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Glutamate receptor dysfunction and schizophrenia

J W Olney1, N B Farber

  • 1Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA.

Archives of General Psychiatry
|December 1, 1995
PubMed
Summary
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This study proposes that reduced function of N-methyl-D-aspartate (NMDA) receptors, combined with dopamine dysfunction, explains schizophrenia

Area of Science:

  • Neuroscience
  • Psychiatry
  • Pharmacology

Background:

  • Schizophrenia presents complex clinical and pathophysiological features.
  • Existing hypotheses do not fully explain all aspects of the disorder.

Purpose of the Study:

  • To propose a unified hypothesis for schizophrenia.
  • To highlight N-methyl-D-aspartate (NMDA) receptor hypofunction as a central mechanism.

Main Methods:

  • Review and synthesis of existing research on dopamine and NMDA receptor function.
  • Integration of developmental, clinical, and neurobiological findings.

Main Results:

  • The hypothesis accommodates early brain changes, a quiescent period, adult-onset psychosis, variable dopamine D2 receptor involvement, and neurodegeneration.

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  • NMDA receptor hypofunction can induce psychosis and neurodegeneration, which are preventable by certain antipsychotics.
  • Conclusions:

    • NMDA receptor hypofunction is a key mechanism in schizophrenia.
    • Understanding NMDA receptor dysfunction may improve antipsychotic pharmacotherapy.