Vol 4 n° 4 - Drug Development
Past issues Contributors How to publish Contributions and comments Home
 
model of cognitive enhancement would be of benefit as a screening tool in the search for new thera- pies for cognitive disorders such as Alzheimer’s disease. This article provides arguments in favor of neurophysi- ological assessments during performance in psychomet- ric tests to fulfil such aims. The first part concerns the basic characterization of event-related potentials (ERPs) and,  in  particular,  the  generators  of  the  cognitive response called P300, in terms of temporal and spatial properties. Next, we investigate the effects of both non- cholinergic and cholinergic drugs and their interaction in healthy young male and elderly subjects using the extracted ERP parameter as readout. Temporal and spatial characterization of cognitive responses ERPs are transient modifications in electromagnetic brain signals, which are time-locked to cognitive, motor, or sensory processing.They represent activity directly at the level of neuronal networks and hence form a good method for studying the working brain and obtaining neurophysiological indices of attentional mechanisms and cognitive function. In so-called “oddball” paradigms, in which a subject is instructed to count the number of target stimuli, a positive scalp potential with a maximum amplitude of around 300 ms is recorded and is referred to as P300 (Figure 1). Before the emergence of this type of activation, the brain signals display a sequence of components related to consecutive steps of information processing in the central nervous system (CNS), like encoding of stimulus, orienting reaction, etc.These occur in certain time-windows during normal functioning, and the term chronometry is often used. Hence, such elec- trical responses from the scalp are relevant because they are the result of a coordinated synchronization in dis- tributed  neuronal  populations. Topographic  analysis 3 8 8 C l i n i c a l   r e s e a r c h In order to stress the importance of P300 responses in drug development, we describe the spatiotemporal char- acteristics of this objective, evoked event-related poten- tial. These brain activations reflect mnemonic function, in which limbic structures play a role. It is demonstrated that a pharmacological challenge concerning, for example, the cholinergic system in young healthy volunteers induces modifications in P300 reminiscent of the aging brain. We use this type of observation to build a model in which it can be verified whether the deterioration can be coun- teracted by treatment with “cognition-enhancing” drugs. If we accept the extrapolation of the pharmacological effects to symptomatology, scalp potential analysis offers an appropriate tool for the study of drug interactions in early proof-of-concept models. Dialogues Clin Neurosci. 2002;4:388-394. Objective markers of drug effects on brain function from recordings of scalp potential in healthy volunteers Peter H. Boeijinga, PhD Keywords: limbic activation; event-related response; P300; cognition; neuropsychopharmacology; acetylcholine esterase inhibitor; noncholinergic agent Author  affiliations:  Head  of  MEG  and  Clinical  EEG  Explorations,  FORENAP, Institute for Research in Neuroscience and Neuropsychiatry, Rouffach, France Address   for   correspondence: FORENAP, Institute for Research  in Neuroscience and Neuropsychiatry, BP29, 68250 Rouffach, France.
(e-mail: peter.boeijinga@forenap.asso.fr)
A