Alpha-2 adrenergic receptor agonists for the treatment of attention-deficit/hyperactivity disorder: Emerging concepts from new data

被引:108
作者
Arnsten, Amy F. [1 ]
Scahill, Lawrence
Findling, Robert L.
机构
[1] Yale Med Sch, New Haven, CT 06520 USA
[2] Ctr Child Study, Yale Med Sch, New Haven, CT USA
[3] Case Western Reserve Univ, Cleveland, OH USA
关键词
D O I
10.1089/cap.2006.0098
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Recent developments in the field of neuroscience have illuminated the understanding of the neural circuits impaired in attention-deficit/ hyperactivity disorder (ADHD) and the mechanism of action of treatments used to treat this condition. There is an exciting confluence between emerging studies in basic neurobiology and the genetic, neuroimaging, and neuropsychological analyses of ADHD. The following provides a brief review of this field, explaining how compounds like guanfacine and the traditional stimulant medications can reduce the core symptoms of ADHD by optimizing the neurochemical environment in the prefrontal cortex (PFC). Knowledge of these basic mechanisms may inform our medication choices and facilitate treatment of ADHD and related disorders.
引用
收藏
页码:393 / 406
页数:14
相关论文
共 129 条
[1]   Impairment of social and moral behavior related to early damage in human prefrontal cortex [J].
Anderson, SW ;
Bechara, A ;
Damasio, H ;
Tranel, D ;
Damasio, AR .
NATURE NEUROSCIENCE, 1999, 2 (11) :1032-1037
[2]   Cellular and subcellular sites for noradrenergic action in the monkey dorsolateral prefrontal cortex as revealed by the immunocytochemical localization of noradrenergic receptors and axons [J].
Aoki, C ;
Venkatesan, C ;
Go, CG ;
Forman, R ;
Kurose, H .
CEREBRAL CORTEX, 1998, 8 (03) :269-277
[3]  
Arnsten A., 2002, PRINCIPLES FRONTAL L, P51, DOI DOI 10.1093/ACPROF:OSO/9780195134971.003.0004
[4]  
ARNSTEN AFT, 1988, J NEUROSCI, V8, P4287
[5]  
Arnsten AFT, 1996, ARCH GEN PSYCHIAT, V53, P448
[6]   Protein kinase A as a therapeutic target for memory disorders: rationale and challenges [J].
Arnsten, AFT ;
Ramos, BP ;
Birnbaum, SG ;
Taylor, JR .
TRENDS IN MOLECULAR MEDICINE, 2005, 11 (03) :121-128
[7]   Neurobiology of executive functions: Catecholamine influences on prefrontal cortical functions [J].
Arnsten, AFT ;
Li, BM .
BIOLOGICAL PSYCHIATRY, 2005, 57 (11) :1377-1384
[8]   ALPHA-2-ADRENERGIC MECHANISMS IN PREFRONTAL CORTEX ASSOCIATED WITH COGNITIVE DECLINE IN AGED NONHUMAN-PRIMATES [J].
ARNSTEN, AFT ;
GOLDMANRAKIC, PS .
SCIENCE, 1985, 230 (4731) :1273-1276
[9]   Methylphenidate improves prefrontal cortical cognitive function through α2 adrenoceptor and dopamine D1 receptor actions: Relevance to therapeutic effects in Attention Deficit Hyperactivity Disorder [J].
Arnsten, Amy F. T. ;
Dudley, Anne G. .
BEHAVIORAL AND BRAIN FUNCTIONS, 2005, 1 (1)
[10]   The cognitive neuroscience of response inhibition: Relevance for genetic research in attention-deficit/hyperactivity disorder [J].
Aron, AR ;
Poldrack, RA .
BIOLOGICAL PSYCHIATRY, 2005, 57 (11) :1285-1292