实验动物与比较医学 ›› 2026, Vol. 46 ›› Issue (1): 66-80.DOI: 10.12300/j.issn.1674-5817.2025.060

• 人类疾病动物模型 • 上一篇    下一篇

注意缺陷多动障碍动物模型文献分析及效度评价

廖望钥, 雷爽()(), 李璇, 郭闵, 周若然   

  1. 南京中医药大学附属医院, 南京 210029
  • 收稿日期:2025-04-23 修回日期:2025-08-20 出版日期:2026-02-25 发布日期:2026-02-14
  • 通讯作者: 雷爽(1986—),女,博士,副主任中医师,研究方向:中医药防治小儿神经精神系统疾病研究。E-mail:leishuanghaohao@126.com。ORCID: 0009-0006-8523-2880
  • 作者简介:廖望钥(2003—),女,本科生,研究方向:中医药防治小儿神经精神系统疾病研究。E-mail: liao_wangyue@163.com
    LEI Shuang(ORCID: 0009-0006-8523-2880), E-mail: leishuanghaohao@126.com
  • 基金资助:
    国家中医药管理局高水平中医药重点学科中医儿科学(南京中医药大学)“基于多巴胺系统探讨熄风止痉汤治疗抽动障碍的作用及机制研究”开放课题(NZYEK007);江苏省高等学校大学生创新创业训练计划“基于多巴胺系统探讨熄风止痉汤治疗抽动障碍的作用及机制研究”(202410315Y113);江苏省中医药科技发展计划项目面上项目“熄风涤痰汤改善神经免疫炎症治疗儿童抽动障碍的临床疗效及机制研究”(MS2025019)

Literature Analysis and Validity Assessment for Animal Models of Attention Deficit and Hyperactive Disorder

LIAO Wangyue, LEI Shuang()(), LI Xuan, GUO Min, ZHOU Ruoran   

  1. Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China
  • Received:2025-04-23 Revised:2025-08-20 Published:2026-02-25 Online:2026-02-14

摘要:

注意缺陷多动障碍(attention deficit and hyperactive disorder,ADHD)为儿童期最常见神经发育障碍,严重危害学业、社交与职业发展,并增加意外伤害、物质滥用的发生概率,部分病例的症状还可能间接扰乱社会治安秩序。ADHD的病因涉及遗传、围产期环境与心理社会因素的交互作用,单一临床研究难以厘清机制,系统评估现有动物模型对揭示其病理机制与开发新疗法至关重要。本文检索2000—2025年PubMed、Web of Science、中国知网、万方数据知识服务平台的文献,辅以“注意缺陷多动障碍”“动物模型”“效度”及对应英文词“attention deficit and hyperactive disorder”“models,animal”“validity”(共检索到328篇)追溯引用:纳入啮齿类ADHD模型且含造模方法、行为学、神经机制或药效数据86篇,按自发性遗传模型、基因工程模型、环境诱导模型3大类归纳,从表面效度、结构效度和预测效度3维度横向比较。自发性遗传模型中,自发性高血压大鼠能较好模拟多动、冲动及兴奋剂反应,但高血压并发症和性别差异削弱特异性;无胼胝体鼠种系提示胼胝体缺失与ADHD样行为相关,而神经递质研究仍不足。基因工程模型方面,多巴胺转运体(dopamine transporter)、神经激肽1受体(neurokinin 1 receptor)、中介体复合物亚基23(mediator complex subunit 23)等基因敲除或条件性基因敲除啮齿类动物模型可精准解析多巴胺、去甲肾上腺素、突触蛋白或表观遗传通路,但普遍存在表型覆盖不全、社交缺陷与共病模拟不足的问题,且伴随生长迟缓或眼部缺陷等不良反应。环境诱导模型通过铅、多氯联苯、酒精、尼古丁暴露,或6-羟基多巴胺(6-hydroxydopamine)损毁、新生缺氧、早期社会隔离及母性应激模拟部分核心症状,但剂量-周期标准化欠缺,行为可逆性与临床持续性不符,且常伴焦虑、抑郁等非特异表型。整体而言,尚无单一范式同时具备高表面、结构、预测效度。目前,ADHD模型已从单因素走向多维度评估,但在遗传背景标准化、性别差异、跨物种转化及中医辨证分型建模方面仍存在显著缺口。未来,应整合遗传-环境-表观遗传多因素交互,建立跨生命周期验证体系,并融合计算神经科学与中西医结合策略,以提升ADHD模型的临床关联性与转化应用价值,为机制阐释、新药筛选和精准干预提供更为坚实的循证支撑。

关键词: 注意缺陷多动障碍, 啮齿类动物模型, 结构效度, 表面效度, 预测效度

Abstract:

Attention deficit and hyperactive disorder (ADHD) is the most common neurodevelopmental disorder of childhood. It seriously impairs academic achievement, social interaction, and vocational development, and increases the risk of accidental injury and substance abuse. In some cases, the symptoms may also exert an indirect disruptive effect on public order. Its aetiology involves interactions among genetic, perinatal environmental, and psychosocial factors that cannot be fully disentangled by single clinical studies. Therefore, a systematic evaluation of existing animal models is essential for revealing pathophysiology and developing novel therapies. Using the keywords "attention deficit and hyperactive disorder", "models, animal", "validity", and their English equivalents, we systematically searched PubMed, Web of Science, CNKI, and Wanfang for publications from 2000 to 2025 (retrieving 328 publications) and added further references by citation tracking. Eighty-six rodent ADHD models that provided detailed construction protocols, behavioural assessments, neurobiological mechanisms, or pharmacological data were included and classified into spontaneous genetic, genetically engineered, and environmentally induced paradigms. Their face, construct, and predictive validity were compared. Among spontaneous genetic models, spontaneously hypertensive rats reproduce hyperactivity, impulsivity, and stimulant responses well, yet hypertension and sex differences limit specificity. Acallosal mouse strains link corpus callosum absence to ADHD-like behaviours, but neurotransmitter studies remain scarce. Genetically engineered rodents—including dopamine transporter, neurokinin-1 receptor and mediator complex subunit 23 knockout or conditional gene knockout lines—precisely dissect dopaminergic, noradrenergic, synaptic, or epigenetic pathways, yet generally lack full phenotypic coverage, social-deficit modelling, and comorbidity representation, and are accompanied by adverse effects such as growth retardation or ocular defects. Environmentally induced models employ lead, polychlorinated biphenyls, alcohol, nicotine exposures, 6-hydroxydopamine lesions, neonatal hypoxia, early social isolation, or maternal stress to recapitulate core symptoms. However, dose-schedule standardisation is lacking. Behavioural reversibility diverges from clinical persistence, and non-specific phenotypes such as anxiety or depression are common. Overall, no single paradigm simultaneously achieves high validity across all three dimensions. Currently, ADHD models have progressed from single-factor simulations to multidimensional evaluation, yet significant gaps remain in genetic-background standardisation, sex differences, cross-species translation, and syndrome-differentiation modelling under traditional Chinese medicine. Future directions should integrate genetic, environmental, and epigenetic interactions, establish life-span validation systems, and incorporate computational neuroscience alongside integrative Chinese-Western strategies to enhance clinical relevance and translational utility, thereby providing robust evidence-based support for mechanistic elucidation, drug screening and precision intervention in ADHD.

Key words: Attention deficit and hyperactive disorder, Rodent animal models, Construct validity, Face validity, Predictive validity

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