Baseline and Amphetamine-Stimulated Dopamine Activity Are Related in Drug-Naïve Schizophrenic Subjects

Previous studies demonstrated increased striatal dopamine (DA) release after amphetamine challenge and increased striatal baseline occupancy of D2 receptors in patients with schizophrenia compared with control subjects. We report here on the relationship between these two aspects of DA release in dr...

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Published inBiological psychiatry (1969) Vol. 65; no. 12; pp. 1091 - 1093
Main Authors Abi-Dargham, Anissa, van de Giessen, Elsmarieke, Slifstein, Mark, Kegeles, Lawrence S., Laruelle, Marc
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 15.06.2009
Elsevier
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Abstract Previous studies demonstrated increased striatal dopamine (DA) release after amphetamine challenge and increased striatal baseline occupancy of D2 receptors in patients with schizophrenia compared with control subjects. We report here on the relationship between these two aspects of DA release in drug-naïve patients with schizophrenia (SCZ) and matched healthy control subjects (HC). Six drug-naïve SCZ and eight HC underwent single-photon emission computed tomography (SPECT) scans after bolus followed by constant infusion of (S)-(-)-3-[123I]iodo-2-hydroxy-6-methoxy-N-[(1-ethyl-2-pyrrolidinyl)methyl]benzamide ([123I]IBZM) under three conditions to determine the equilibrium specific to non-displaceable binding potential (BP ND) for striatal D2 at baseline, after amphetamine administration and after DA depletion. Amphetamine induced decrease in BP ND was positively correlated with BP ND increase after DA depletion in SCZ ( p = .02) but not in HC ( p = .44). Additionally, both were significantly increased. In drug-naïve patients with schizophrenia but not in control subjects, stimulated and baseline DA release are both increased and positively correlated. At the neuronal level this association suggests that capacity for storage in presynaptic terminals, measured with the amphetamine paradigm, and baseline intrasynaptic DA release, measured with the α-methyl-para-tyrosine (αMPT) paradigm, are associated in schizophrenia, both consistent with increased midbrain DA cells activity.
AbstractList BackgroundPrevious studies demonstrated increased striatal dopamine (DA) release after amphetamine challenge and increased striatal baseline occupancy of D2 receptors in patients with schizophrenia compared with control subjects. We report here on the relationship between these two aspects of DA release in drug-naïve patients with schizophrenia (SCZ) and matched healthy control subjects (HC). MethodsSix drug-naïve SCZ and eight HC underwent single-photon emission computed tomography (SPECT) scans after bolus followed by constant infusion of (S)-(-)-3-[123I]iodo-2-hydroxy-6-methoxy-N-[(1-ethyl-2-pyrrolidinyl)methyl]benzamide ([123I]IBZM) under three conditions to determine the equilibrium specific to non-displaceable binding potential (BP ND) for striatal D2 at baseline, after amphetamine administration and after DA depletion. ResultsAmphetamine induced decrease in BP ND was positively correlated with BP ND increase after DA depletion in SCZ ( p = .02) but not in HC ( p = .44). Additionally, both were significantly increased. ConclusionsIn drug-naïve patients with schizophrenia but not in control subjects, stimulated and baseline DA release are both increased and positively correlated. At the neuronal level this association suggests that capacity for storage in presynaptic terminals, measured with the amphetamine paradigm, and baseline intrasynaptic DA release, measured with the α-methyl-para-tyrosine (αMPT) paradigm, are associated in schizophrenia, both consistent with increased midbrain DA cells activity.
Previous studies demonstrated increased striatal dopamine (DA) release after amphetamine challenge and increased striatal baseline occupancy of D2 receptors in patients with schizophrenia compared with control subjects. We report here on the relationship between these two aspects of DA release in drug-naïve patients with schizophrenia (SCZ) and matched healthy control subjects (HC).BACKGROUNDPrevious studies demonstrated increased striatal dopamine (DA) release after amphetamine challenge and increased striatal baseline occupancy of D2 receptors in patients with schizophrenia compared with control subjects. We report here on the relationship between these two aspects of DA release in drug-naïve patients with schizophrenia (SCZ) and matched healthy control subjects (HC).Six drug-naïve SCZ and eight HC underwent single-photon emission computed tomography (SPECT) scans after bolus followed by constant infusion of (S)-(-)-3-[123I]iodo-2-hydroxy-6-methoxy-N-[(1-ethyl-2-pyrrolidinyl)methyl]benzamide ([123I]IBZM) under three conditions to determine the equilibrium specific to non-displaceable binding potential (BP(ND)) for striatal D2 at baseline, after amphetamine administration and after DA depletion.METHODSSix drug-naïve SCZ and eight HC underwent single-photon emission computed tomography (SPECT) scans after bolus followed by constant infusion of (S)-(-)-3-[123I]iodo-2-hydroxy-6-methoxy-N-[(1-ethyl-2-pyrrolidinyl)methyl]benzamide ([123I]IBZM) under three conditions to determine the equilibrium specific to non-displaceable binding potential (BP(ND)) for striatal D2 at baseline, after amphetamine administration and after DA depletion.Amphetamine induced decrease in BP(ND) was positively correlated with BP(ND) increase after DA depletion in SCZ (p = .02) but not in HC (p = .44). Additionally, both were significantly increased.RESULTSAmphetamine induced decrease in BP(ND) was positively correlated with BP(ND) increase after DA depletion in SCZ (p = .02) but not in HC (p = .44). Additionally, both were significantly increased.In drug-naïve patients with schizophrenia but not in control subjects, stimulated and baseline DA release are both increased and positively correlated. At the neuronal level this association suggests that capacity for storage in presynaptic terminals, measured with the amphetamine paradigm, and baseline intrasynaptic DA release, measured with the alpha-methyl-para-tyrosine (alpha MPT) paradigm, are associated in schizophrenia, both consistent with increased midbrain DA cells activity.CONCLUSIONSIn drug-naïve patients with schizophrenia but not in control subjects, stimulated and baseline DA release are both increased and positively correlated. At the neuronal level this association suggests that capacity for storage in presynaptic terminals, measured with the amphetamine paradigm, and baseline intrasynaptic DA release, measured with the alpha-methyl-para-tyrosine (alpha MPT) paradigm, are associated in schizophrenia, both consistent with increased midbrain DA cells activity.
Previous studies demonstrated increased striatal dopamine (DA) release after amphetamine challenge and increased striatal baseline occupancy of D2 receptors in patients with schizophrenia compared with control subjects. We report here on the relationship between these two aspects of DA release in drug-naïve patients with schizophrenia (SCZ) and matched healthy control subjects (HC). Six drug-naïve SCZ and eight HC underwent single-photon emission computed tomography (SPECT) scans after bolus followed by constant infusion of (S)-(-)-3-[123I]iodo-2-hydroxy-6-methoxy-N-[(1-ethyl-2-pyrrolidinyl)methyl]benzamide ([123I]IBZM) under three conditions to determine the equilibrium specific to non-displaceable binding potential (BP ND) for striatal D2 at baseline, after amphetamine administration and after DA depletion. Amphetamine induced decrease in BP ND was positively correlated with BP ND increase after DA depletion in SCZ ( p = .02) but not in HC ( p = .44). Additionally, both were significantly increased. In drug-naïve patients with schizophrenia but not in control subjects, stimulated and baseline DA release are both increased and positively correlated. At the neuronal level this association suggests that capacity for storage in presynaptic terminals, measured with the amphetamine paradigm, and baseline intrasynaptic DA release, measured with the α-methyl-para-tyrosine (αMPT) paradigm, are associated in schizophrenia, both consistent with increased midbrain DA cells activity.
Previous studies demonstrated increased striatal dopamine (DA) release after amphetamine challenge and increased striatal baseline occupancy of D2 receptors in patients with schizophrenia compared with control subjects. We report here on the relationship between these two aspects of da release in drug-naive patients with schizophrenia (SCZ) and matched healthy control subjects (HC). Methods - Six drug-naive SCZ and eight HC underwent single- photon emission computed tomography (SPECT) scans after bolus followed by constant infusion of (S)-(-)-3-+AFs-123I+AF0-iodo-2-hydroxy-6-methoxy-N-+AFs-(1-ethyl-2 - pyrrolidinyl)methyl+AF0-benzamide (+AFs-123I+AF0-IBZM) under three conditions to determine the equilibrium specific to non-displaceable binding potential (BP+AFs-sub+AF0-ND) for striatal D2 at baseline, after amphetamine administration and after da depletion. Results - Amphetamine induced decrease in BP+AFs-sub+AF0-ND was positively correlated with BP+AFs-sub+AF0-ND increase after da depletion in SCZ (p +AD0-.02) but not in HC (p +AD0-.44). Additionally, both were significantly increased. Conclusions - In drug-naive patients with schizophrenia but not in control subjects, stimulated and baseline da release are both increased and positively correlated. At the neuronal level this association suggests that capacity for storage in presynaptic terminals, measured with the amphetamine paradigm, and baseline intrasynaptic da release, measured with the +AFs-alpha+AF0--methyl-para- tyrosine (+AFs-alpha+AF0-MPT) paradigm, are associated in schizophrenia, both consistent with increased midbrain da cells activity.
Previous studies demonstrated increased striatal dopamine (DA) release after amphetamine challenge and increased striatal baseline occupancy of D2 receptors in patients with schizophrenia compared with control subjects. We report here on the relationship between these two aspects of DA release in drug-naïve patients with schizophrenia (SCZ) and matched healthy control subjects (HC). Six drug-naïve SCZ and eight HC underwent single-photon emission computed tomography (SPECT) scans after bolus followed by constant infusion of (S)-(-)-3-[123I]iodo-2-hydroxy-6-methoxy-N-[(1-ethyl-2-pyrrolidinyl)methyl]benzamide ([123I]IBZM) under three conditions to determine the equilibrium specific to non-displaceable binding potential (BP(ND)) for striatal D2 at baseline, after amphetamine administration and after DA depletion. Amphetamine induced decrease in BP(ND) was positively correlated with BP(ND) increase after DA depletion in SCZ (p = .02) but not in HC (p = .44). Additionally, both were significantly increased. In drug-naïve patients with schizophrenia but not in control subjects, stimulated and baseline DA release are both increased and positively correlated. At the neuronal level this association suggests that capacity for storage in presynaptic terminals, measured with the amphetamine paradigm, and baseline intrasynaptic DA release, measured with the alpha-methyl-para-tyrosine (alpha MPT) paradigm, are associated in schizophrenia, both consistent with increased midbrain DA cells activity.
Author van de Giessen, Elsmarieke
Laruelle, Marc
Abi-Dargham, Anissa
Kegeles, Lawrence S.
Slifstein, Mark
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  surname: van de Giessen
  fullname: van de Giessen, Elsmarieke
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  givenname: Mark
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  fullname: Slifstein, Mark
  organization: Department of Psychiatry, New York State Psychiatric Institute, Columbia University College of Physicians and Surgeons, New York, New York
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  givenname: Lawrence S.
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  fullname: Kegeles, Lawrence S.
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  organization: Department of Psychiatry, New York State Psychiatric Institute, Columbia University College of Physicians and Surgeons, New York, New York
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Issue 12
Keywords amphetamine
D2 receptor
schizophrenia
dopamine
SPECT
α-MPT
Amphetamine derivatives
Radionuclide study
Human
Dopamine
CNS stimulant
Psychotropic
Schizophrenia
Single photon emission tomography
Catecholamine
Photon
Psychosis
D2 Dopamine receptor
Neurotransmitter
Amfetamine
Language English
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Snippet Previous studies demonstrated increased striatal dopamine (DA) release after amphetamine challenge and increased striatal baseline occupancy of D2 receptors in...
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SubjectTerms Adult
Adult and adolescent clinical studies
alpha-Methyltyrosine
amphetamine
Amphetamine - pharmacology
Benzamides
Biological and medical sciences
D2 receptor
dopamine
Dopamine - metabolism
Dopamine Uptake Inhibitors - pharmacology
Enzyme Inhibitors
Female
Humans
Image Processing, Computer-Assisted
Male
Medical sciences
Neostriatum - diagnostic imaging
Neostriatum - metabolism
Neuropharmacology
Pharmacology. Drug treatments
Psychiatric/Mental Health
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychopharmacology
Psychoses
Pyrrolidines
Radiopharmaceuticals
Receptors, Dopamine D2 - drug effects
Receptors, Dopamine D2 - metabolism
Schizophrenia
Schizophrenia - diagnostic imaging
Schizophrenia - metabolism
SPECT
Tomography, Emission-Computed, Single-Photon
Young Adult
α-MPT
Title Baseline and Amphetamine-Stimulated Dopamine Activity Are Related in Drug-Naïve Schizophrenic Subjects
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