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Single photon emission computerized tomography imaging of amphetamine-induced dopamine release in drug-free schizophrenic subjects
Open accessAbstract
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.
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“The most widely replicated abnormality is that of elevated striatal dopamine availability – in acute psychoses of both schizophrenia (Laruelle et al., 1996; Breier et al., 1997) and epilepsy (Reith et al., 1994).”
From The Computational Anatomy of Psychosis (2013) · cites this paper as Laruelle et al., 1996
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Sulzer, D., Chen, T., Lau, Y., Kristensen, H., Rayport, S., & Ewing, A. (1995) · The Journal of Neuroscience · doi:10.1523/jneurosci.15-05-04102.1995 · Cited by 688
Roberts, A., De Salvia, M., Wilkinson, L., Collins, P., Muir, J., Everitt, B., & Robbins, T. (1994) · The Journal of Neuroscience · doi:10.1523/jneurosci.14-05-02531.1994 · Cited by 415
Elevated dopa decarboxylase activity in living brain of patients with psychosis
Reith, J., Benkelfat, C., Sherwin, A., Yasuhara, Y., Kuwabara, H., Andermann, F., Bachneff, S., Cumming, P., Diksic, M., & Dyve, S. E. (1994) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.91.24.11651 · Cited by 342
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“…of synaptic DA in drug actions (Tiihonen et al., 1996; Brody et al., 2004), in normal neuropsychology (see for review Egerton et al., 2009), as well as in the pathophysiology of addiction (Volkow et al., 1997), schizophrenia (Laruelle et al., 1996), and Parkinson’s disease (Piccini et al., 2003).”
Background
Metadata
- Authors
- Laruelle, M., Abi-Dargham, A., van Dyck, C. H., Gil, R., D'Souza, C. D., Erdos, J., McCance, E., Rosenblatt, W., Fingado, C., Zoghbi, S. S., Baldwin, R. M., Seibyl, J. P., Krystal, J. H., Charney, D. S., & Innis, R. B.
- Affiliations
- Yale University (US)
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06520, USA.
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 1996-08-20
- Volume
- 93
- Issue
- 17
- Pages
- 9235-9240
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC38625
- OpenAlex
- W1996327177
- Cited by
- 1,291
- References
- 3
- Citations by year
- 2026: 12 · 2025: 16 · 2024: 25 · 2023: 26 · 2022: 17 · 2021: 19 · 2020: 31 · 2019: 33 · 2018: 26 · 2017: 38 · 2016: 36 · 2015: 44 · 2014: 57 · 2013: 58 · 2012: 65
- FWCI
- 23.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- Yale University
- National Alliance for Research on Schizophrenia and Depression
- U.S. Public Health Service
- National Institute of Mental Health (MH-54192, R01MH054192)
- National Center for Research Resources (M01RR000125, M01 RR-00125)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Clinical Neurology › Parkinson's Disease Mechanisms and Treatments
- Keywords
- schizophrenia, dopamine release, amphetamine challenge, dopamine D2 receptor, [123I]IBZM, striatum, dopamine hypothesis of schizophrenia, positive psychotic symptoms, dopamine signaling, SPECT imaging
- MeSH terms
- Adult, Amphetamine, Animals, Benzamides, Corpus Striatum, Dopamine, Female, Humans, Male, Papio, Psychoses, Substance-Induced, Pyrrolidines, Schizophrenia, Tomography, Emission-Computed, Single-Photon, Receptors, Dopamine D2, Dopamine Antagonists
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