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The Phencyclidine‐Glutamate Model of Schizophrenia

 

作者: Adam Halberstadt,  

 

期刊: Clinical Neuropharmacology  (OVID Available online 1995)
卷期: Volume 18, issue 3  

页码: 237-249

 

ISSN:0362-5664

 

年代: 1995

 

出版商: OVID

 

关键词: Dopamine;Glutamate;N-Methyl-D-aspartate;PCP;Phencyclidine;Schizophrenia

 

数据来源: OVID

 

摘要:

For the past 20 years, it has been widely assumed that schizophrenia results from chronic dopamine (DA) hyperactivity. However, large amounts of evidence exist that call into question this assumption. After examining the brains of schizophrenic patients, studies failed to find evidence of elevated levels of DA, alterations in DA-producing or degrading enzymes or both, or increased DA-receptor concentrations or affinity; thus, there are no direct observations linking psychosis to increases in DA activity. Therefore, it seems that mechanisms unrelated to altered dopaminergic functioning may be involved in the underlying pathology of schizophrenia. The anesthetic drug phencyclidine (PCP) is capable of inducing psychosis-like states through nondopaminergic mechanisms. PCP acts as a glutamate antagonist; glutamatergic abnormalities have been detected in the brains of schizophrenics. This evidence suggets that glutamate hypofunction may be involved in the pathology of psychosis. Additionally, a functional link exists between glutamate and DA neural systems. Based on these facts, as well as an extensive review of the literature, it is concluded that dysfunctional glutamatergic pathways are involved in psychotic pathology.

 

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