3.
symptom of mental illnesses c/b a distorted or non-existent sense of
reality.
Common psychotic disorders include
*schizophrenia
*mood disorders with psychotic features
*substance-induced psychosis
4. * brief psychotic disorder
*delusional disorder
*schizoaffective disorder
*dementia with psychotic features
*delirium with psychotic features
5. Positive symptoms
(common to all)
Negative symptoms
(specific to szp)
Cognitive symptoms
(specific to szp)
Hallucinations
apathy
working memory
delusions
avolition
processing speed
disorganized speech
alogia
social cognition
disorganized or
agitated behavior
anhodenia
problem solving test
6.
Drugs, that are able to reduce psychotic symptoms in a wide
variety of conditions, (including schizophrenia)
Typical
Atypical
produces minimal or absent EPS
8.
By Carlsson, that postsynaptic DA D2 receptor antagonism
was the common mechanism
reserpine exerted its effects through depletion of monoamines
from presynaptic nerve terminals
high risk for drug-induced psychosis among substances that
directly increased synaptic dopamine availability,
10.
does not account for the cognitive deficits associated with
schizophrenia (pre-frontal cortex)
does not explain the psychotomimetic effects
-agonists of other pathways 5-HT2
-antagonists of NMDA glutamate receptor.
12.
NMDA receptors
Antagonism of the 5-HT2 receptor
glutamate and 5-HT7 receptor subtypes
receptors for gamma-aminobutyric acid (GABA)
acetylcholine (M2 polymorphism)
peptide hormone receptors (e.g., oxytocin )
13.
excessive DA in mesolimbic dopamine pathways.
decreased DA D1 activity in prefrontal cortex (PFC)
In substance-induced psychotic disorders
*directly increase postsynaptic DA activity
*inhibition of presynaptic DA reuptake
*increased DA availability
14.
deficiency in cholinergic neurotransmission
*due to anticholinergic properties of medications
*age- or disease-related neuronal loss (or both)
Certain environmental exposures
*fetal second-trimester viral and nutritional insults
*birth complications
*substance abuse in the late teen or early adult years
15.
NMDA antagonists
decrease the glutamate-mediated tonic inhibition
of DA
release in the mesolimbic DA pathway
Glutamate NMDA receptor stimulation facilitates mesocortical
DA release
16.
mutations or polymorphisms of many genes
*neuregulin 1
*(Val{108/158}Met polymorphism of COMT
*dystrobrevin binding protein 1 or dysbindin,
*nicotinic neurotransmission
*disrupted-in-schizophrenia-1
*copy number variants
*epigenetic changes disruptions in DNA methylation
17. Construct validity refers to the disease relevance of the
methods by which a model is constructed.
1. genetic mutation
2. by altering the expression or function of particular
proteins, biochemical pathways or neural circuits
3. exposure of an animal to a environmental risk factor
or known disease causing agent.
18.
Face validity indicates that a model recapitulates
anatomical
Biochemical
neuropathological or
behavioral features of a human disease.
Predictive validity signifies that a model responds to
treatments in a way that predicts the effects of those treatments
in humans.
19. 1.
Should have relevance to the clinical condition.
2. The behavioral paradigm used to index the action of APDs
can be used in rats and humans
3. The model should be selective and specific to APDs differing
in their in vitro and in vivo pharmacology.
20. 4. The model can dissociate between typical and atypical APDs.
5. The model does not require previous pharmacological
manipulations to manifest the behavioral index of
antipsychotic activity.
6. The model can shed light on the mechanisms of action of
APDs.
22.
Golden hamster test
Influence on behavior of the cotton rat
Artificial hibernation in rats
Catalepsy in rodents
Pole climb avoidance in rats
Foot-shock induced aggression in mice
Brain self stimulation
23. PURPOSE AND RATIONALE
Innate behavior of species (Mesocricetus auratus)
The aggressive behavior of male golden hamsters is suppressed
by neuroleptics in doses which do not impair motor function
24.
PROCEDURE
Caging of 10-20 golden hamsters , avg. 60gms @2 weeks
Fighting behaviour seen
*the hamster throws himself onto his back,
*tries to bite and to push the forceps away with his legs
*utters angry shrieks.
25.
TC are applied either s.c. , i.p. or orally.
Six animals (n=6) are used for each dose.
26. EVALUATION
Stimuli are applied every 20 min for 3 h
Tamed animal selected and checked for coordination
For each dose no. of tamed hamsters and no. of animals
with impaired motor function recorded.
27.
ED50 values for the taming effect and impairment of
motor function are calculated
neuroleptic width indicates the ratio between the ED
50 for taming and the ED50 for motor disturbances
28. CRITICAL ASSESSMENT OF THE METHOD
neuroleptics can easily be differentiated from sedative and
hypnotic drugs
no training of the animals
no expensive apparatus is needed.
29.
PURPOSE AND RATIONALE
The cotton rat (Sigmodon hispidus) is a very shy animal which
conceals himself at any time
Innate flight reflex is suppressed by centrally active drugs.
allows the differentiation between neuroleptic and sedative
drugs.
30. PROCEDURE
young animals with a body weight of 40 g are used.
Selective shaving of the fur for identification
At least 6 animals (n=6) divided in two cages are used for
each dose of test compound or Standard
31.
Fifteen min after application of the drug the test period of 3 h
is started.
The tunnel (cylinder) is lifted and placed to another site
non responders ( to air stream) with the flight reflex it is
considered to be positively influenced
Motor coordination checked
32. EVALUATION
The test procedure is repeated every 15 min over a period of 3
h.
The animals which show
at least one suppression of the flight reflex during the test
period are counted
as well as those who slide down on the inclined board.
Using different doses ,ED 50 values are calculated for both
parameters.
33. CRITICAL ASSESSMENT OF THE METHOD
The method allows the differentiation of drugs with
neuroleptic activity against other centrally active drugs.
No training of the animals
no expensive equipment are necessary.
34. PURPOSE AND RATIONALE
Tests effects of reduced
oxygen tension and
cold environment on rats.
The animals are submerged in ice-water the animal, they are
completely anesthetized and immobilized
This kind of artificial hibernation was augmented by
chlorpromazine
35. PROCEDURE
Male Wistar rats weighing 100–150 g
deprived of food with free access to tap water overnight
TC are injected s.c.15 min prior to the start of the experiment.
36.
At 1 hour, the vessels are opened every 10 min for exactly 10 s
observed for signs of artificial hibernation
An animal is considered positive, when it remains on the
back, even if the extremities are stretched out
37. EVALUATION
Various doses are applied to groups of 10 animals.
Percentage of positive animals is calculated for each group
ED 50 values with confidence limits
38. PURPOSE AND RATIONALE
failure to correct an externally imposed, unusual posture over
a prolonged period of time
APDs which have an inhibitory action on the nigro-striatal
dopamine system induce catalepsy
cataleptic symptoms in rodents have been compared to the
Parkinson-like extra pyramidal side effects
39. PROCEDURE
Groups of 6 male Sprague-Dawley or Wistar rats with a body
weight between 120 and 250 g are used.
They are dosed i.p. with TC or the standard.
Placed individually into translucent plastic boxes
Adaptation time of 2 min
40.
Amount of time spent with at least 1 forepaw on the bar is
determined
When the animal removes its paws, the time is recorded and
the rat is repositioned on the bar
Three trials are conducted for each animal at 30, 60, 120 and
360 min.
42. EVALUATION
Cataleptic if it remains on the bar for 60 s
% of cataleptic animals is calculated
For DRC, the test is repeated with various doses
ED 50 values can be calculated.
43. CRITICAL ASSESSMENT OF THE METHOD
The phenomenon of catalepsy can be used for measuring the
efficacy
The potential side effects of neuroleptics are evaluted
44. PURPOSE AND RATIONALE
Avoidance escape procedure used to
separate neuroleptics from sedatives and anxiolytics
Sedative compounds suppress both avoidance and escape
Neuroleptic drugs reduce avoidance without affecting
escape
45. PROCEDURE
Male Evans rats 250 g used
Scrambled shock is delivered to the grid floor of the
chamber with 2.8-kHz speaker and a 28-V light on top
Pole suspended from by upper center of the chamber
46.
Response recorded when rat jumps on the pole and activates
the micro switch
Activation of the light and the speaker together are used as
the conditioning stimulus
-Presented alone for 4 s
-Coincided with the unconditioned stimulus, a
scrambled shock for 26 s
47.
Pole climb response during the conditioned stimulus is
considered an avoidance response
A response during the time when both the conditioned and
unconditioned stimuli are present is considered an escape
response
Test sessions consist 60 min
48. EVALUATION
Data are expressed in terms
-the number of avoidance and
-escape failures relative to standard
ED 50 values can be calculated using different doses.
49. PURPOSE AND RATIONALE
useful to detect neuroleptics but also
shows positive effects with anxiolytics and other centrally
effective drugs.
fighting behavior seen after lesions in the septal area of the
brain
50. PROCEDURE
Male mice (NMRI), weight between20 and 30 g
A 60-Hz current is delivered for 5s followed by 5 s. intermission
for 3 min.
Each pair of mice is dosed and tested without previous exposure.
The total number of fights are recorded for each pair during the
3-min period.
51.
The TC or the standard are applied
30 min before the test i.p. or
60 min before the test orally
For a time response,
the drug is given 30, 60 and 120 min prior to testing.
52.
Six pairs(n=2*6) of drug-treated
two pairs(n=2*2) of vehicle-treated
A dose range is tested at the peak of drug activity
Min. 3 doses (10 pairs of mice/dose) is administered for a
range of doses
Control animals receive the vehicle
54. CRITICAL ASSESSMENT OF THE METHOD
Not only neuroleptics but also anxiolytics classes of drugs
can be evaluated
Animals required are more(double)
55. PURPOSE AND RATIONALE
Electrical stimulation of selected brain loci
produces effects which are positively
reinforcing and pleasurable
Implantion in the median forebrain bundle at the level of
hypothalamus.
Neuroleptics have been shown to be potent blockers of self
stimulation
56. PROCEDURE
Male Wistar rats (350–400 g) are anesthetized
Heads placed on a level plane in a
stereotactic instrument
electrodes placed at the medium forebrain bundle,
The assembly is then permanently affixed
57.
10 days for recovery
Animals are trained to bar press in a standard operant box
outfitted with a single lever.
The reward stimulus generated .
The parameters are set at a pulse duration of 0.5 ms with 2.5 ms
between each pulse pair.
58.
The train of pulses are delivered range from 0.1 to 0.5 mA
using the lowest setting that will sustain maximal responding.
Compounds are administered 60 min prior to testing.
All data are collected on both cumulative recorders and
counters
60. EVALUATION
The number of drug responses are compared to the number of
responses made during each animal’s 30 min control session on
the preceding day
ED 50 values with 95% confidence limits can be calculated.
61. CRITICAL ASSESSMENT OF THE METHOD
Active neuroleptic drugs inhibit the self-stimulation behavior
in very small doses.
The relative potency observed in this test of clinically
efficacious drugs parallels their potency in the treatment of
schizophrenia.
62.
Amphetamine group toxicity
Inhibition of amphetamine stereotypy in rats
Inhibition of apomorphine climbing in mice
Inhibition of apomorphine stereotypy in rats
Yawning/penile erection syndrome in rats
Inhibition of mouse jumping
63.
Antagonism against MK-801 induced locomotion and falling
in mice
Inhibition of apomorphine-induced emesis in the dog
Purposeless chewing in rats
Single unit recording of A9 and A10 midbrain
dopaminergic neurons
In vivo voltammetry
64. PURPOSE AND RATIONALE
Mice exhibit an elevated motor activity
after high dose amphetamine ,
increased by aggregation, even
death within 24 h in 80–100% of control animals.
Neuroleptics reduce this death rate
Non-neuroleptic sympatholytics and anxiolytics do not produce
protection
65. PROCEDURE
Ten male mice of the NMRI-strain
Dosed with TC or the standard either orally or IP
Animals placed in glass jars
66.
30 min after i.p. or 1 h after oral administration
Mice receive 20 mg/kg d-amphetamine s.c.
Mortality is assessed 1, 4 and 24 h after dosing
68. PURPOSE AND RATIONALE
In rats amphetamine induces a characteristic stereotypic
behavior
continuous sniffing, licking or chewing
This behavior prevented by neuroleptic agents
70.
Animals are observed 60 min after drug administration
An animal is considered to be protected, if the stereotypic
behavior is reduced or abolished
71. PROCEDURE
Group of 6 Wistar rats ,120 -200 g
Simultaneously injected
s.c.amphetamine (10 mg/kg) and
test compound i.p.
.
Placed individually in stainless-steel cages
72. EVALUATION
Percent effectiveness of a drug determined by the number of
animals protected in each group
ED50 values are calculated
Chlorpromazine 1.75 mg/kg i.p
Haloperidol 0.2 mg/kg i.p.
75. CRITICAL ASSESSMENT OF THE METHOD
a simple method to detect neuroleptic activity
may reflect the effects in the corpus striatum
(Parkinsonism-like side effect)
76. PURPOSE AND RATIONALE
Administration of apomorphine to mice results in a peculiar
climbing behavior
Initially rearing and then full-climbing activity,
predominantly mediated by the mesolimbic DA system
APDs Antagonize this behavior with potential
77. PROCEDURE
10 male mice (20–22 g) are treated
i.p. or orally with TC or the vehicle
injected s.c. with 3 mg/kg apomorphine 30 min. later
observed for climbing behavior @ 10, 20 and 30 min
79.
for climbing behavior , they are scored as
0 = four paws on the floor,
1 = forefeet holding the vertical bars,
2 = four feet holding the bars.
80. EVALUATION
Average values of the drug-treated animals are compared with
those of the controls
(the decrease is expressed as %)
The ED50-values and confidence limits are calculated
82. PURPOSE AND RATIONALE
Apomorphine induces a characteristic stereotyped behavior in
rats,
licking, sniffing and gnawing
in a repetitive, compulsive manner
Compounds which prevent
antagonize DA receptors in the nigrostriatum
predictive for EPS and tardive dyskinesias
84. PROCEDURE
Groups of 6 male Wistar rats 120 and 200 g are used
The TC or the standard are administered i.p. 60 min prior
apomorphine dosage.
Apomorphine HCl is injected s.c. at a dose of 1.5 mg/kg.
85.
The animals are placed in individual plastic cages
A 10 s observation period 10 min after apomorphine
administration.
An animal is considered protected if this behavior is reduced
or abolished
87. EVALUATION
The % effectiveness of a drug is determined by the number of
animals protected in each group.
With a group size of 10 animals dose response curves are
obtained and ED 50 values calculated.
0.2 mg/kg s.c. for haloperidol and
5.0 mg/kg for chlorpromazine
clozapine was ineffective even at high doses.
89. PURPOSE AND RATIONALE
Yawning occurs alone or associated with stretching and/or
penile erection in humans and in animals
The yawning-penile erection syndrome can be induced in rats
by apomorphine and other DA autoreceptor stimulants
Antagonism against this syndrome can be regarded as
indication of antipsychotic activity
90. PROCEDURE
Naive male Wistar rats, weighing 220–280 g
Rats are pretreated with apomorphine (0.02 to 0.25 mg/kg s.c.)
Rats are placed in individual transparent cages.
Yawning is a fixed innate motor pattern characterized by a
slow, wide opening of the mouth
91.
Penile erection behaviours are present if
*repeated pelvic thrusts immediately f/b
*an upright position and emerging engorged penis
which the rats proceeds to lick while eating
the ejaculate.
The number of penile erections and yawns is counted for 30
min following the last injection.
93. EVALUATION
The results are expressed as the mean number of yawns and of
penile erections per group
The statistical significance is determined by comparing the
results of each group with the results of the relevant control
group
94. CRITICAL ASSESSMENT OF THE METHOD
yawning and penile erection in rats underlie different
neurochemical mechanisms (Ach)
an useful behavioral tool to study putative antipsychotic
activity of new compounds.
96. PROCEDURE
Male CD-1 mice 22–25 g
TC injected IP/ Orally
45 mins later 4 mg/kg d-amphetamine sulfate SC
97.
15 min. later IP injection of 400 mg/kg L-dopa
Mice spontaneously begin to jump at a high rate
Responses after drug administration measured through
pressure-sensitive switch closure or properly positioned
photoelectric beam disruptions
98. EVALUATION
Jumps of mice treated with TC or standard are counted and
expressed as % of jumps in amphetamine group
CRITICAL ASSESSMENT OF THE METHOD
Sensitive and specific for neuroleptic drugs
99. PURPOSE AND RATIONALE
MK-801, a non-competitive NMDA antagonist
Characteristic stereotypy in mice marked by locomotion and
falling behavior
both dopamine dependent and dopamine independent
mechanisms
Antipsychotic agents dose-dependent antagonize this MK-801
induced behavior.
100. PROCEDURE
Male CD-1 mice (20–30 g)
individually placed in activity boxes lined with wire mesh
flooring and allowed to acclimate for 60 min.
dosed with TC 30 min prior to s.c. administration of MK-801
at 0.2 mg/kg
Observed for locomotion and the presence of falling behavior
15 min following MK-801 administration.
102. PURPOSE AND RATIONALE
The blockade of centrally acting Da mechanisms
Apomorphine pronounces emetic effect in dogs
Anti-emetic activity and anti-psychotic activity are thought to
be due to dopaminergic blockade
the sites of action are in different brain areas and there is a
lack of complete correlation of these activities.
103. PROCEDURE
Adult beagle dogs of either sex are used in treatment
groups of three to nine dogs/dose.
The dogs are given the TC in a gelatin capsule
then dosed with 0.15 mg/kg apomorphine s.c. at various
intervals after administration of the TC
104.
observed for overt behavioral effects
pupillary response to light
changes in salivation ,sedation, tremors
Then after apomorphine, the dogs are observed for stereotypic
sniffing, gnawing and the emetic response.
Emesis is defined as wretching movements followed by an
opening of the mouth and either attempted or successful
ejection of stomach content.
105. EVALUATION
minimal effective dose or an ED 50 value for ant-emetic effect
The ED 50 values for
haloperidol 0.06 mg/kg p.o.
chlorpromazine 2.0 mg/kg p.o.
Clozapine was not effective at doses between 2 and 10 mg/kg.
p.o.
106. CRITICAL ASSESSMENT OF THE METHOD
Non-classical neuroleptics like clozapine did not show
pronounced activity the test has been abandoned.
Moreover, tests in higher animals like dogs are limited due to
regional regulations.
107. PURPOSE AND RATIONALE
Chewing can also be induced by chronic administration of
neuroleptics in rats
Purposeless chewing is mediated by dopaminergic and
nicotinic mechanisms.
108. PROCEDURE
Male albino rats are housed 10 per cage
The antagonists e.g. sulpiride or mecamylamine as
standards, are given at different doses 30 min before treatment
either with 0.01 mg/kg nicotine or 1 mg/kg pilocarpine i.p.
Number of chewings are counted by direct observation
immediately after drug administration.
The results are presented as number of chews in a 30 min
period..
109. EVALUATION
Analysis of variance (ANOVA) are used to evaluate the
significance of theresults obtained.
P< 0.05 is considered as significant.
110. PURPOSE AND RATIONALE
Acute treatment with APDs, the number of spontaneously
firing cells is increased in both areas.
After 21 days, ---decrease in the A10neurons,
----APDs with EPS effects induced a decrease A9 cell also
Clozapine caused depolarization inactivation of
A10 neurons but not A9 cells.
112. PROCEDURE
Male Wistar rats weighing 280–360 g are anesthetized
The animal is mounted in a stereotaxic apparatus
twelve separate tracks ( 200 µm apart)in each region
113.
In an anesthetized rat, a neuron is considered
to be dopaminergic
-triphasic positive-negative-positive spike
-0.4 to 1.5 mV amplitude and 2.5 ms duration
-firing in an irregular pattern of 3 to 9 Hz
114.
Animals pretreated with vehicle prior to neuronal
sampling serve as controls.
acute single-unit dopamine neuron sampling assay,
TC are administered i.p. 1 hr prior to the beginning of
dopamine neuron sampling.
chronic single-unit dopamine sampling assay,
TC are administered once a day for 21 days
sampling is begun 2 h after the last dose on the 21 st day
116. PURPOSE AND RATIONALE
Electrochemical technique that uses carbon fiber
microelectrodes stereotactically implanted in brain areas
To monitor monoamine metabolism and release
a miniaturized optoelectronic system for telemetry of in vivo
voltammetric signals in freely moving animals
119. PROCEDURE
Electrically pretreated for simultaneous recording of ascorbic
acid DOPAC and 5-HIAA
Male Sprague Dawley rats weighing 270–340 g used
Reference and auxiliary electrodes are positioned on the
surface of the dura
Test electroes placed in the left or right nucleus accumbens
and contralateral anterior striatum,
120.
Drugs are injected subcutaneously.
Voltammograms are recorded
alternatively from each region every 5 min and after a 1 h
stabilization period.
121. EVALUATION
Voltammetric data are expressed as
% changes from pre-injection control values
( mean of the last 6 peak heights)
Paired Student’s t-test done for significance
122.
D 1 Receptor assay: [ 3 H]-SCH 23390 binding to rat striatal
homogenates
D 2 Receptor assay: [ 3 H]-spiroperidol binding .
Dopamine D 2 receptor autoradiography ( 3 H-Spiperone
binding)
Binding to the D 3 receptor .
Binding to D 4 receptors
Determination of dopamine autoreceptor activity(hplc)
Dopamine-sensitive adenylate cyclase in rat striatum .
α 1 -adrenergic receptor binding in brain.
[ 3 H]Spiroperidol binding to 5HT 2 receptors in rat cerebral
cortex
123. Serotonin 5HT 2 receptor autoradiography ( 3 H-Spiperone
binding)
Binding to the sigma receptor
Simultaneous determination of norepinephrine, dopamine,
DOPAC, HVA, HIAA, and 5-HT from rat brain areas .
Measurement of neurotransmitters by intracranial
microdialysis
Use of push-pull cannulae to determine the release of
endogenous neurotransmitters( in vivo)
Fos protein expression in brain (immunocytochemical)
Neurotensin receptor binding (endogenous neuroleptic)
124.
Conditioning stimulus
current relationship with a reinforcer,
past experience with that stimulus
(LI) indexes the deleterious effects of non reinforced stimulus
pre-exposure on the subsequent conditioning to that stimulus.
125. first stage (pre-exposure)
one group >stimulus with no consequences,
second group does not receive the stimulus.
↓
(conditioning)
pre-exposed stimulus reinforcement
↓
previous learning stimulus interferes
with the expression of subsequent learning
126. LATENT INHIBITION MODEL OF
ANTI-PSYCHOTIC DRUG ACTION
LI in an off-baseline conditioned emotional response (CER)
procedure using water licking as the operant response
three stages, different day:
preexposure
conditioning
test
LI consists of the fact that the PE rats show a significantly
lower suppression of drinking than their NPE counterparts
127. Procedure
LI procedure rats are trained to lick in the experimental
chambers (baseline)
Pre-exposure and conditioning are conducted 24 h apart
and are given off-baseline
In addition, we interpolate a day of drinking (re-baseline)
between conditioning and test
Drugs are administered in pre-exposure and/or conditioning
only.
128.
Reversal of Amphetamine-Induced Latent
Inhibition Disruption
Latent Inhibition Potentiation
Dissociation Between Typical and Atypical
Antipsychotic Drugs in the Latent Inhibition Model
129. FST and in the LI procedure with 40 preexposures and
5 conditioning trials
1. Haloperidol increased immobility in the FST and
potentiated LI
2. Clozapine decreased immobility in the FST and
potentiated LI
3. Imipramine decreased immobility in the FST
while having no effect on LI
130.
provide more precise information (compared to systemic
drug administration) on the site of the damage
conventional hippocampal lesion,
excitotoxic entorhinal cortex lesion
electrolytic shell lesion)
132.
LI measures a cognitive process
Reflects the operation of analogous processes b/w human &
rats
The model predicts antipsychotic activity for both
typical and atypical APDs
APDs-induced potentiation of LI is specific and
selective for APD
LI model does not rely on pharmacological
means to elicit the behavioral index
133.
The model has shed light on the mechanism of effect is
mediated via DA blockade in the NAC during conditioning.
LI–FST model indicates that the utility for other disorders too.
LI shows the relationship between the effects of these drugs
and the site of brain damage,
Notes de l'éditeur
Apathy- numbnessAvolition – lack of driveAlogia- not speechMemory- transitional memory recollect
1 . PhenothiazinesAliphatic side chain:Chlorpromazir ,Triflupromazi.Piperidine side chain:ThioridazinePiperazine side chain:TrifluoperaziiL,Fluphenazine2. Butyrophenones --HaloperidolTrifluperidolPenfluridol3. Thioxanthenes--Flupenthixol4.Other heterocyclics--Pimozide, Loxapine5.Atypical--TRIFLUOPERAZINE(piperazine side chain),Clozapine,, Risperidone, Olanzapine, Quetiapine, Aripiprazole, Ziprasidone
d-lysergic acid, a potent serotonin 5-HT2 receptor phencyclidine and ketamine—NMDA antagonists
Adenylcyclase enzyme5-HT7 receptor– endogenous 5HT, risperidone is antagonistOxytocin – natural anti psychotic
directly increase postsynaptic DA activity through increased presynaptic neurotransmitter release (amphetamine)inhibition of presynaptic DA reuptake (methylphenidate, cocaine, and amphetamineincreased DA availability (L-dopa).
potent NMDA antagonists such as MK-801 (dizocilpine). These results have prompted the clinical investigation of agents without affinity for DA receptors, but with potent agonist properties at metabotropic glutamate receptor subtypes (Patil et al., 2007).
regulate neuronal migration and synaptogenesis (neuregulin 1), synaptic DA availability (Val{108/158}Met polymorphism of catechol-O-methyltransferase,which increases DA catabolism), glutamate and DA neurotransmission (dystrobrevin binding protein 1 or dysbindin, with prominent negative symptoms),nicotinic neurotransmission ( 7-receptor polymorphisms), and cognition (disrupted-in-schizophrenia-1) (Porteous, 2008).
Neuroglein 1 geneFos protein, neurotensin3. An example would be a pathogenic prion inducing Creutzfeldt-Jakob disease in rodents 2, h.influenzae infection in 2nd trimesters, post partal anoxia in neonates
MK-801 (dizocilpine).
directly acting cholinergic drugs or cholinesterase inhibitors ??