Improvement of prepulse inhibition and executive function by the COMT inhibitor tolcapone depends on COMT Val158Met polymorphism

Recent evidence suggests that prepulse inhibition (PPI) levels relate to executive function possibly by a prefrontal cortex (PFC) dopamine (DA) link. We explored the effects of enhanced PFC DA signaling by the nonstimulant catechol-O-methyltransferase (COMT) inhibitor tolcapone, on PPI and working m...

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Veröffentlicht in:Neuropsychopharmacology (New York, N.Y.) N.Y.), 2008-12, Vol.33 (13), p.3058-3068
Hauptverfasser: Giakoumaki, Stella G, Roussos, Panos, Bitsios, Panos
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container_issue 13
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container_title Neuropsychopharmacology (New York, N.Y.)
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creator Giakoumaki, Stella G
Roussos, Panos
Bitsios, Panos
description Recent evidence suggests that prepulse inhibition (PPI) levels relate to executive function possibly by a prefrontal cortex (PFC) dopamine (DA) link. We explored the effects of enhanced PFC DA signaling by the nonstimulant catechol-O-methyltransferase (COMT) inhibitor tolcapone, on PPI and working memory of subjects homozygous for the Val (low PFC DA) and the Met (high PFC DA) alleles of the COMT Val158Met polymorphism. Twelve Val/Val and eleven Met/Met healthy male subjects entered the study. Tolcapone 200 mg was administered in two weekly sessions, according to a balanced, crossover, double-blind, placebo-controlled design. PPI was assessed with 5 dB and 15 dB above background prepulses, at 30-, 60-, and 120 ms prepulse-pulse intervals. Subjects also underwent the n-back and the letter-number sequencing (LNS) tasks. PPI was lower in the Val/Val compared to the Met/Met group in the placebo condition. Tolcapone increased PPI significantly in the Val/Val group and tended to have the opposite effect in the Met/Met group. Baseline startle was not affected by tolcapone in the Val/Val group but it was slightly increased in the Met/Met group. Tolcapone improved performance in the n-back and LNS tasks only in the Val/Val group. Enhancement of PFC DA signaling with tolcapone improves both PPI and working memory in a COMT Val158Met genotype-specific manner. These results suggest that early information processing and working memory may both depend on PFC DA signaling, and that they may both relate to PFC DA levels according to an inverted U-shaped curve function.
doi_str_mv 10.1038/npp.2008.82
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subjects Acoustic Stimulation
Adult
Amino Acid Substitution - genetics
Behavioral sciences
Benzophenones - pharmacology
Catechol O-Methyltransferase - genetics
Catechol O-Methyltransferase Inhibitors
Cognition & reasoning
Cognition - drug effects
Cognition - physiology
Cohort Studies
Cross-Over Studies
DNA Mutational Analysis
Dopamine
Dopamine - metabolism
Double-Blind Method
Enzyme Inhibitors - pharmacology
Executive function
Genetic Testing
Genotype
Humans
Information processing
Male
Medical imaging
Memory
Memory, Short-Term - drug effects
Memory, Short-Term - physiology
Methionine - genetics
Neural Inhibition - drug effects
Neural Inhibition - genetics
Neuroimaging
Nitrophenols - pharmacology
Polymorphism
Polymorphism, Genetic - genetics
Prefrontal Cortex - drug effects
Prefrontal Cortex - metabolism
Schizophrenia
Sensory Gating - drug effects
Sensory Gating - physiology
Valine - genetics
Young Adult
title Improvement of prepulse inhibition and executive function by the COMT inhibitor tolcapone depends on COMT Val158Met polymorphism
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