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Psychostimulants as cognitive enhancers: The prefrontal cortex, catecholamines, and attention-deficit/hyperactivity disorder

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Berridge, Craig W., Devilbiss, David M.·2011·Biological Psychiatry

Abstract

Psychostimulants exert behavioral-calming and cognition-enhancing actions in the treatment of attention-deficit/hyperactivity disorder (ADHD). Contrary to early views, extensive research demonstrates that these actions are not unique to ADHD. Specifically, when administered at low and clinically relevant doses, psychostimulants improve a variety of behavioral and cognitive processes dependent on the prefrontal cortex (PFC) in subjects with and without ADHD. Despite the longstanding clinical use of these drugs, the neural mechanisms underlying their cognition-enhancing/therapeutic actions have only recently begun to be examined. At behaviorally activating doses, psychostimulants produce large and widespread increases in extracellular levels of brain catecholamines. In contrast, cognition-enhancing doses of psychostimulants exert regionally restricted actions, elevating extracellular catecholamine levels and enhancing neuronal signal processing preferentially within the PFC. Additional evidence suggests a prominent role of PFC α(2) and D1 receptors in the behavioral and electrophysiological actions of low-dose psychostimulants. These and other observations indicate a pivotal role of PFC catecholamines in the cognition-enhancing and therapeutic actions of psychostimulants, as well as other drugs used in the treatment of ADHD. This information may be particularly relevant for the development of novel pharmacological treatments for ADHD and other conditions associated with PFC dysregulation.

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  • Methylphenidate blocks both norepinephrine and dopamine transporters, and has more potent effects on norepinephrine than dopamine in the rat PFC.

    “A common misconception is that methylphenidate is a selective DA transporter blocker, when in actuality it blocks both NE and DA transporters. Indeed, methylphenidate has more potent effects on NE than DA in the rat PFC (83) (84).”

    From Catecholamine Influences on Dorsolateral Prefrontal Cortical Networks (2011) · cites this paper as [84]

    The section “Neurochemical Actions of Low-Dose Psychostimulants” (page not supplied) states that methylphenidate blocks both NE and DA reuptake and increases both in the rat PFC. It does not say that its effects on NE are more potent than its effects on DA in the rat PFC. (LLM, conf=0.86)

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Authors
Berridge, C. W., & Devilbiss, D. M.
Affiliations
University of Wisconsin–Madison (US)
Venue
Biological Psychiatry
Publisher
Elsevier BV
Published
2011-06
Volume
69
Issue
12
Pages
e101-e111
ISSN
0006-3223 (ISSN-L)
OpenAlex
W2077171496
Cited by
160
References
25
Citations by year
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FWCI
1.72
Type
journal article
Language
en
Open access
Locations
  • Biological Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Rowan Digitals Works (Rowan University) (submittedVersion)
Funders
  • Public Health Service Grants (MH081843, DA000389)
  • National Science Foundation (0918555)
  • Wisconsin Institutes of Discovery
  • University of Wisconsin Graduate School
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neuroethics, Human Enhancement, Biomedical Innovations
Keywords
psychostimulants, attention deficit hyperactivity disorder, prefrontal cortex, catecholamines, cognitive enhancement, alpha2-adrenoceptors, dopamine D1 receptor, ADHD medication
MeSH terms
Adrenergic Agonists, Central Nervous System Stimulants, Animals, Antidepressive Agents, Attention Deficit Disorder with Hyperactivity, Catecholamines, Cognition, Humans, Monoamine Oxidase Inhibitors, Synaptic Transmission, Neurons, Prefrontal Cortex

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