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Antipsychotic Drugs: Direct Correlation Between Clinical Potency and Presynaptic Action on Dopamine Neurons
Abstract
Neuroleptic (antipsychotic) drugs inhibited the electrically stimulated release of [3 H]dopamine from rat striatal slices. The concentrations for 50 percent inhibition (ranging from 11.5 nanomolar for spiroperidol to 800 nanomolar for thioridazine) correlated closely with the average daily dosages of 25 neuroleptic drugs used clinically for schizophrenia. The correlation includes butyrophenones, phenothiazines, reserpine, pimozide, clozapine, and (+)-butaclamol. Clinically inactive isomers [trans-thiothixene,trans-flupenthixol, and (-)-butaclamol] required 20 to 1000 times higher concentrations than the active isomers to inhibit release. Compared to the inhibition of [3 H]dopamine release, much higher neuroleptic concentrations were needed to inhibit the electrically stimulated release of other neurotransmitters—[3 H]acetylcholine, [3 H]GABA (γ-aminobutyric acid). The neuroleptic drugs may block the presynaptic coupling between impulse and neurosecretion.
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“The DA hypothesis of schizophrenia suggests that excess DA transmission may be pro-psychotic, and originally gained support from pharmacological evidence that drugs that decrease DA activity (for example,, the phenothiazine neuroleptics) are antipsychotic, whereas drugs that promote DA activity (for example,, amphetamines) are psychotomimetic [76,357].”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [76]
In the citing paper
“the medications that have proven successful for treating schizophrenia/psychosis are drugs that primarily antagonize D2 receptors [76,358]”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [76]
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Amato, D., Vernon, A. C., & Papaleo, F. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2017.09.027 · Cited by 81
“For example, haloperidol and chlorpromazine show high binding affinity towards D2 receptors (Creese et al., 1976; Seeman and Lee, 1975) and are clinically effective when approximately 60–80% of central D2 receptors, are occupied by these drugs, which is now defined as the “antipsychotic therapeutic…”
InfluentialGenetic markers of alcohol abuse
Ferguson, R. A., & Goldberg, D. M. (1997) · Clinica Chimica Acta · doi:10.1016/s0009-8981(96)06444-3 · Cited by 80
PRESYNAPTIC REGULATION OF RELEASE IN THE CENTRAL NERVOUS SYSTEM
Starke, K. (1979) · Elsevier eBooks · doi:10.1016/b978-0-08-021536-5.50012-5 · Cited by 79
Li, Y.-C., Kellendonk, C., Simpson, E. H., Kandel, E. R., & Gao, W.-J. (2011) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1109718108 · Cited by 78
“Transgenic mice were generated at Columbia University according to the methods described previously (1).”
BackgroundMethodResultInfluentialMolecular Pharmacology of High Voltage-Activated Calcium Channels
Doering, C. J., & Zamponi, G. W. (2003) · Journal of Bioenergetics and Biomembranes · doi:10.1023/b:jobb.0000008022.50702.1a · Cited by 78
Role of the Endocannabinoid System in the Pathophysiology of Schizophrenia
Fakhoury, M. (2016) · Molecular Neurobiology · doi:10.1007/s12035-016-9697-5 · Cited by 81
Dopamine D4 receptor gene polymorphisms and neuroleptic response in schizophrenia
Hwu, H., Hong, C., Lee, Y.-L., Lee, P.-C., & Lee, S. F. C. (1998) · Biological Psychiatry · doi:10.1016/s0006-3223(98)00134-6 · Cited by 78
“The neuroleptic response of schizophrenia has been thought to be due to the blocking effect of neuroleptics on the D2 receptor and related receptor families (Seeman and Lee 1975).”
BackgroundRelationship of the Actions of Neuroleptic Drugs to the Pathophysiology of Tardive Dyskinesia
Baldessarini, R. J., & Taray, D. (1979) · International review of neurobiology · doi:10.1016/s0074-7742(08)60636-4 · Cited by 78
Vardigan, J. D., Huszar, S. L., McNaughton, C. H., Hutson, P. H., & Uslaner, J. M. (2010) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2010.01.010 · Cited by 80
Release of Catecholamines, Serotonin, and Acetylcholine from Isolated Brain Tissue
Raiteri, M., Marchi, M., & Maura, G. (1984) · Springer eBooks · doi:10.1007/978-1-4684-4568-8_16 · Cited by 76
Deletion of PLCB1 gene in schizophrenia affected patients
Vasco, V. R. L., Cardinale, G., & Polonia, P. (2011) · Journal of Cellular and Molecular Medicine · doi:10.1111/j.1582-4934.2011.01363.x · Cited by 78
“The complexity of the mechanisms underlying schizophrenia is witnessed by the involvement of a multitude of molecular pathways, including dopaminergic [4, 5], serotoninergic [6, 7], muscarinic [8–11] and glutamatergic signalling [12–14].”
BackgroundMechanisms and Pharmacological Implications of Altering Calmodulin Activity
Weiss, B., & Wallace, T. L. (1980) · Elsevier eBooks · doi:10.1016/b978-0-12-171401-7.50021-5 · Cited by 76
van Praag, H. M. (1977) · The British Journal of Psychiatry · doi:10.1192/bjp.130.5.463 · Cited by 76
Dopamine D2 and D4 receptor ligands: relation to antipsychotic action
Wilson, J. M., Sanyal, S., & Tol, H. H. M. V. (1998) · European Journal of Pharmacology · doi:10.1016/s0014-2999(98)00312-4 · Cited by 75
Regeur, L., Pakkenberg, B., Fog, R., & Pakkenberg, H. (1986) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.49.7.791 · Cited by 75
Masana, M., Bortolozzi, A. A., & Artigas, F. (2010) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145710000908 · Cited by 78
“A general enhancement of brain dopaminergic neurotransmission in schizophrenia was suggested by pharmacological evidence (Creese et al. 1976 ; Seeman & Lee, 1975).”
Classics in Chemical Neuroscience: Haloperidol
Tyler, M. W., Zaldívar-Díez, J., & Haggarty, S. J. (2017) · ACS Chemical Neuroscience · doi:10.1021/acschemneuro.7b00018 · Cited by 77
Nimgaonkar, V. L., Zhang, X. R., Caldwell, J. G., Ganguli, R., & Chakravarti, A. (1993) · American Journal of Medical Genetics · doi:10.1002/ajmg.1320480408 · Cited by 74
Dopamine, prediction error and associative learning: A model-based account
Smith, A. J., Li, M., Becker, S., & Kapur, S. (2006) · Network Computation in Neural Systems · doi:10.1080/09548980500361624 · Cited by 74
“…of dopamine enhancing drugs such as amphetamine can induce psychosis in otherwise healthy people (Bell 1973; Connell 1958), and the correlation between a drug’s antipsychotic efficacy and the ability of that drug to block the dopamine D2-receptor is striking (Seeman & Lee 1975; Kapur & Mamo 2003).”
BackgroundITI-007 in the treatment of schizophrenia: from novel pharmacology to clinical outcomes
Davis, R. E., & Correll, C. U. (2016) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2016.1174577 · Cited by 72
“This hypothesis was historically based on the observation that all clinically effective antipsychotic drugs have potent antagonist activity at dopamine D2 receptors, and that the therapeutic efficacy of these compounds is highly correlated with occupancy of striatal D2 receptors [29,30].”
BackgroundInhibition of [3H]dopamine accumulation in rat striatal synaptosomes by psychotropic drugs
Hyttel, J. (1978) · Biochemical Pharmacology · doi:10.1016/0006-2952(78)90159-4 · Cited by 72
Metadata
- Authors
- Seeman, P., & Lee, T.
- Affiliations
- University of Toronto (CA)
- ORCID
- Venue
- Science
- Published
- 1975-06-20
- Volume
- 188
- Issue
- 4194
- Pages
- 1217-1219
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- OpenAlex
- W2006122360
- Cited by
- 869
- References
- 35
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 13 · 2023: 16 · 2022: 22 · 2021: 13 · 2020: 18 · 2019: 36 · 2018: 21 · 2017: 30 · 2016: 26 · 2015: 28 · 2014: 37 · 2013: 23 · 2012: 32
- FWCI
- 62.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- 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
- antipsychotic drugs, presynaptic dopamine release, striatum, spiperone, thioridazine, butyrophenones, phenothiazines, reserpine, pimozide, clozapine, butaclamol, stereoisomers, acetylcholine release, GABA release, schizophrenia
- MeSH terms
- Acetylcholine, Animals, Corpus Striatum, Dopamine, Dose-Response Relationship, Drug, Electric Stimulation, gamma-Aminobutyric Acid, Haloperidol, Humans, Male, Neurons, Neurosecretion, Schizophrenia, Tranquilizing Agents, Tritium, Rats
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