Adrenergic pharmacology and cognition: focus on the prefrontal cortex

Pharmacol Ther. 2007 Mar;113(3):523-36. doi: 10.1016/j.pharmthera.2006.11.006. Epub 2006 Dec 28.

Abstract

Norepinephrine (NE) has widespread projections throughout the brain, and thus, is ideally positioned to orchestrate neural functions based on arousal state. For example, NE can increase "signal/noise" ratio in the processing of sensory stimuli, and can enhance long-term memory consolidation in the amygdala and hippocampus through actions at alpha-1 and beta adrenoceptors. Over the last 20 years, NE has also been shown to play a powerful role in regulating the working memory and attention functions of the prefrontal cortex (PFC). Moderate levels of NE released under control conditions strengthen prefrontal cortical functions via actions at post-synaptic alpha-2A adrenoceptors with high affinity for NE, while high levels of NE release during stress impair PFC cortical functions via alpha-1 and possibly beta-1 receptors with lower affinity for NE. Thus, levels of NE determine whether prefrontal cortical or posterior cortical systems control our behavior and thought. Understanding these receptor mechanisms has led to new intelligent treatments for neuropsychiatric disorders associated with PFC dysfunction.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Cognition / drug effects
  • Cognition / physiology*
  • Humans
  • Locus Coeruleus / physiology
  • Memory / drug effects
  • Memory / physiology
  • Mental Disorders / drug therapy
  • Mental Disorders / physiopathology
  • Norepinephrine / metabolism
  • Norepinephrine / physiology*
  • Prefrontal Cortex / drug effects
  • Prefrontal Cortex / physiology*
  • Prefrontal Cortex / physiopathology
  • Receptors, Adrenergic, alpha / drug effects
  • Receptors, Adrenergic, alpha / metabolism
  • Receptors, Adrenergic, alpha / physiology*
  • Receptors, Adrenergic, beta / drug effects
  • Receptors, Adrenergic, beta / metabolism
  • Receptors, Adrenergic, beta / physiology*

Substances

  • Receptors, Adrenergic, alpha
  • Receptors, Adrenergic, beta
  • Norepinephrine