Single photon emission computerized tomography imaging of amphetamine-induced dopamine release in drug-free schizophrenic subjects
Autor: | John Seibyl, C H van Dyck, John H. Krystal, R. M. Baldwin, Marc Laruelle, Roberto Gil, Robert B. Innis, Cyril D'Souza, Anissa Abi-Dargham, W Rosenblatt, Elinore McCance, Dennis S. Charney, Christine L Fingado, Joseph Erdos, Sami S. Zoghbi |
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Rok vydání: | 1996 |
Předmět: |
Adult
Male medicine.medical_specialty Pyrrolidines Dopamine Stimulation Striatum Psychoses Substance-Induced Internal medicine Dopamine receptor D2 Animals Humans Medicine Amphetamine Tomography Emission-Computed Single-Photon Multidisciplinary Receptors Dopamine D2 business.industry Dopaminergic Binding potential medicine.disease Corpus Striatum Endocrinology Schizophrenia Benzamides Dopamine Antagonists Female business Papio Research Article medicine.drug |
Zdroj: | Proceedings of the National Academy of Sciences. 93:9235-9240 |
ISSN: | 1091-6490 0027-8424 |
Popis: | The dopamine hypothesis of schizophrenia proposes that hyperactivity of dopaminergic transmission is associated with this illness, but direct observation of abnormalities of dopamine function in schizophrenia has remained elusive. We used a newly developed single photon emission computerized tomography method to measure amphetamine-induced dopamine release in the striatum of fifteen patients with schizophrenia and fifteen healthy controls. Amphetamine-induced dopamine release was estimated by the amphetamine-induced reduction in dopamine D2 receptor availability, measured as the binding potential of the specific D2 receptor radiotracer [123I] (S)-(-)-3-iodo-2-hydroxy-6-methoxy-N-[(1-ethyl-2-pyrrolidinyl) methyl]benzamide ([123I]IBZM). The amphetamine-induced decrease in [123I]IBZM binding potential was significantly greater in the schizophrenic group (-19.5 +/- 4.1%) compared with the control group (-7.6 +/- 2.1%). In the schizophrenic group, elevated amphetamine effect on [123I]IBZM binding potential was associated with emergence or worsening of positive psychotic symptoms. This result suggests that psychotic symptoms elicited in this experimental setting in schizophrenic patients are associated with exaggerated stimulation of dopaminergic transmission. Such an observation would be compatible with an abnormal responsiveness of dopaminergic neurons in schizophrenia. |
Databáze: | OpenAIRE |
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