Abstract
Prepulse inhibition (PPI) of the startle response serves to prevent the interruption of ongoing perceptual and early sensory analysis and provides a simple operational measure of sensorimotor gating. In line with postulated deficits in early stages of information processing, PPI is disrupted in schizophrenia. PPI is considered a valid candidate for an endophenotypic marker in genetic studies of schizophrenia and has also been extensively used in translational research. Importantly, there are well-replicated sex differences and menstrual phase effects in prepulse-elicited startle modulation of nonclinical young populations. Lack of knowledge about the precise roles of sex differences and hormonal effects in prepulse-elicited startle modulation and in the schizophrenia disease process presents a stumbling block to continuous progress in this field. This chapter reviews a wealth of data demonstrating sex and hormonal influences in prepulse-elicited startle modulation and considers their implications for our understanding of the pathophysiology, genetics, and potential treatments of schizophrenia.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Aasen I, Kolli L, Kumari V (2005) Sex effects in prepulse inhibition and facilitation of the acoustic startle response: implications for pharmacological and treatment studies. J Psychopharmacol 19:39–45
Abel K, Waikar M, Pedro B, Hemsley D, Geyer M (1998) Repeated testing of prepulse inhibition and habituation of the startle reflex: a study in healthy human controls. J Psychopharmacol 12:330–337
Anthony BJ (1985) In the blink of an eye: implications of reflex modification for information processing. In: Ackles P et al (eds) Advances in psychophysiology, vol 1. JAI Press, Greenwich, CT, pp 167–218
Bannbers E, Kask K, Wikstrom J, Sundstrom Poromaa I (2010) Lower levels of prepulse inhibition in luteal phase cycling women in comparison with postmenopausal women. Psychoneuroendocrinology 35:422–429
Barbaccia ML (2004) Neurosteroidogenesis: relevance to neurosteroid actions in brain and modulation by psychotropic drugs. Crit Rev Neurobiol 16:67–74
Barbaccia ML, Affricano D, Purdy RH, Maciocco E, Spiga F, Biggio G (2001) Clozapine, but not haloperidol, increases brain concentrations of neuroactive steroids in the rat. Neuropsychopharmacology 25:489–497
Braff D, Stone C, Callaway E, Geyer M, Glick I, Bali L (1978) Prestimulus effects on human startle reflex in normals and schizophrenics. Psychophysiology l5(4):339–343
Braff DL, Geyer MA (1990) Sensorimotor gating and schizophrenia. Human and animal model studies. Arch Gen Psychiatry 47:181–188
Braff DL, Geyer MA, Swerdlow NR (2001) Human studies of prepulse inhibition of startle: normal subjects, patient groups, and pharmacological studies. Psychopharmacology (Berl) 156:234–258
Breier A, Buchanan RW (1992) The effects of metabolic stress on plasma progesterone in healthy volunteers and schizophrenic patients. Life Sci 51:1527–1534
Brown JS, Kalish HI, Farber IE (1951) Conditioned fear as revealed by magnitude of startle response to an auditory stimulus. J Exp Psychol 41:317–328
Cadenhead KS, Carasso BS, Swerdlow NR, Geyer MA, Braff DL (1999) Prepulse inhibition and habituation of the startle response are stable neurobiological measures in a normal male population. Biol Psychiatry 45:360–364
Cadenhead KS, Swerdlow NR, Shafer KM, Diaz M, Braff DL (2000) Modulation of the startle response and startle laterality in relatives of schizophrenic patients and in subjects with schizotypal personality disorder: evidence of inhibitory deficits. Am J Psychiatry 157:1660–1668
Carpenter WT, Koenig JI (2008) The evolution of drug development in schizophrenia: past issues and future opportunities. Neuropsychopharmacology 33:2061–2079
Castle DJ, Murray RM (1991) The neurodevelopmental basis of sex differences in schizophrenia. Psychol Med 21:565–575
Castle DJ, Abel K, Takei N, Murray RM (1995) Gender differences in schizophrenia: hormonal effect or subtypes? Schizophr Bull 21:1–12
Dawson ME, Schell AM, Swerdlow NR, Filion DL (1997) Cognitive, clinical, and neuropsychological implications of startle modulation. In: Lang P et al (eds) Attention and orienting: sensory and motivational processes. Lawrence Erlbaum Associates, Hillsdale, NJ, pp 257–279
Dluzen DE, Ramirez VD (1984) Bimodal effect of progesterone on in vitro dopamine function of the rat corpus striatum. Neuroendocrinology 39:149–155
Dluzen DE, Ramirez VD (1990) In vitro progesterone modulates amphetamine-stimulated dopamine release from the corpus striatum of castrated male rats treated with estrogen. Neuroendocrinology 52:517–520
Evans LH, Gray NS, Snowden RJ (2005) Prepulse inhibition of startle and its moderation by schizotypy and smoking. Psychophysiology 42:223–231
Faraday MM, O'Donoghue VA, Grunberg NE (1999) Effects of nicotine and stress on startle amplitude and sensory gating depend on rat strain and sex. Pharmacol Biochem Behav 62:273–284
Faraone SV, Chen WJ, Goldstein JM, Tsuang MT (1994) Gender differences in age at onset of schizophrenia. Br J Psychiatry 164:625–629
Fendt M, Li L, Yeomans JS (2001) Brain stem circuits mediating prepulse inhibition of the startle reflex. Psychopharmacology (Berl) 156:216–224
Geyer MA, Swerdlow NR, Mansbach RS, Braff DL (1990) Startle response models of sensorimotor gating and habituation deficits in schizophrenia. Brain Res Bull 25:485–498
Geyer MA, Krebs-Thomson K, Braff DL, Swerdlow NR (2001) Pharmacological studies of prepulse inhibition models of sensorimotor gating deficits in schizophrenia: a decade in review. Psychopharmacology (Berl) 156:117–154
Gogos A, Van den Buuse M (2004) Estrogen and progesterone prevent disruption of prepulse inhibition by the serotonin-1A receptor agonist 8-hydroxy-2-dipropylaminotetralin. J Pharmacol Exp Ther 309:267–274
Gogos A, Nathan PJ, Guille V, Croft RJ, van den Buuse M (2006) Estrogen prevents 5-HT1A receptor-induced disruptions of prepulse inhibition in healthy women. Neuropsychopharmacology 31:885–889
Gottschalk LA, Haer JL, Bates DE (1972) Effect of sensory overload on psychological state. Changes in social alienation-personal disorganization and cognitive-intellectual impairment. Arch Gen Psychiatry 27:451–457
Graham FK (1975) Presidential Address, 1974. The more or less startling effects of weak prestimulation. Psychophysiology 12:238–248
Greenwood TA, Braff DL, Light GA, Cadenhead KS, Calkins ME, Dobie DJ, Freedman R, Green MF, Gur RE, Gur RC, Mintz J, Nuechterlein KH, Olincy A, Radant AD, Seidman LJ, Siever LJ, Silverman JM, Stone WS, Swerdlow NR, Tsuang DW, Tsuang MT, Turetsky BI, Schork NJ (2007) Initial heritability analyses of endophenotypic measures for schizophrenia: the consortium on the genetics of schizophrenia. Arch Gen Psychiatry 64:1242–1250
Guillin O, Abi-Dargham A, Laruelle M (2007) Neurobiology of dopamine in schizophrenia. Int Rev Neurobiol 78:1–39
Hafner H (2003) Gender differences in schizophrenia. Psychoneuroendocrinology 28(Suppl 2):17–54
Hafner H, Maurer K, Loffler W, Riecher-Rossler A (1993) The influence of age and sex on the onset and early course of schizophrenia. Br J Psychiatry 162:80–86
Hafner H, an der Heiden W, Behrens S, Gattaz WF, Hambrecht M, Loffler W, Maurer K, Munk-Jorgensen P, Nowotny B, Riecher-Rossler A, Stein A (1998) Causes and consequences of the gender difference in age at onset of schizophrenia. Schizophr Bull 24:99–113
Hasenkamp W, Epstein MP, Green A, Wilcox L, Boshoven W, Lewison B, Duncan E (2010) Heritability of acoustic startle magnitude, prepulse inhibition, and startle latency in schizophrenia and control families. Psychiatry Res 178:236–243
Hazlett EA, Buchsbaum MS (2001) Sensorimotor gating deficits and hypofrontality in schizophrenia. Front Biosci 6:D1069–D1072
Hazlett EA, Buchsbaum MS, Zhang J, Newmark RE, Glanton CF, Zelmanova Y, Haznedar MM, Chu KW, Nenadic I, Kemether EM, Tang CY, New AS, Siever LJ (2008) Frontal-striatal-thalamic mediodorsal nucleus dysfunction in schizophrenia-spectrum patients during sensorimotor gating. Neuroimage 42:1164–1177
Hoffman HS, Searle JL (1968) Acoustic and temporal factors in the evocation of startle. J Acoust Soc Am 43:269–282
Ison JR, Allen PD (2007) Pre- but not post-menopausal female CBA/CaJ mice show less prepulse inhibition than male mice of the same age. Behav Brain Res 185:76–81
Javitt DC, Spencer KM, Thaker GK, Winterer G, Hajos M (2008) Neurophysiological biomarkers for drug development in schizophrenia. Nat Rev Drug Discov 7:68–83
Jovanovic T, Szilagyi S, Chakravorty S, Fiallos AM, Lewison BJ, Parwani A, Schwartz MP, Gonzenbach S, Rotrosen JP, Duncan EJ (2004) Menstrual cycle phase effects on prepulse inhibition of acoustic startle. Psychophysiology 41:401–406
Justice AJ, de Wit H (1999) Acute effects of d-amphetamine during the follicular and luteal phases of the menstrual cycle in women. Psychopharmacology (Berl) 145:67–75
Kapur S, Remington G (2001) Dopamine D(2) receptors and their role in atypical antipsychotic action: still necessary and may even be sufficient. Biol Psychiatry 50:873–883
Kask K, Backstrom T, Gulinello M, Sundstrom-Poromaa I (2008) Lower levels of prepulse inhibition of startle response in pregnant women compared to postpartum women. Psychoneuroendocrinology 33:100–107
Khisti RT, Mandhane SN, Chopde CT (1998) The neurosteroid 3 alpha-hydroxy-5 alpha-pregnan-20-one induces catalepsy in mice. Neurosci Lett 251:85–88
Khisti RT, Deshpande LS, Chopde CT (2002) The neurosteroid 3 alpha-hydroxy-5 alpha-pregnan-20-one affects dopamine-mediated behavior in rodents. Psychopharmacology (Berl) 161:120–128
Koch M (1998) Sensorimotor gating changes across the estrous cycle in female rats. Physiol Behav 64:625–628
Kulkarni J (2009) Oestrogen – a new treatment approach for schizophrenia? Med J Aust 190:S37–S38
Kumari V, Antonova E, Geyer MA, Ffytche D, Williams SC, Sharma T (2007a) A fMRI investigation of startle gating deficits in schizophrenia patients treated with typical or atypical antipsychotics. Int J Neuropsychopharmacol 10:463–477
Kumari V, Antonova E, Geyer MA (2008b) Prepulse inhibition and "psychosis-proneness" in healthy individuals: an fMRI study. Eur Psychiatry 23:274–280
Kumari V, Aasen I, Papadopoulos A, Bojang F, Poon L, Halari R, Cleare AJ (2008a) A comparison of prepulse inhibition in pre- and postmenopausal women and age-matched men. Neuropsychopharmacology 33:2610–2618
Kumari V, Aasen I, Sharma T (2004) Sex differences in prepulse inhibition deficits in chronic schizophrenia. Schizophr Res 69:219–235
Kumari V, Antonova E, Zachariah E, Galea A, Aasen I, Ettinger U, Mitterschiffthaler MT, Sharma T (2005a) Structural brain correlates of prepulse inhibition of the acoustic startle response in healthy humans. Neuroimage 26:1052–1058
Kumari V, Das M, Zachariah E, Ettinger U, Sharma T (2005b) Reduced prepulse inhibition in unaffected siblings of schizophrenia patients. Psychophysiology 42(5):588–594
Kumari V, Fannon D, Sumich AL, Sharma T (2007b) Startle gating in antipsychotic-naive first episode schizophrenia patients: one ear is better than two. Psychiatry Res 151:21–28
Kumari V, Gray J, Gupta P, Luscher S, Sharma T (2003a) Sex differences in prepulse inhibition of the acoustic startle response. Person Indiv Diff 34:733–742
Kumari V, Gray JA, Geyer MA, ffytche D, Soni W, Mitterschiffthaler MT, Vythelingum GN, Simmons A, Williams SC, Sharma T (2003b) Neural correlates of tactile prepulse inhibition: a functional MRI study in normal and schizophrenic subjects. Psychiatry Res 122:99–113
Kumari V, Konstantinou J, Papadopoulos A, Aasen I, Poon L, Halari R, Cleare AJ (2010) Evidence for a role of progesterone in menstrual cycle-related variability in prepulse inhibition in healthy young women. Neuropsychopharmacology 35:929–937
Kumari V, Peters ER, Fannon D, Premkumar P, Aasen I, Cooke MA, Anilkumar AP, Kuipers E (2008c) Uncontrollable voices and their relationship to gating deficits in schizophrenia. Schizophr Res 101:185–194
Kumari V, Soni W, Mathew VM, Sharma T (2000) Prepulse inhibition of the startle response in men with schizophrenia: effects of age of onset of illness, symptoms, and medication. Arch Gen Psychiatry 57:609–614
Kumari V, Toone B, Gray JA (1997) Habituation and prepulse inhibition of the acoustic startle reflex: Effects of smoking status and psychosis-proneness. Pers Individ Dif 23:183–191
Marshall JC (2001) Hormonal regulation of the menstrual cycle and mechanisms of ovulation. In: Leslie J et al (eds) Endocrinology. W.B. Saunders Company, Phliladelphia, pp 2073–2085
Marx CE, Duncan GE, Gilmore JH, Lieberman JA, Morrow AL (2000) Olanzapine increases allopregnanolone in the rat cerebral cortex. Biol Psychiatry 47:1000–1004
Marx CE, VanDoren MJ, Duncan GE, Lieberman JA, Morrow AL (2003) Olanzapine and clozapine increase the GABAergic neuroactive steroid allopregnanolone in rodents. Neuropsychopharmacology 28:1–13
Marx CE, Shampine LJ, Duncan GE, VanDoren MJ, Grobin AC, Massing MW, Madison RD, Bradford DW, Butterfield MI, Lieberman JA, Morrow AL (2006) Clozapine markedly elevates pregnenolone in rat hippocampus, cerebral cortex, and serum: candidate mechanism for superior efficacy? Pharmacol Biochem Behav 84:598–608
Michanek A, Meyerson BJ (1982) Influence of estrogen and progesterone on behavioral effects of apomorphine and amphetamine. Pharmacol Biochem Behav 16:875–879
Montag C, Hartmann P, Merz M, Burk C, Reuter M (2008) D2 receptor density and prepulse inhibition in humans: negative findings from a molecular genetic approach. Behav Brain Res 187:428–432
Neuner I, Stocker T, Kellermann T, Ermer V, Wegener HP, Eickhoff SB, Schneider F, Shah NJ (2010) Electrophysiology meets fMRI: neural correlates of the startle reflex assessed by simultaneous EMG-fMRI data acquisition. Hum Brain Mapp 31:1675–1685
Oades RD, Schepker R (1994) Serum gonadal steroid hormones in young schizophrenic patients. Psychoneuroendocrinology 19:373–385
Ornitz EM, Guthrie D, Sadeghpour M, Sugiyama T (1991) Maturation of prestimulation-induced startle modulation in girls. Psychophysiology 28:11–20
Parducz A, Hoyk Z, Kis Z, Garcia-Segura LM (2002) Hormonal enhancement of neuronal firing is linked to structural remodelling of excitatory and inhibitory synapses. Eur J Neurosci 16:665–670
Petrovsky N, Quednow BB, Ettinger U, Schmechtig A, Mössner R, Collier DA, Kühn KU, Maier W, Wagner M, Kumari V (2010) Sensorimotor gating is associated with CHRNA3 polymorphisms in schizophrenia and healthy volunteers. Neuropsychopharmacology 35:1429–1439
Postma P, Gray JA, Sharma T, Geyer M, Mehrotra R, Das M, Zachariah E, Hines M, Williams SC, Kumari V (2006) A behavioural and functional neuroimaging investigation into the effects of nicotine on sensorimotor gating in healthy subjects and persons with schizophrenia. Psychopharmacology (Berl) 184:589–599
Quednow BB, Kuhn KU, Mossner R, Schwab SG, Schuhmacher A, Maier W, Wagner M (2008) Sensorimotor gating of schizophrenia patients is influenced by 5-HT2A receptor polymorphisms. Biol Psychiatry 64:434–437
Quednow BB, Schmechtig A, Ettinger U, Petrovsky N, Collier DA, Vollenweider FX, Wagner M, Kumari V (2009) Sensorimotor gating depends on polymorphisms of the serotonin-2A receptor and catechol-O-methyltransferase, but not on neuregulin-1 Arg38Gln genotype: a replication study. Biol Psychiatry 66:614–620
Ramirez VD, Zheng J (1996) Membrane sex-steroid receptors in the brain. Front Neuroendocrinol 17:402–439
Riecher-Rossler A, Hafner H, Stumbaum M, Maurer K, Schmidt R (1994) Can estradiol modulate schizophrenic symptomatology? Schizophr Bull 20:203–214
Roussos P, Giakoumaki SG, Bitsios P (2008a) The dopamine D(3) receptor Ser9Gly polymorphism modulates prepulse inhibition of the acoustic startle reflex. Biol Psychiatry 64:235–240
Roussos P, Giakoumaki SG, Rogdaki M, Pavlakis S, Frangou S, Bitsios P (2008b) Prepulse inhibition of the startle reflex depends on the catechol O-methyltransferase Val158Met gene polymorphism. Psychol Med 38:1651–1658
Rupprecht R (2003) Neuroactive steroids: mechanisms of action and neuropsychopharmacological properties. Psychoneuroendocrinology 28:139–168
Rupprecht R, Koch M, Montkowski A, Lancel M, Faulhaber J, Harting J, Spanagel R (1999) Assessment of neuroleptic-like properties of progesterone. Psychopharmacology (Berl) 143:29–38
Shulman Y, Tibbo PG (2005) Neuroactive steroids in schizophrenia. Can J Psychiatry 50:695–702
Swerdlow NR, Auerbach P, Monroe SM, Hartston H, Geyer MA, Braff DL (1993) Men are more inhibited than women by weak prepulses. Biol Psychiatry 34:253–260
Swerdlow NR, Braff DL, Taaid N, Geyer MA (1994) Assessing the validity of an animal model of deficient sensorimotor gating in schizophrenic patients. Arch Gen Psychiatry 51:139–154
Swerdlow NR, Hartman PL, Auerbach PP (1997) Changes in sensorimotor inhibition across the menstrual cycle: implications for neuropsychiatric disorders. Biol Psychiatry 41:452–460
Swerdlow NR, Geyer MA, Hartman PL, Sprock J, Auerbach PP, Cadenhead K, Perry W, Braff DL (1999) Sex differences in sensorimotor gating of the human startle reflex: all smoke? Psychopharmacology (Berl) 146:228–232
Swerdlow NR, Geyer MA, Braff DL (2001) Neural circuit regulation of prepulse inhibition of startle in the rat: current knowledge and future challenges. Psychopharmacology (Berl) 156:194–215
Swerdlow NR, Stephany N, Wasserman LC, Talledo J, Shoemaker J, Auerbach PP (2003) Amphetamine effects on prepulse inhibition across-species: replication and parametric extension. Neuropsychopharmacology 28:640–650
Swerdlow NR, Light GA, Cadenhead KS, Sprock J, Hsieh MH, Braff DL (2006a) Startle gating deficits in a large cohort of patients with schizophrenia: relationship to medications, symptoms, neurocognition, and level of function. Arch Gen Psychiatry 63:1325–1335
Swerdlow NR, Talledo J, Sutherland AN, Nagy D, Shoemaker JM (2006b) Antipsychotic effects on prepulse inhibition in normal 'low gating' humans and rats. Neuropsychopharmacology 31:2011–2021
Swerdlow NR, Weber M, Qu Y, Light GA, Braff DL (2008) Realistic expectations of prepulse inhibition in translational models for schizophrenia research. Psychopharmacology (Berl) 199:331–388
Taherianfard M, Shariaty M (2004) Evaluation of serum steroid hormones in schizophrenic patients. Indian J Med Sci 58:3–9
Takahashi H, Iwase M, Ishii R, Ohi K, Fukumoto M, Azechi M, Ikezawa K, Kurimoto R, Canuet L, Nakahachi T, Iike N, Tagami S, Morihara T, Okochi M, Tanaka T, Kazui H, Yoshida T, Tanimukai H, Yasuda Y, Kudo T, Hashimoto R, Takeda M (2008) Impaired prepulse inhibition and habituation of acoustic startle response in Japanese patients with schizophrenia. Neurosci Res 62:187–194
Talledo JA, SutherlandOwens AN, Schortinghuis T, Swerdlow NR (2009) Amphetamine effects on startle gating in normal women and female rats. Psychopharmacology (Berl) 204:165–175
Vaillancourt C, Cyr M, Rochford J, Boksa P, Di Paolo T (2002) Effects of ovariectomy and estradiol on acoustic startle responses in rats. Pharmacol Biochem Behav 74:103–109
Valera S, Ballivet M, Bertrand D (1992) Progesterone modulates a neuronal nicotinic acetylcholine receptor. Proc Natl Acad Sci U S A 89:9949–9953
Wetzel CH, Hermann B, Behl C, Pestel E, Rammes G, Zieglgansberger W, Holsboer F, Rupprecht R (1998) Functional antagonism of gonadal steroids at the 5-hydroxytryptamine type 3 receptor. Mol Endocrinol 12:1441–1451
Acknowledgment
The author acknowledges funding support by The British Academy (SG-39919) for her studies of sex differences and menstrual phase effects in PESM.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Kumari, V. (2011). Sex Differences and Hormonal Influences in Human Sensorimotor Gating: Implications for Schizophrenia. In: Neill, J., Kulkarni, J. (eds) Biological Basis of Sex Differences in Psychopharmacology. Current Topics in Behavioral Neurosciences, vol 8. Springer, Berlin, Heidelberg. https://doi.org/10.1007/7854_2010_117
Download citation
DOI: https://doi.org/10.1007/7854_2010_117
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-20005-2
Online ISBN: 978-3-642-20006-9
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)