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Nature of Glutamate Alterations in Schizophrenia: A Meta-analysis of Proton Magnetic Resonance Spectroscopy Studies
Open accessAbstract
IMPORTANCE: Alterations in glutamatergic neurotransmission may be fundamental to the pathophysiology of schizophrenia, and the glutamatergic system is a target for novel therapeutic interventions in the disorder. OBJECTIVE: To investigate the nature of brain glutamate alterations in schizophrenia by conducting a meta-analysis of glutamate proton magnetic resonance (MRS) spectroscopy studies. DATA SOURCES: The MEDLINE database was searched for studies published from January 1, 1980, to April 1, 2015. Search terms included magnetic resonance spectroscopy, schizophrenia, psychosis, clinical or genetic high risk, and schizoaffective. Inclusion criteria were single voxel 1H-MRS studies reporting glutamate, glutamine or Glx values for a patient or risk group in comparison to a healthy volunteer group. STUDY SELECTION: Fifty-nine studies were identified, which included 1686 patients and 1451 healthy individuals serving as controls. DATA EXTRACTION AND SYNTHESIS: A random-effects, inverse-weighted variance model was used to calculate the pooled effect size. Mean values were extracted and verified independently. Effect sizes were determined for glutamate, glutamine, and Glx in brain regions that had been examined in at least 3 different studies. A secondary analysis grouped studies into those examining patients at different stages of illness (high risk, first-episode psychosis, or chronic schizophrenia). Effects of age, antipsychotic dose, and symptom severity were determined using meta-regression. RESULTS: In schizophrenia, there were significant elevations in glutamate in the basal ganglia (Hedges g = 0.63; 95% CI, 0.15-1.11), glutamine in the thalamus (g = 0.56; 95% CI, 0.02-1.09), and Glx in the basal ganglia (g = 0.39; 95% CI, 0.09-0.70) and medial temporal lobe (g = 0.32; 95% CI, 0.12-0.52). No region showed a reduction in glutamate metabolites in schizophrenia. Secondary analyses revealed that elevated medial frontal Glx levels were evident in individuals at high risk for schizophrenia (g = 0.26; 95% CI, 0.05-0.46) but not in those with first-episode psychosis or chronic schizophrenia, whereas elevated Glx in the medial temporal lobe was seen with chronic schizophrenia (g = 0.40; 95% CI, 0.08-0.71) but not in the high-risk or first-episode groups. Meta-regression found no association with age, symptom severity, or antipsychotic dose. CONCLUSIONS AND RELEVANCE: Schizophrenia is associated with elevations in glutamatergic metabolites across several brain regions. This finding supports the hypothesis that schizophrenia is associated with excess glutamatergic neurotransmission in several limbic areas and further indicates that compounds that reduce glutamatergic transmission may have therapeutic potential.
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“Evidence from magnetic resonance spectroscopy suggests that alterations in glutamatergic neurotransmission may change over the course of schizophrenia (96, 97).”
From The Predictive Coding Account of Psychosis (2018) · cites this paper as [96]
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Cites
Meta-analysis in clinical trials
DerSimonian, R., & Laird, N. (1986) · Controlled Clinical Trials · doi:10.1016/0197-2456(86)90046-2 · Cited by 39,552
The Positive and Negative Syndrome Scale (PANSS) for schizophrenia.
Kay, S. R., Fiszbein, A., & Opler, L. A. (1987) · Schizophrenia Bulletin · doi:10.1093/schbul/13.2.261 · Cited by 21,378
Wasserman, S. S., Hedges, L. V., & Olkin, I. (1988) · Journal of Educational Statistics · doi:10.2307/1164953 · Cited by 10,377
Sterne, J. A. C., Sutton, A. J., Ioannidis, J. P. A., Terrin, N., Jones, D. R., Lau, J., Carpenter, J., Rucker, G., Harbord, R. M., Schmid, C. H., et al. (2011) · BMJ · doi:10.1136/bmj.d4002 · Cited by 7,709
Biological insights from 108 schizophrenia-associated genetic loci
Schizophrenia Working Group of the Psychiatric Genomics Consortium (2014) · Nature · doi:10.1038/nature13595 · Cited by 7,577
Recent advances in the phencyclidine model of schizophrenia
(1991) · American Journal of Psychiatry · doi:10.1176/ajp.148.10.1301 · Cited by 2,904
Statistical Methods for Meta-Analysis
(1985) · Elsevier eBooks · doi:10.1016/c2009-0-03396-0 · Cited by 2,570
Moghaddam, B., Adams, B., Verma, A., & Daly, D. (1997) · The Journal of Neuroscience · doi:10.1523/jneurosci.17-08-02921.1997 · Cited by 1,793
Glutamate receptor dysfunction and schizophrenia
Olney, J. W. (1995) · Archives of General Psychiatry · doi:10.1001/archpsyc.1995.03950240016004 · Cited by 1,685
Lisman, J. E., Coyle, J. T., Green, R. W., Javitt, D. C., Benes, F. M., Heckers, S., & Grace, A. A. (2008) · Trends in Neurosciences · doi:10.1016/j.tins.2008.02.005 · Cited by 1,010
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- Szulc A, Galinska B, Tarasów E, et al. Glutamatergic system dysfunction in schizophrenia: a proton magnetic resonance spectroscopy ( 1 H MRS) study. Pol J Radiol. 2004;69(1):33-36.
Cited by
Sorted by citations
Items 201–300 of 367
Abnormal Thalamic Metabolism in Patients With Lifelong Premature Ejaculation
Xia, J., Chen, F., Zhang, Q., Wang, Y., Dai, Y., Song, N., Wang, Z., Zhang, B., & Yang, J. (2020) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2020.11.014 · Cited by 13
Fenn‐Moltu, S., Deakin, J. F. W., Drake, R., Howes, O. D., Lawrie, S. M., Lewis, S. W., Nikkheslat, N., Walters, J., MacCabe, J. H., Mondelli, V., et al. (2023) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2023.05.005 · Cited by 13
“However, the extent and direction of glutamate abnormality may relate to illness stage, severity, medication effects, genetic and other factors (Bustillo et al., 2017; Merritt et al., 2016, 2021, 2022; Nakahara et al., 2021).”
Johnson, K., Weldon, A. J., & Burmeister, M. A. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1386263 · Cited by 14
Corcoran, M., Hawkins, E. L., O’Hora, D. P., Whalley, H. C., Hall, J., Lawrie, S. M., & Dauvermann, M. R. (2020) · Brain and Behavior · doi:10.1002/brb3.1616 · Cited by 13
Wright, C. J., Rentschler, K. M., Wagner, N. T. J., Lewis, A. M., Beggiato, S., & Pocivavsek, A. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.734984 · Cited by 13
MRI investigation of immune dysregulation in schizophrenia
Gangadin, S. S., Nasib, L. G., Sommer, I. E., & Mandl, R. C. W. (2019) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000498 · Cited by 13
“In line with the glutamate hypothesis, higher glutamate levels were reported in first episode psychosis patients [21,24], whereas reduced glutamate levels were detected with MRS in chronic schizophrenia patients [25 && ].”
BackgroundResultInfluentialN-Methyl-D-Aspartate Receptors in Hematopoietic Cells: What Have We Learned?
Kalev‐Zylinska, M. L., Hearn, J. I., Makhro, A., & Bogdanova, A. Y. (2020) · Frontiers in Physiology · doi:10.3389/fphys.2020.00577 · Cited by 14
León-Ortíz, P., Reyes-Madrigal, F., Kochunov, P., Gómez-Cruz, G., Moncada-Habib, T., Malacara, M., Mora-Durán, R., Rowland, L. M., & de la Fuente‐Sandoval, C. (2020) · Schizophrenia Research · doi:10.1016/j.schres.2020.06.006 · Cited by 14
Borgan, F., Veronese, M., Marques, T. R., Lythgoe, D. J., & Howes, O. D. (2020) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-020-01191-2 · Cited by 13
Cai, X., Pu, C., Zhou, S., Wang, Y., Huang, J., Lui, S. S. Y., Møller, A., Cheung, E. F. C., Madsen, K. H., Xue, R., et al. (2022) · Psychological Medicine · doi:10.1017/s0033291722001817 · Cited by 12
Reduced cortical GABA and glutamate in high schizotypy
Kozhuharova, P., Diaconescu, A. O., & Allen, P. (2021) · Psychopharmacology · doi:10.1007/s00213-021-05867-y · Cited by 12
Bartolomeo, L. A., Wright, A. M., Ma, R. E., Hummer, T. A., Francis, M., Visco, A. C., Mehdiyoun, N. F., Bolbecker, A. R., Hetrick, W. P., Dydak, U., et al. (2019) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2019.05.009 · Cited by 12
“A variety of metabolites within relevant brain regions and circuits have been assessed using MRS to examine the neurobiological mechanisms underlying SZ, with studies examining glutamatergic metabolites being the most prevalent (Merritt et al., 2016; Poels et al., 2014).”
BackgroundRogdaki, M., Hathway, P., Gudbrandsen, M., McCutcheon, R. A., Jauhar, S., Daly, E., & Howes, O. D. (2019) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2019.09.005 · Cited by 13
Yang, J., Guo, H., Sun, D., Duan, J., Rao, X., Xu, F., Manyande, A., Tang, Y., Wang, J., & Wang, F. (2019) · PubMed Central · Cited by 11
Bustillo, J., Upston, J., Mayer, E. G., Jones, T., Maudsley, A. A., Gasparovic, C., Tohen, M. F., & Lenroot, R. (2020) · Neuropsychopharmacology · doi:10.1038/s41386-020-0707-y · Cited by 12
Translational medicine of the glutamate AMPA receptor
Miyazaki, T., Hiroki, A. B. E., Uchida, H., & Takahashi, T. (2021) · Proceedings of the Japan Academy Series B · doi:10.2183/pjab.97.001 · Cited by 12
Torres‐Carmona, E., Nakajima, S., Iwata, Y., Ueno, F., Stefan, C., Song, J., Abdolizadeh, A., KOIZUMI, M., Kambari, Y., Amaev, A., et al. (2024) · Schizophrenia Research · doi:10.1016/j.schres.2024.06.020 · Cited by 11
Onwordi, E. C., Whitehurst, T., Shatalina, E., Carr, R., Mansur, A., Arumuham, A., Osugo, M., Marques, T. R., Jauhar, S., Gupta, S., et al. (2025) · Translational Psychiatry · doi:10.1038/s41398-025-03269-8 · Cited by 11
“In contrast with the fi ndings from meta-analyses of 1 H-MRS studies [6, 7], we did not identify signi fi cant differences in Glu/Cr or Glx/Cr between groups.”
Griffiths, K., Smart, S. E., Barker, G. J., Deakin, J. F. W., Lawrie, S. M., Lewis, S. W., Lythgoe, D. J., Pardiñas, A. F., Singh, K. D., Semple, S., et al. (2023) · Schizophrenia Research · doi:10.1016/j.schres.2023.08.020 · Cited by 11
“Alterations in brain glutamate levels in schizophrenia (Merritt et al., 2016; Merritt et al., 2021) may be heritable (Legind et al., 2019).”
BackgroundResultThe impact of endurance training and table soccer on brain metabolites in schizophrenia
Rauchmann, B., Ghaseminejad, F., Keeser, D., Keller-Varady, K., Schneider-Axmann, T., Takahashi, S., Karali, T., Helms, G., Dechent, P., Maurus, I., et al. (2019) · Brain Imaging and Behavior · doi:10.1007/s11682-019-00198-1 · Cited by 11
“…(MRS) studies revealed significant elevations of glutamatergic metabolites, namely Glu and glutamine (Gln), together referred to as Glx, in several cortical and subcortical regions in schizophrenia patients, although the findings were heterogeneous (Schwerk et al. 2014; Merritt et al. 2016).”
BackgroundProton Exchange Magnetic Resonance Imaging: Current and Future Applications in Psychiatric Research
Shaffer, J. J., Mani, M., Schmitz, S. L., Xu, J., Owusu, N., Wu, D. H., Magnotta, V. A., & Wemmie, J. A. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.532606 · Cited by 11
Bustillo, J., Mayer, E. G., Upston, J., Jones, T., Garcia, C., Sheriff, S., Maudsley, A. A., Tohen, M. F., Gasparovic, C., & Lenroot, R. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.660850 · Cited by 11
Erbb4Deletion From Inhibitory Interneurons Causes Psychosis-Relevant Neuroimaging Phenotypes
Kiemes, A., Navacerrada, M. E. S., Kim, E., Randall, K., Simmons, C., Gonzalez, L. R., Petrinovic, M. M., Lythgoe, D. J., Rotaru, D., Censo, D. D., et al. (2022) · Schizophrenia Bulletin · doi:10.1093/schbul/sbac192 · Cited by 12
Brakatselos, C., Polissidis, A., Ntoulas, G., Asprogerakas, M.-Z., Tsarna, O., Vamvaka-Iakovou, A., Nakas, G., Delis, A. D., Tzimas, P., Skaltsounis, A., et al. (2024) · Neuropsychopharmacology · doi:10.1038/s41386-024-01977-1 · Cited by 10
Guided by Expectations: Overweighted Semantic Priors in Schizotypy and Their Links to Glutamate
Knolle, F., Sterner, E., Demler, V. F., MacGregor, L. J., & Mathys, C. D. (2025) · Biological Psychiatry · doi:10.1016/j.biopsych.2025.06.025 · Cited by 14
Huang, L.-C., Lin, S., Tseng, H., Chen, K. C., & Yang, Y. K. (2020) · Medical Hypotheses · doi:10.1016/j.mehy.2020.110159 · Cited by 10
Hippocampal Hyperconnectivity to the Visual Cortex Predicts Treatment Response
Nelson, E. A., Kraguljac, N. V., Maximo, J. O., Armstrong, W. P., & Lahti, A. C. (2023) · Schizophrenia Bulletin · doi:10.1093/schbul/sbac213 · Cited by 11
Glutamate receptor 4 as a fluid biomarker for the diagnosis of psychiatric disorders
Gómez de San José, N., Goossens, J., Al Shweiki, M. R., Halbgebauer, S., Oeckl, P., Steinacker, P., Danzer, K. M., Graf, H., Schönfeldt-Lecuona, C., Belbin, O., et al. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.10.010 · Cited by 9
Merritt, K., McGuire, P. K., Egerton, A., 1H-MRS in Schizophrenia Investigators, Aleman, A., Block, W., Bloemen, O., Borgan, F., Bustillo, J., Capizzano, A. A., et al. (2021) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2021.0380 · Cited by 142
Demler, V. F., Sterner, E., Wilson, M., Zimmer, C., & Knolle, F. (2023) · Scientific Reports · doi:10.1038/s41598-023-39881-1 · Cited by 9
Gallego, J. A., McNamara, R. K., Blanco, E. A., Ramirez, S. C., Jimenez, L. D., Lesmes, S. A., Lencz, T., & Malhotra, A. K. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2024.115871 · Cited by 9
Predictive processing accounts of psychosis: bottom-up or top-down disruptions
Goodwin, I., Diederen, K. M. J., Hird, E., Weilnhammer, V. A., Garrido, M. I., & Knolle, F. (2026) · Nature Mental Health · doi:10.1038/s44220-025-00558-5 · Cited by 9
“Alterations in glutamate levels have been consistently found in individuals with schizophrenia, at risk for psychosis, and schizotypy 41,42 .”
van den Oord, E. J. C. G., Xie, L. Y., Zhao, M., Campbell, T. L., Turecki, G., Kähler, A. K., Dean, B., Mors, O. N., Hultman, C. M., Staunstrup, N. H., et al. (2023) · Molecular Psychiatry · doi:10.1038/s41380-023-02080-5 · Cited by 9
Lopes, J. J., Carruthers, S. P., Meyer, D., Dean, B., & Rossell, S. L. (2024) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674241254216 · Cited by 9
“…from meta-analyses and systematic reviews investigating glutamatergic metabolites using 1 H-MRS studies across SSD (Iwata et al., 2018; Kumar et al., 2020; Marsman et al., 2013; Merritt et al., 2016, 2021; Nakahara et al., 2022; Poels et al., 2014; Salavati et al., 2015; Smucny et al., 2021).”
BackgroundMethodResultInfluentialKoike, S., Uematsu, A., Sasabayashi, D., Maikusa, N., Takahashi, T., Ohi, K., Nakajima, S., Noda, Y., & Hirano, Y. (2021) · Magnetic Resonance in Medical Sciences · doi:10.2463/mrms.rev.2021-0050 · Cited by 10
“The authors reported that there were elevations in levels of glutamate (Glu) and glutamate + glutamine (Glx) in the basal ganglia and Glx levels in the medial temporal lobe within that patient population, suggesting that schizophrenia may be associated with the elevations in the levels of glutamatergic neurometabolite…”
BackgroundMethodAllen, P., Hird, E., Orlov, N. D., Modinos, G., Bossong, M. G., Antoniades, M., Sampson, C., Azis, M., Howes, O. D., Stone, J. M., et al. (2021) · Translational Psychiatry · doi:10.1038/s41398-021-01705-z · Cited by 9
Haaf, M., Ćurić, S., Steinmann, S., Rauh, J., Leicht, G., & Mulert, C. (2022) · NeuroImage · doi:10.1016/j.neuroimage.2022.119004 · Cited by 9
Ford, T. C., Woods, W., Enticott, P. G., & Crewther, D. P. (2019) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2019.109769 · Cited by 9
Grent-‘t-Jong, T., Gajwani, R., Groß, J., Gumley, A. I., Lawrie, S. M., Schwannauer, M., Schultze‐Lutter, F., Williams, S. R., & Uhlhaas, P. J. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.859322 · Cited by 8
The psychosis risk factor RBM12 encodes a novel repressor of GPCR/cAMP signal transduction
Semesta, K. M., Garces, A., & Tsvetanova, N. G. (2023) · Journal of Biological Chemistry · doi:10.1016/j.jbc.2023.105133 · Cited by 9
Neurochemical effects of oxytocin in people at clinical high risk for psychosis
Davies, C., Rutigliano, G., Micheli, A. D., Stone, J. M., Ramella‐Cravaro, V., Provenzani, U., Cappucciati, M., Scutt, E., Paloyelis, Y., Oliver, D., et al. (2019) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2019.03.008 · Cited by 8
Chen, T., Tan, H., Lei, H., Li, X., Wu, Q., Xu, X., Ye, Y., Zhong, N., Du, J., Jiang, H., et al. (2021) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2021.111329 · Cited by 10
Animal Models of Relevance to the Schizophrenia Prodrome
Petty, A. E., Howes, O. D., & Eyles, D. W. (2021) · Biological Psychiatry Global Open Science · doi:10.1016/j.bpsgos.2021.12.001 · Cited by 8
“Proton magnetic resonance spectroscopy ((1)H-MRS) studies have revealed elevated levels of glutamate and/or its precursor glutamine in the striatum and medial temporal lobe of patients with schizophrenia (61), although these findings may be affected by treatment and/or disease course (62).”
BackgroundTibrewal, P., Nair, P. C., Gregory, K. J., LANGMEAD, C. J., Chan, S. K. W., & Bastiampillai, T. J. (2023) · Molecular Psychiatry · doi:10.1038/s41380-023-02026-x · Cited by 8
Cadenhead, K. S., Mirzakhanian, H., Achim, C. L., Reyes-Madrigal, F., & de la Fuente‐Sandoval, C. (2023) · Schizophrenia Research · doi:10.1016/j.schres.2023.11.012 · Cited by 7
Demler, V. F., Sterner, E., Wilson, M., Zimmer, C., & Knolle, F. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05646-x · Cited by 7
Wang, Z., Xue, K.-K., Kang, Y.-M., Liu, Z., Cheng, J.-L., Zhang, Y., & Wei, Y.-R. (2024) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1478963 · Cited by 7
Illness Phase as a Key Assessment and Intervention Window for Psychosis
Kohler, C. G., Wolf, D. H., Abi‐Dargham, A., Anticevic, A., Cho, Y., Fonteneau, C., Gil, R. B., Girgis, R. R., Gray, D. L., Grinband, J., et al. (2022) · Biological Psychiatry Global Open Science · doi:10.1016/j.bpsgos.2022.05.009 · Cited by 8
“progressive synaptic loss(94-96); D1R-agonism reduces PFC pyramidal cell hyperconnectivity in primates(97).”
BackgroundHosseini, S. A., Sepehrmanesh, Z., Gilasi, H., & Ghoreishi, F. S. (2023) · Iranian Journal of Psychiatry · doi:10.18502/ijps.v18i3.13002 · Cited by 7
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Daniju, Y., Bossong, M. G., Brandt, K. R., & Allen, P. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.02.010 · Cited by 7
Chen, P.-A., Wang, H., Sun, C.-L., Chen, M., & Chen, Y.-C. (2022) · Behavioural Neurology · doi:10.1155/2022/1048463 · Cited by 7
Watts, J. J., Guma, E., Chavez, S., Tyndale, R. F., Ross, R. A., Houle, S., Wilson, A. A., Chakravarty, M. M., Rusjan, P., & Mizrahi, R. (2022) · Neuropsychopharmacology · doi:10.1038/s41386-022-01384-4 · Cited by 7
Beck, K., Arumuham, A., Brugger, S., McCutcheon, R., Veronese, M., Santangelo, B., McGinnity, C., Dunn, J., Kaar, S., Singh, N., et al. (2022) · Journal of Psychopharmacology · doi:10.1177/02698811221099643 · Cited by 6
“We did not see a difference in striatal glutamate or Glx between patients or healthy controls, in contrast to previous studies (Merritt et al., 2016; Nakahara et al., 2021).”
BackgroundResultPlitman, E., Guma, E., Lepage, M., Near, J., & Chakravarty, M. M. (2019) · Schizophrenia Research · doi:10.1016/j.schres.2019.06.011 · Cited by 7
Ochi, R., Tarumi, R., Noda, Y., Tsugawa, S., Plitman, E., Wada, M., Honda, S., Matsushita, K., Chakravarty, M. M., Guerrero, A. G., et al. (2020) · Schizophrenia Bulletin Open · doi:10.1093/schizbullopen/sgaa057 · Cited by 7
Sami, M. B., Worker, A., Colizzi, M., Annibale, L., Das, D., Kelbrick, M., Eranti, S. V., Collier, T., Onyejiaka, C., O’Neill, A., et al. (2020) · Translational Psychiatry · doi:10.1038/s41398-020-0790-1 · Cited by 6
Wenneberg, C., Glenthøj, B., Glenthøj, L., Fagerlund, B., Krakauer, K., Kristensen, T. D., Hjorthøj, C., Edden, R., Broberg, B., Bojesen, K., et al. (2020) · European psychiatry · doi:10.1192/j.eurpsy.2020.77 · Cited by 7
Variability and Magnitude of Brain Glutamate Levels in Schizophrenia: A Meta and Mega-Analysis
Merritt, K., McCutcheon, R. A., Aleman, A., Ashley, S. A., Beck, K., Block, W., Bloemen, O., Borgan, F., Boules, C., Bustillo, J., et al. (2024) · Biological Psychiatry · doi:10.1016/j.biopsych.2024.02.020 · Cited by 7
Towards a unified theory of the aetiology of schizophrenia
Jiang, Y., Chang, X., & Feng, J. (2024) · The British Journal of Psychiatry · doi:10.1192/bjp.2024.65 · Cited by 6
Neuroimaging studies in people at clinical high risk for psychosis
Gifford, G., McCutcheon, R. A., & McGuire, P. K. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-813201-2.00009-0 · Cited by 7
Merritt, K., Catalán, A., Cowley, S., Demjaha, A., Taylor, M. J., McGuire, P. K., Cooper, R. E., & Morrison, P. (2020) · Journal of Psychopharmacology · doi:10.1177/0269881120922967 · Cited by 6
“Nitric oxide donors are a candidate medicine targeting the NMDA receptor for glutamate, the function of which is thought to be altered in psychosis (Javitt and Zukin, 1991; Ripke et al., 2014), indicated by elevated brain glutamate levels in patients with psychosis (Merritt et al., 2016).”
BackgroundInfluentialHippocampal Glutamate, Resting Perfusion and the Effects of Cannabidiol in Psychosis Risk
Davies, C., Bossong, M. G., Martins, D., Wilson, R. P., Appiah‐Kusi, E., Blest‐Hopley, G., Allen, P., Zelaya, F. O., Lythgoe, D. J., Brammer, M. J., et al. (2023) · Schizophrenia Bulletin Open · doi:10.1093/schizbullopen/sgad022 · Cited by 6
The Meaning of Glutamate and the Quest for Biomarkers in the Transition to Psychosis
Bustillo, J., Gaudiot, C., & Lenroot, R. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.3251 · Cited by 6
Tani, H., Moxon‐Emre, I., Forde, N. J., Neufeld, N. H., Bingham, K. S., Whyte, E. M., Meyers, B. S., Alexopoulos, G. S., Hoptman, M. J., Rothschild, A. J., et al. (2023) · Brain Imaging and Behavior · doi:10.1007/s11682-023-00807-0 · Cited by 5
“In schizophrenia, there were significant elevations in glutamate + glutamine (Glx) in the basal ganglia and medial temporal lobe but not in the medial prefrontal cortex (mPFC) or DLPFC (Merritt et al., 2016).”
BackgroundFan, L., Zhang, Z., Ma, X., Liang, L., Wang, Y., Liu, Y., Ouyang, L., Li, Z., Chen, X., Hé, Y., et al. (2024) · Journal of Psychiatry and Neuroscience · doi:10.1503/jpn.240094 · Cited by 5
“…found that, among highrisk people (mostly those with CHR), prefrontal levels of gluta mate plus glutamine were significantly greater than among healthy controls; 30 we found support for this in our CHR sample, with comparable small–medium effect sizes in both the pACC and dACC regions.”
InfluentialNon-linear variations in glutamate dynamics during a cognitive task engagement in schizophrenia
Graham, J. W. C., Jeon, P., Théberge, J., & Palaniyappan, L. K. (2023) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2023.111640 · Cited by 5
Cory‐Slechta, D. A., Marvin, E., Welle, K. A., Goeke, C. M., Chalupa, D., Oberdörster, G., & Sobolewski, M. (2024) · NeuroToxicology · doi:10.1016/j.neuro.2024.07.004 · Cited by 6
Seregin, A., Smirnova, L., Dmitrieva, E., Vasil'eva, S. N., Semke, A., & Ivanova, S. (2020) · Psikhiatriya · doi:10.30629/2618-6667-2020-18-3-22-31 · Cited by 2
Wang, L.-L., Li, G., Yan, C., Wang, Y., Gao, Y., Wang, Y., Lui, S. S. Y., Li, J., & Chan, R. C. K. (2023) · Schizophrenia Bulletin · doi:10.1093/schbul/sbad116 · Cited by 5
Stanley, J. A., Daugherty, A. M., Gorey, C. L. R., Thomas, P., Khatib, D., Chowdury, A., Rajan, U., Haddad, L., Amirsadri, A., & Diwadkar, V. A. (2023) · The World Journal of Biological Psychiatry · doi:10.1080/15622975.2023.2197653 · Cited by 4
“Consistent with several (including recent 7 Tesla) 1 H MRS studies (Merritt et al. 2016; Wang et al. 2019; Godlewska et al. 2021; Smucny et al. 2021; Wijtenburg et al. 2021), basal Glu levels from the dlPFC were not significantly different between SCZ participants and HC.”
Applications of MRI in Schizophrenia: Current Progress in Establishing Clinical Utility
Sun, H. J., Liu, N., Qiu, C., Tao, B., Yang, C., Tang, B., Li, H., Zhan, K., Cai, C., Zhang, W., et al. (2024) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.29470 · Cited by 4
“35 Increased glutamatergic metabolite levels and reduced gamma-aminobutyric acid (GABA) levels indicate disruption of excitatory/inhibitory balance in schizophrenia.”
Glutamatergic Modulation of Brain Function in Psychosis: A Systematic Review of Neuroimaging Studies
Varvari, I., Bolte, L., Colli, C., Mancini, V., Nour, M. M., McGuire, P. K., & McCutcheon, R. A. (2025) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2025.07.004 · Cited by 4
“Cognitive dysfunction is associated with NMDAR hypofunction in key cortical regions, including the prefrontal cortex (PFC) (15,16), hippocampus, and anterior cingulate cortex (ACC) (17,18) and subcortical regions including the basal ganglia and thalamus (19,20).”
Lee, J., Yoon, Y. B., Wijtenburg, S. A., Rowland, L. M., Chen, H., Gaston, F. E., Song, I. C., Cho, K. I. K., Kim, M., Lee, T. Y., et al. (2018) · Schizophrenia Research · doi:10.1016/j.schres.2018.05.032 · Cited by 4
Glutamatergic System and Neuroimaging Studies of Treatment-Resistant Schizophrenia
Chouinard, V. (2019) · Biological Psychiatry · doi:10.1016/j.biopsych.2019.02.003 · Cited by 4
A Preventive Role of RANTES Genetic Variation against Undifferentiated Schizophrenia
Saoud, H., Afia, A. B., Aflouk, Y., Gaha, L., & Jrad, B. B. H. (2022) · Immunological Investigations · doi:10.1080/08820139.2022.2067001 · Cited by 4
“This may be particularly relevant for the risk of Scz because patients and those at high risk of developing the disease have abnormal cortical glutamate levels (Merritt et al. 2016).”
BackgroundHayat, T. T. A., & Sami, M. B. (2020) · Development and Psychopathology · doi:10.1017/s0954579420000218 · Cited by 2
Berndt, L. C. S., Singh, K. D., & Shaw, A. D. (2026) · Schizophrenia Bulletin · doi:10.1093/schbul/sbaf149 · Cited by 3
Neuronal Synaptic Communication and Mitochondrial Energetics in Human Health and Disease
Glausier, J. R. (2025) · Advances in experimental medicine and biology · doi:10.1007/978-3-031-89525-8_5 · Cited by 2
Painting psychosis: an empirical investigation of the self-portraits of Edvard Munch
Bettelheim, E. C., Liu, J., Dazzan, P., & Turkheimer, F. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1643264 · Cited by 5
“This appears to be related to changing dysregulation of neurotransmitters notably dopamine (141), but also involving glutamate (142), serotonin and GABA (143, 144).”
Dogra, S., Aguayo, C., Xiang, Z., Putnam, J., Smith, J., Johnston, C., Foster, D. J., Lindsley, C. W., Niswender, C. M., & Conn, P. J. (2023) · Biological Psychiatry · doi:10.1016/j.biopsych.2023.11.023 · Cited by 4
Craven, A. R., Dwyer, G. E., Ersland, L., Kazimierczak, K., Lilleskare, L., Noeske, R., Sandøy, L. B., Johnsen, E., & Hugdahl, K. (2025) · Scientific Reports · doi:10.1038/s41598-025-03644-x · Cited by 3
Glutamatergic mechanisms in early salience processing
Lockhofen, D. E. L., Hübner, N., Debnath, R., Rumpf, K. P., Sander, M., Wolff, M., Luxi, D., Roller, L., & Mulert, C. (2025) · Frontiers in Pharmacology · doi:10.3389/fphar.2025.1601797 · Cited by 3
Neurochemical models of psychosis risk and onset
Oliver, D., Modinos, G., & McGuire, P. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-813201-2.00012-0 · Cited by 2
Tangmose, K., Rostrup, E., Bojesen, K. B., Sigvard, A. K., Jessen, K., Johansen, L. B., Glenthoj, B. Y., & Nielsen, M. Ø. (2021) · Psychological Medicine · doi:10.1017/s0033291721003305 · Cited by 6
Broeders, T. A. A., Bhogal, A. A., Morsinkhof, L. M., Schoonheim, M. M., Röder, C. H., Edens, M., Klomp, D. W. J., Wijnen, J. P., & Vinkers, C. H. (2022) · Journal of Psychopharmacology · doi:10.1177/02698811221077199 · Cited by 3
“5–4 Tesla in schizophrenia, reported elevated Glx (Merritt et al., 2016), while earlier meta-analyses reported more heterogeneous results (Marsman et al.”
ResultInfluentialVoldřich, J., Matoušová, M., Šmídková, M., Slavı́ková, B., Chodounská, H., Kudová, E., & Mertlíková‐Kaiserová, H. (2022) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2022.175056 · Cited by 3
Arumuham, A., Nour, M. M., Veronese, M., Beck, K., Onwordi, E. C., Lythgoe, D. J., Jauhar, S., Rabiner, E. A., & Howes, O. D. (2024) · The International Journal of Neuropsychopharmacology · doi:10.1093/ijnp/pyae011 · Cited by 3
“Studies have found that patients with schizophrenia have higher levels of striatal glutamate levels compared with healthy volunteers (Merritt et al., 2016; Nakahara et al., 2022).”
BackgroundResultGlutamate Concentration in the Superior Temporal Sulcus Relates to Neuroticism in Schizophrenia
Balz, J., Romero, Y. R., Keil, J., Schubert, F., Ittermann, B., Ralf Mekle, A., Montag, C., Gallinat, J., & Senkowski, D. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00578 · Cited by 3
Kogure, M., Kanahara, N., Miyazawa, A., Shiko, Y., Otsuka, I., Matsuyama, K., Takase, M., Kimura, M., Kimura, H., Ota, K., et al. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1334335 · Cited by 2
Aging in Schizophrenia: Perspectives on Molecular Mechanisms and a Mini-review
Weerasekera, A., Dost, Ö., & Fei, D. (2025) · Schizophrenia Bulletin · doi:10.1093/schbul/sbaf099 · Cited by 2
Girgis, R. R., de la Fuente‐Sandoval, C., Lewis‐Fernández, R., Reyes-Madrigal, F., Wall, M. M., Hua, J., Mao, X., Malacara, M., Kegeles, L. S., & Shungu, D. C. (2025) · Neuropsychopharmacology · doi:10.1038/s41386-025-02251-8 · Cited by 2
“The fi ndings from several meta-and mega-analyses of glutamatergic [20 – 26] and/or GABAergic [20, 23 – 25 , 27] metabolites in schizophrenia and /or Additionally, some studies of antipsychotic-free patients include patients who have only stopped taking medications within days, which is not enough…”
InfluentialA novel strategy for enhanced schizophrenia detection using established CNN architectures
Allahgholi, A., Maghooli, K., & Gholamine, B. (2025) · BMC Medical Imaging · doi:10.1186/s12880-025-02093-2 · Cited by 2
Dindarian, S., Chaganti, J. R., Rafiei, N., & Faro, S. H. (2026) · Psychoradiology · doi:10.1093/psyrad/kkag004 · Cited by 2
“Schizophrenia tends to show reductions in NAA and altered Glu/Gln cycling within frontal and temporal cortices, consistent with neuronal dysfunction and dysregulated excitatory transmission (Krag-uljac et al. , 2012 ; Merritt et al. , 2016 ).”
Bissonnette, J. N., Francis, A. M., MacNeil, S. E., Crocker, C. E., Tibbo, P. G., & Fisher, D. J. (2022) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2022.111459 · Cited by 2
Iseli, G. C., Ulrich, S., & Schmidt, A. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1098019 · Cited by 2
“In accordance with the MAM model, elevated hippocampal glutamate levels have been observed in unmedicated patients with schizophrenia (32, 33), first-episode schizophrenia (34), FEP patients with >12 months duration of untreated psychosis (6) and CHR individuals (35, 36).”
BackgroundLiu, Y., Lin, H., Liu, M., Lin, L., & Wen, Y. (2024) · Psychiatry Investigation · doi:10.30773/pi.2024.0011 · Cited by 2
“34 Taken together, these findings suggest that DEMRGs may regulate the disease progression of individuals with schizophrenia by modulating these biological processes.”
BackgroundWhat value do NMDA receptor antagonist models of schizophrenia have for novel drug discovery?
Adell, A. (2025) · Expert Opinion on Drug Discovery · doi:10.1080/17460441.2025.2562017 · Cited by 2
Gault, J., Thompson, J. A., Maharajh, K., Hosokawa, P. W., Stevens, K. E., D, A. O. M., Liedtke, E. I., Ojemann, A., Ojemann, S. G., & Abosch, A. (2020) · Neuromodulation Technology at the Neural Interface · doi:10.1111/ner.13101 · Cited by 2
Dopamine and Response to Antipsychotic Medication
Ntephe, C., & Demjaha, A. (2020) · Springer eBooks · doi:10.1007/978-3-030-57231-0_14 · Cited by 2
Medications for Psychosis: Dopamine Blockers and Dopamine Partial Agonists (Antipsychotics)
Uchida, H., Kim, E., Jarskog, L. F., Fleischhacker, W. W., Remington, G. J., & Lieberman, J. A. (2023) · Springer eBooks · doi:10.1007/978-3-030-42825-9_134-1 · Cited by 2
Metadata
- Authors
- Merritt, K., Egerton, A., Kempton, M. J., Taylor, M. J., & McGuire, P. K.
- Affiliations
- King's College London (GB)
- Corresponding author
- Merritt, Kate
- Venue
- JAMA Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2016-07-01
- Volume
- 73
- Issue
- 7
- Pages
- 665
- ISSN
- 2168-622X (ISSN-L)
- OpenAlex
- W2424710696
- Cited by
- 367
- References
- 82
- Citations by year
- 2026: 26 · 2025: 23 · 2024: 25 · 2023: 37 · 2022: 33 · 2021: 50 · 2020: 55 · 2019: 44 · 2018: 41 · 2017: 28 · 2016: 5
- FWCI
- 34.95
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JAMA Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion, other-oa)
- Funders
- National Institute for Health and Care Research
- King's College London
- Medical Research Council (MR/L003988/1, MR/J008915/1)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- schizophrenia, glutamate, glutamine, glutamatergic neurotransmission, basal ganglia, thalamus, medial temporal lobe, medial frontal cortex, first-episode psychosis, clinical high risk for psychosis, chronic schizophrenia, schizoaffective disorder, antipsychotic dosing, symptom severity, neuroimaging biomarkers
- MeSH terms
- Brain, Brain Mapping, Glutamine, Humans, Synaptic Transmission, Reference Values, Risk Factors, Schizophrenia, Glutamic Acid, Genetic Predisposition to Disease, Proton Magnetic Resonance Spectroscopy
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