The effect of repeated prepulse-blink reflex trials on blink reflex modulation at short lead intervals

Defizite der sensomotorischen Filterleistung bei psychiatrischen Erkrankungen

Die Präpuls-Inhibition (PPI) des akustischen Schreckreflexes gilt als operationales Maß für einen teils vorbewußten attentionalen Filterprozeß, der auch als sensomotorisches Gating bezeichnet wird. Die PPI wird durch ein cortico-striato-pallido-pontines (CSPP) Netzwerk reguliert, welches frontale und mediotemporale Hirnareale, das ventrale Striatum, das ventrale Pallidum und pontine Bereiche des Hirnstamms mit einbezieht. Verschiedene psychiatrische und neurologische Erkrankungen zeigen beeinträchtigte Gating-Prozesse, doch insbesondere die konsistenten Befunde eines PPI-Defizits in der Schizophrenie haben dazu beigetragen, daß die Schizophrenie heute auch als Filterstörung verstanden wird. Die PPI hat sich mittlerweile als translationales Modell für gestörte Filterprozesse in der Schizophrenie etabliert, da sie bei verschiedenen Versuchstieren abgeleitet werden kann und pharmakologisch manipulierbar ist. Darüber hinaus wurde die PPI als vielversprechender Endophänotyp, d. h. als Gen-naher biologischer Marker, der Schizophrenie vorgeschlagen. Man erhofft sich von der Identifizierung solcher Endophänotypen eine verbesserte Entschlüsselung der krankheitsmitverursachenden Gene im Vergleich zu bislang nicht zielführenden genetischen Assoziationsstudien mit den komplexeren Krankheitsphänotypen. Des Weiteren wird die Korrektur künstlich erzeugter PPI-Defizite bei Versuchstieren als Modell für antipsychotische Wirksamkeit neu entwickelter Substanzen zur Behandlung der Schizophrenie genutzt. Der vorliegende Artikel soll einen Überblick über die Anwendungsmöglichkeiten und Grenzen des PPI-Paradigmas in der klinischen und grundlagenorientierten psychologischen und psychiatrischen Forschung geben.

Attenuation of the prepulse inhibition of the acoustic startle response within and between sessions

Prepulse inhibition (PPI) and habituation of the acoustic startle response (ASR) are widely used biological markers in the study of psychiatric disorders and have been shown to be homologous across species. Previous studies in humans suggested that PPI is a stable and reliable measure between test sessions, but that PPI decreases within sessions. The purpose of this study was to explore the short- and long-term decrease in PPI as a potential confound in the measurement and interpretation of PPI. We investigated the progression of PPI and habituation of ASR in three test sessions spaced 4 weeks apart in a group of 20 healthy participants. Analysis revealed a significant decrease in the percent PPI within and between the test sessions. Nevertheless, PPI was reliable across three test sessions, indicating that the significant attenuation of PPI over time was a consistent phenomenon. These results suggest that PPI exhibits short- and long-term attenuation.

The influence of schizotypy traits on prepulse inhibition in young healthy controls

Deficits in sensorimotor gating or prepulse inhibition (PPI) have been demonstrated repeatedly in patients with schizophrenia or with schizotypal personality disorder, but not consistently in schizotypal non-psychiatric controls. The appearance of normal PPI in this group has been interpreted as reflecting a discontinuous underlying vulnerability to psychosis in high-risk groups. An alternative interpretation is that underlying vulnerability to psychosis is continuously distributed in the normal population (Claridge, 1972, 1987), and therefore that performance on information processing tasks should vary continuously with increasing levels of schizotypy in non-clinical populations. We attempted to examine further the notion of a continuous relationship between PPI and schizotypy in 44 (17 female, 27 male) healthy, non-smoking subjects controlling for menstrual phase. In this selected sample, the findings do not support a continuum model, and suggest that PPI deficits may indeed be the result of a discontinuous neurophysiological change in those with psychotic illness, rather than one continuously distributed in the normal population.

Sensorimotor gating and attitudes related to schizotypal proneness

The magnitude of the startle eyeblink response is diminished when the startle eliciting probe is shortly preceded by another stimulus. This so called prepulse inhibition is interpreted as an automatic sensorimotor gating mechanism. There is substantial support for prepulse inhibition deficits in subjects suffering from schizophrenia spectrum disorders and in psychosis-prone normals as well. Thus, prepulse inhibition deficits may reflect vulnerability on the hypothesized psychopathological continuum from "normal" to "schizophrenia." The present experiment investigated the amount of prepulse inhibition in a sample selected for "belief in extraordinary phenomena," an attitude related to measures of psychosis-proneness. Believers and skeptics were tested in an acoustic prepulse-inhibition paradigm. As expected presentation of prepulses clearly diminished magnitude of startle response, with greatest inhibition effects gained by lead intervals of 60 and 120 msec. Patterns of response were identical for believers and skeptics, i.e., attitude towards extraordinary phenomena did not seem to be related to functional information-processing deficits as has been observed in psychosis-prone normals.

The effects of prepulse-blink reflex trial repetition and prepulse change on blink reflex modification at short and long lead intervals

Prepulse inhibition and facilitation of the blink reflex are said to reflect different responses elicited by the lead stimulus, transient detection and orienting response respectively. Two experiments investigated the effects of trial repetition and lead stimulus change on blink modification. It was hypothesized that these manipulations will affect orienting and thus blink facilitation to a greater extent than they will affect transient detection and thus blink inhibition. In Experiment 1 (N = 64), subjects were trained with a sequence of 12 lead stimulus and 12 blink stimulus alone presentations, and 24 lead stimulus-blink stimulus pairings. Lead interval was 120 ms for 12 of the trials and 2000 ms for the other 12. For half the subjects this sequence was followed by a change in pitch of the lead stimulus. In Experiment 2 (N = 64), subjects were trained with a sequence of 36 blink alone stimuli and 36 lead stimulus-blink stimulus pairings. The lead interval was 120 ms for half the subjects and 2000 ms for the other half. The pitch of the lead stimulus on prestimulus trials 31-33 was changed for half the subjects in each group. In both experiments, the amount of blink inhibition decreased during training whereas the amount of blink facilitation remained unchanged. Lead stimulus change had no effect on blink modification in either experiment although it resulted in enhanced skin conductance responses and greater heart rate deceleration in Experiment 2. The present results are not consistent with the notion that blink facilitation is linked to orienting whereas blink inhibition reflects a transient detection mechanism.

The effect of repeated prepulse and reflex stimulus presentations on startle prepulse inhibition

The magnitude of a startle reflex is inhibited if the reflex-eliciting stimuli is preceded by a prepulse stimulus at a short lead interval. Previous research in humans has shown that the extent of prepulse inhibition decreases over repeated presentations of reflex stimuli and prepulse-reflex stimulus pairings. The present study (N = 70) investigated the effect of repeated presentations of prepulse stimuli, reflex stimuli, or prepulse-reflex stimulus pairings on prepulse inhibition. Five groups of subjects were presented during habituation training with either (a) reflex stimuli, (b) prepulse-reflex stimulus pairings, (c) a random sequence of prepulse and reflex stimuli, (d) prepulse stimuli, or (e) experimentally irrelevant light stimuli. Prepulse inhibition was reduced if startle stimuli were presented during habituation ((a), (b), (c)), but not after repeated presentation of the prepulse or the light stimulus ((d), (e)). The reduction in prepulse inhibition was abolished after dishabituation of the startle reflex. The present results indicate that habituation of the startle reflex can result in a reduction of prepulse inhibition.

Prepulse inhibition decreases as startle reactivity habituates

In the present study, I investigated the effect of stimulus repetition on human startle eyeblink reflex inhibition (PPI) by a prepulse. Participants were assigned to one of three groups (n = 14 each), in which they received 18 trials of (a) noise startle stimuli presented alone or preceded by 1000-Hz tone prepulses, (b) startle stimuli presented alone, or (c) prepulses presented alone. All participants then received 18 more trials of startle stimuli presented alone or preceded by 1000-Hz tone prepulses, followed by 6 trials of startle stimuli presented alone or preceded by 2000-Hz tone prepulses. As trials progressed, startle eyeblink electromyogram magnitude habituated and PPI decreased. PPI was not affected by the repeated presentation of the prepulses alone but decreased with the repeated presentation of the startle stimulus alone. Changes in the frequency of the prepulse had no significant effect on PPI. These data suggest that the reduction of PPI that is seen across trials is not due to habituation of the prepulse but is related to startle reactivity in control trials, which is reduced by habituation.

Inhibition of the human startle response is affected by both prepulse intensity and eliciting stimulus intensity

The present study evaluated the effects of the intensity of prepulses and eliciting stimuli on the modification of the adult human acoustic startle eyeblink. Eyeblinks were elicited by 85, 95, and 105 dB(A) noise bursts, preceded a some trials by 60 or 70 dB(A) tones at a 120 ms stimulus onset asynchrony. Prepulse intensity was a within-subject variable in Experiment 1 (N = 19) and a between-groups variable in Experiment 2 (N = 38). For no-prepulse trials, as startle stimulus intensity decreased, startle amplitude, probability, and magnitude decreased, and startle latency increased. As startle stimulus intensity decreased from 105 to 95 dB, the amount of inhibition of response amplitude and magnitude remained stable for 70 dB prepulses in Experiment 1 and for both 60 and 70 dB prepulses in Experiment 2, whereas inhibition of response probability became more pronounced. As startle stimulus intensity decreased from 95 to 85 dB, prepulse inhibition of response amplitude and magnitude lessened and inhibition of response probability became still more pronounced in both experiments. These data show that the inhibition of startle can be affected by eliciting stimulus intensity, and that startle response amplitude and probability are affected by stimulus intensity changes in different ways.