Glutamate receptor dysfunction and schizophrenia
Abstract
In this article, we advance a unified hypothesis pertaining to combined dysfunction of dopamine and N-methyl-D-aspartate glutamate receptors that highlights N-methyl-D-aspartate receptor hypofunction as a key mechanism that can help explain major clinical and pathophysiological aspects of schizophrenia. The following fundamental features of schizophrenia are accommodated by this hypothesis: (1) the occurrence of structural brain changes during early development that have the potential for producing subsequent clinical manifestations of schizophrenia, (2) a quiescent period in infancy and adolescence before clinical manifestations are expressed, (3) onset in early adulthood of psychotic symptoms, (4) involvement of dopamine (D2) receptors in some cases but not others that would explain why some but not all patients are responsive to typical neuroleptic therapy, and (5) ongoing neurodegenerative changes and cognitive deterioration in some patients. We propose that since N-methyl-D-aspartate receptor hypofunction can cause psychosis in humans and corticolimbic neurodegenerative changes in the rat brain, and since these changes are prevented by certain antipsychotic drugs, including atypical neuroleptic agents (clozapine, olanzapine, fluperlapine), a better understanding of the N-methyl-D-aspartate receptor hypofunction mechanism and ways of preventing its neurodegenerative consequences in the rat brain may lead to improved pharmacotherapy in schizophrenia.
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Increasing evidence supports dysfunction of the glutaminergic system as the primary pathophysiological change seen in schizophrenia.
“In recent years, however, increasing evidence supports dysfunction of the glutaminergic system as being the primary pathophysiological changes seen in schizophrenia [105].”
From Prenatal nicotine exposure during pregnancy results in adverse neurodevelopmental alterations and neurobehavioral deficits (2023) · cites this paper as [105]
The resemblance between patient contrast response curves and NMDA antagonist effects is consistent with glutamatergic theories of schizophrenia.
“The decreased slope at low contrast and decreased plateau in patients closely resembles results seen after microinfusion of an NDMA antagonist into cat LGN and visual cortex (16,17) (Figure 3A and 3B), consistent with glutamatergic theories of schizophrenia (23–25).”
From Visual perception and its impairment in schizophrenia (2008) · cites this paper as [24]
The decreased slope at low contrast and decreased plateau in patients closely resembles results seen after microinfusion of an NMDA antagonist into cat LGN and visual cortex.
“The decreased slope at low contrast and decreased plateau in patients closely resembles results seen after microinfusion of an NDMA antagonist into cat LGN and visual cortex (16,17) (Figure 3A and 3B), consistent with glutamatergic theories of schizophrenia (23–25).”
From Visual perception and its impairment in schizophrenia (2008) · cites this paper as [24]
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- Authors
- Olney, J. W.
- Affiliations
- Washington University in St. Louis (US)
- Corresponding author
- Olney, John W.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1995-12-01
- Volume
- 52
- Issue
- 12
- Pages
- 998
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2093248761
- Cited by
- 1,685
- References
- 99
- Citations by year
- 2026: 20 · 2025: 13 · 2024: 17 · 2023: 23 · 2022: 35 · 2021: 37 · 2020: 44 · 2019: 49 · 2018: 37 · 2017: 49 · 2016: 51 · 2015: 52 · 2014: 53 · 2013: 54 · 2012: 62
- FWCI
- 45.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (1r01da006454-01)
- National Institute on Drug Abuse (R01DA005072, DA07261, DA05072, T32DA007261, DA 06454)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- schizophrenia, NMDA receptor hypofunction, dopamine D2 receptor, psychosis, atypical antipsychotics, clozapine, olanzapine, neurodegeneration, brain development, cognitive decline
- MeSH terms
- Animals, Brain, Gyrus Cinguli, Microscopy, Electron, Models, Neurological, Schizophrenia, Receptors, N-Methyl-D-Aspartate, Receptors, Glutamate, Pyramidal Cells, Rats
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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