The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.
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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“These drugs achieve therapeutic effects by blocking dopamine (Seeman and Lee, 1975; Seeman et al., 1976), but also act on other neurotransmitter systems.”
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“Our result is consistent with some evidence retrieved from neuroimaging studies: it is well accepted that the therapeutic effect of antipsychotics, and their associated side effect profile, is based on their ability to bind D2 receptors (Creese et al., 1976; Seeman and Lee, 1975), and it is estimated that a D2 occupan…”
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“This hypothesis is supported by the correlation between the action of antipsychotic drugs and their efficacy in blocking dopamine D2 receptors [36], as well as by the psychotic phenomena triggered by the dopamine agonists [37].”
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“The classical “dopamine hypothesis of schizophrenia” postulates a hyperactivity of dopaminergic transmission at the dopamine D2 receptor in the mesencephalic projections to the limbic striatum especially in the etiology of positive symptoms (8-10).”
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“Psychopharmacol Clin Exp 2016; 31: 121–134 DOI: 10.1002/hup weak affinity for DRD2 (Seeman and Lee, 1975; Creese et al., 1976), CLZ also has a high affinity for the serotonin-type 2A receptor (5-HT2A) (Meltzer et al., 1989) and a moderate affinity for the serotonin-type 1A receptor (5-HT1A) (Schotte et al., 1996), and…”
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“Although D2 receptor antagonism effectively reduces positive symptoms in schizophrenia (Seeman and Lee, 1975; Rao and Remington, 2013), blockade of the D2-receptor–mediated signal might be undesirable for management of negative and/or cognitive symptoms.”
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“This hypothesis was essentially based on the observation that all eVective antipsychotic drugs provided at least some degree of D2 receptor blockade, an observation that is still true today (Creese et al., 1976; Seeman and Lee, 1975).”
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“The affinity of antipsychotic drugs for dopamine D2 receptors closely parallels their clinical potency (Seeman and Lee, 1975), and antipsychotic dopamine D2 receptor occupancy in vivo predicts both the clinical response of patients and the risk of side effects during antipsychotic treatment (Kapur…”
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“In the 1970s, it had been shown that there was a strong correlation between the clinical effectiveness of these drugs and their ability to block dopamine receptors (Seeman & Lee, 1975).”
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“The most common association is that schizophrenia symptoms are related to excess dopaminereceptor activity (Bartha et al., 1997; Kapur et al., 1998; Seeman & Lee, 1975).”
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Kopeć, W., & Khandelia, H. (2014) · Journal of Computer-Aided Molecular Design · doi:10.1007/s10822-014-9737-z · Cited by 16
“Being an antipsychotic drug, THZ operates as an antagonist of transmembrane dopamine receptors [24], that are overexpressed by cancer stem cells of some cancers [25].”
BackgroundMané, A., Gallego, J., Lomeña, F., Mateos, J. J., Fernández-Egea, E., Horga, G., Cot, A., Pavı́a, J., Bernardo, M., & Parellada, E. (2011) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2011.03.004 · Cited by 15
“This idea was initially based on the correlation between therapeutic doses of antipsychotic drugs and their potency to block D2 receptors (Seeman and Lee, 1975) as well as the psychotogenic effects of dopamineenhancing drugs, such as amphetamine (Lieberman et al., 1987).”
BackgroundPlitman, E., Chavez, S., Nakajima, S., Iwata, Y., Chung, J. K., Caravaggio, F., Kim, J. N., Alshehri, Y., Chakravarty, M. M., Luca, V. D., et al. (2018) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2018.01.004 · Cited by 16
“Schizophrenia is a disabling illness that is currently treated using antipsychotics, which exert their effect primarily through dopamine D2 receptor antagonism (Frangou, 2008; Seeman and Lee, 1975).”
BackgroundMitelman, S. A., Buchsbaum, M. S., Christian, B. T., Merrill, B., Buchsbaum, B. R., Mukherjee, J., & Lehrer, D. S. (2019) · The World Journal of Biological Psychiatry · doi:10.1080/15622975.2019.1671609 · Cited by 16
“…treatment trials with chlorpromazine (Delay and Deniker 1952) and demonstration of a parallel between dopamine receptor binding and therapeutic dosage of antipsychotics (Seeman and Lee 1975; see reviews by Howes and Kapur 2009; Brisch et al. 2014; Winton-Brown et al. 2014; Jauhar et al. 2017).”
BackgroundNeurotransmitter Theories of Schizophrenia
Matthysse, S., & Sugarman, J. (1978) · Springer eBooks · doi:10.1007/978-1-4613-4042-3_7 · Cited by 16
Jerlicz, M., Kostowski, W., Bidziński, A., & Hauptmann, M. (1978) · Pharmacology Biochemistry and Behavior · doi:10.1016/0091-3057(78)90346-5 · Cited by 16
Focus on GABAA receptor function
Hautzel, H., Müller, H. W., & Nikolaus, S. (2014) · Nuklearmedizin - NuclearMedicine · doi:10.3413/nukmed-0647-14-03 · Cited by 15
“Among the neurotransmitters implicated in AD, MDD and SZ are • catecholamines (49, 50, 54), • serotonin (5-HT) (22, 23, 50), • glutamate (16, 33, 40) and • acetylcholine (28, 29, 39).”
BackgroundCaravaggio, F., Hahn, M., Nakajima, S., Gerretsen, P., Remington, G., & Graff-Guerrero, A. (2015) · Medical Hypotheses · doi:10.1016/j.mehy.2015.06.011 · Cited by 17
Fell, M. J., Katner, J., Rasmussen, K., Nikolayev, A., Kuo, M., Nelson, D. L. G., Perry, K. W., & Svensson, K. A. (2012) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2012.00049 · Cited by 15
“Indeed, typical and atypical antipsychotics differ greatly in terms of their ability to interact with a number of dopaminergic (e.g., D2, D3, and D4; Seeman and Lee, 1975; Seeman et al., 1997) serotonergic (e.g., 5-HT1A, 5-HT2A, 5-HT2C, 5-HT6, and 5-HT7; Roth et al., 1994; Bymaster et al., 1996), adrenergic/muscarinic…”
Elevated TREM2 mRNA expression in leukocytes in schizophrenia but not major depressive disorder
Yoshino, Y., Kawabe, K., Yamazaki, K., Watanabe, S., Numata, S., Mori, Y., Yoshida, T., Iga, J., Ohmori, T., & Ueno, S. (2016) · Journal of Neural Transmission · doi:10.1007/s00702-016-1560-3 · Cited by 15
Investigation of Schizophrenia with Human Induced Pluripotent Stem Cells
Powell, S. K., O’Shea, C. P., Shannon, S. R., Akbarian, S., & Brennand, K. (2020) · Advances in neurobiology · doi:10.1007/978-3-030-45493-7_6 · Cited by 16
Harano, M. (1997) · The Kurume Medical Journal · doi:10.2739/kurumemedj.44.201 · Cited by 15
The effects of yohimbine and neuroleptics on apomorphine-induced pecking behaviour in the pigeon
Akbas, O., Verimer, T., Onur, R., & KAYAALP, S. (1984) · Neuropharmacology · doi:10.1016/0028-3908(84)90042-x · Cited by 15
Potential synergistic action of 19 schizophrenia risk genes in the thalamus
Richard, E. A., Khlestova, E., Nanu, R., & Lisman, J. E. (2016) · Schizophrenia Research · doi:10.1016/j.schres.2016.09.008 · Cited by 15
“DRD2: The clinical effectiveness of antipsychotic drugs used in the treatment of SZ correlates with their affinity for dopamine receptors (Creese et al., 1996; Seeman and Lee, 1975).”
BackgroundThe role of calmodulin on Ca2+-dependent K+ transport regulation in the human red cell
Álvarez, J., Garcı́a-Sancho, J., & Herreros, B. (1986) · Biochimica et Biophysica Acta (BBA) - Biomembranes · doi:10.1016/0005-2736(86)90494-3 · Cited by 15
Uzan, A., Fur, G. L., Mitrani, N., Kabouche, M., & DONADIEU, A.-M. (1978) · Life Sciences · doi:10.1016/0024-3205(78)90314-4 · Cited by 15
Paradigm shift required for translational research on the brain
Yoon, J. H., Lee, D., Lee, C., Cho, E., Lee, S., Cazenave‐Gassiot, A., Kim, K., Chae, S., Dennis, E. A., & Suh, P. (2024) · Experimental & Molecular Medicine · doi:10.1038/s12276-024-01218-x · Cited by 14
“Then, it was discovered that these drugs bind to dopamine receptors 78 .”
Pauli, A., Prata, D. P., Mechelli, A., Picchioni, M., Fu, C. H. Y., Chaddock, C. A., Kane, F., Kalidindi, S., McDonald, C., Kravariti, E., et al. (2012) · Human Brain Mapping · doi:10.1002/hbm.22061 · Cited by 14
“Dopamine receptor agonists can induce positive psychotic symptoms in healthy individuals, and dopamine receptor antagonists reduce the severity of positive psychotic symptoms [Janowsky and Risch, 1979; Seeman and Lee, 1975].”
BackgroundCantrup, R., Sathanantham, K., Rushlow, W. J., & Rajakumar, N. (2012) · Neuroscience · doi:10.1016/j.neuroscience.2012.07.027 · Cited by 18
“First, antipsychotics all possess D2 dopamine receptor antagonism and D2 dopamine receptor antagonism is essential for their clinical efficacy (Seeman and Lee, 1975; Creese et al., 1976; Sigmundson, 1994).”
BackgroundPhospholipase C-β1 Hypofunction in the Pathogenesis of Schizophrenia
Kim, S.-W., Cho, T., & Lee, S. (2015) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2015.00159 · Cited by 14
“Neural mechanisms underlying schizophrenia symptoms in several brain areas have been explained by abnormalities in the dopaminergic (15, 16), serotonergic (17, 18), muscarinic (19–22), and glutamatergic signaling (23–25).”
BackgroundContextual perception under active inference
Mirza, M. B., Cullen, M., Parr, T., Shergill, S. S., & Moran, R. (2021) · Scientific Reports · doi:10.1038/s41598-021-95510-9 · Cited by 14
Delivery Systems and Dosing for Antipsychotics
Rabin, C. R., & Siegel, S. J. (2012) · Handbook of experimental pharmacology · doi:10.1007/978-3-642-25761-2_11 · Cited by 14
“1) (Seeman et al. 1975; Seeman and Lee 1975; Seemen and Tallerico 1998).”
Real-Life Clinical Experience With Cariprazine: A Systematic Review of Case Studies
Csehi, R., Dombi, Z. B., Sebe, B., & Molnár, M. J. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.827744 · Cited by 14
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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