic participation in acoustic startle were examined in rats. After the entorhinal cortex was damaged bilaterally using ibotenic acid, a microdialysis probe was placed in the nucleus accumbens for detection of dopamine before, during and after acoustic startle stimuli. In rats with bilateral entorhinal cortex lesions PPI was reduced, and extracellular dopamine in the nucleus accumbens was elevated with or without acoustic stimuli. The entorhinal cortex and the sensorimotor gating system thus may be related via dopaminergic connections in the nucleus accumbens, even though dopamine release did not coincide completely with acoustic startle stimuli.

Animals↗

[A study of the effect of donepezil hydrochloride on cognitive function in patients with dementia of Alzheimer's type using WAIS-R].

The present study aimed to assess the initial effects of donepezil hydrochloride (DPZ) on various aspects of cognitive function in patients with dementia of Alzheimer's type (DAT) using the Japanese version of the Wechsler Adult Intelligence Scale-Revised (WAIS-R). DPZ was administered to 47 patients with mild-to-moderate DAT (D group). The control group comprised 61 patients who had been followed up before DPZ was released for use (C group). Both groups underwent WAIS-R testing, before and after 10 months of treatment with DPZ for group D, and at time of diagnosis of DAT and 10 months later for group C. D and C groups did not differ significantly in terms of gender ratio, years of education, age at onset of DAT, age at administration of DPZ or at diagnosis of DAT, severity of dementia, MMSE score, presence of behavioral and psychological symptoms of dementia, concomitant use of psychotropic medication, or initiation of rehabilitation. No significant differences were found between D and C groups in verbal (V), performance (P) or full-scale (F) intelligence quotient (IQ), or in six verbal subtest scores of VIQ and five performance subtest scores of PIQ on WAIS-R, before administration of DPZ or at diagnosis of DAT. For differences between each score on WAIS-R at diagnosis of DAT or before administration of DPZ and 10 months later, DPZ inhibited decreases in FIQ and in VIQ, PIQ, vocabulary, similarities, picture arrangement and object assembly subtest scores on WAIS-R. These indices are related to concept formation and abstract thinking, which form part of executive function. DPZ effectively prevented decline of cognitive function, particularly executive function, in patients with DAT.

Aged↗

Reduced prepulse inhibition in rats with entorhinal cortex lesions.

The relationship between the entorhinal cortex and prepulse inhibition (PPI) as well as dopaminergic participation in this relationship were examined. PPI is an operational measure of sensorimotor gating in which a robust response to a startling auditory pulse stimulus is inhibited when the stimulus is preceded by a weak prepulse. PPI can be measured in various species and is reduced in several neuropsychiatric disorders and in dopamine-activated rats. The entorhinal cortex was damaged bilaterally using ibotenic acid, and acoustic startle experiments were performed during treatment with haloperidol or saline on day 21 after the ibotenic acid injection. Neither this injection nor haloperidol affected the amplitude of the startle movement. Bilateral entorhinal cortex lesions reduced PPI, while haloperidol partially restored it. The entorhinal cortex and the sensorimotor gating system therefore may be related via dopaminergic circuits, possibly including the nucleus accumbens. Further, as the entorhinal cortex provides the major extrinsic synaptic input to the rat hippocampus, disease involvement of this region may severely affect cognition in various disorders including schizophrenia.

Acoustic Stimulation↗