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Updated: Sep 24, 2025

Data Acquisition and Analysis In Brainstem Evoked Response Audiometry In Mice
Published on: May 10, 2019
Auditory mismatch responses are differentially sensitive to changes in muscarinic acetylcholine versus dopamine
Lilian Aline Weber1, Sara Tomiello1, Dario Schöbi1
1Translational Neuromodeling Unit, Institute for Biomedical Engineering, University of Zurich & ETH Zurich, Zurich, Switzerland.
Abstract:
The auditory mismatch negativity (MMN) has been proposed as a biomarker of NMDA receptor (NMDAR) dysfunction in schizophrenia. Such dysfunction may be caused by aberrant interactions of different neuromodulators with NMDARs, which could explain clinical heterogeneity among patients. In two studies (N = 81 each), we used a double-blind placebo-controlled between-subject design to systematically test whether auditory mismatch responses under varying levels of environmental stability are sensitive to diminishing and enhancing cholinergic vs. dopaminergic function. We found a significant drug × mismatch interaction: while the muscarinic acetylcholine receptor antagonist biperiden delayed and topographically shifted mismatch responses, particularly during high stability, this effect could not be detected for amisulpride, a dopamine D2/D3 receptor antagonist. Neither galantamine nor levodopa, which elevate acetylcholine and dopamine levels, respectively, exerted significant effects on MMN. This differential MMN sensitivity to muscarinic versus dopaminergic receptor function may prove useful for developing tests that predict individual treatment responses in schizophrenia.
Insights
Auditory mismatch negativity (MMN) responses in schizophrenia are differentially affected by cholinergic and dopaminergic systems. Biperiden, an acetylcholine antagonist, altered MMN, while amisulpride, a dopamine antagonist, did not, suggesting potential for personalized treatment prediction.
Area of Science:
- Neuroscience
- Psychiatry
- Pharmacology
Background:
- Auditory mismatch negativity (MMN) is a potential biomarker for NMDA receptor (NMDAR) dysfunction in schizophrenia.
- Aberrant neuromodulator interactions with NMDARs may contribute to schizophrenia's clinical heterogeneity.
Purpose of the Study:
- To investigate if auditory mismatch responses are sensitive to cholinergic and dopaminergic function modulation in schizophrenia.
- To explore the differential effects of receptor antagonists and agonists on MMN under varying environmental stability.
Main Methods:
- Two double-blind, placebo-controlled studies with 81 participants each.
- Systematic testing of auditory mismatch responses with biperiden (muscarinic antagonist) and amisulpride (dopamine antagonist).
- Assessment of galantamine (cholinergic enhancer) and levodopa (dopaminergic enhancer) effects on MMN.
Main Results:
- A significant drug × mismatch interaction was observed.
- Biperiden delayed and shifted MMN, especially in high environmental stability, unlike amisulpride.
- Galantamine and levodopa did not significantly affect MMN.
Conclusions:
- MMN shows differential sensitivity to muscarinic versus dopaminergic receptor modulation in schizophrenia.
- These findings may aid in developing predictive tests for individual treatment responses in schizophrenia.
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