
Am J Psychiatry 160:118-127, January 2003
© 2003 American Psychiatric Association
In Vivo Determination of Muscarinic Acetylcholine Receptor Availability in Schizophrenia
Thomas J. Raedler, M.D.,
Michael B. Knable, D.O.,
Douglas W. Jones, Ph.D.,
Richard A. Urbina, B.A.,
Julia G. Gorey, C.N.M.T.,
Kan S. Lee, Ph.D.,
Michael F. Egan, M.D.,
Richard Coppola, D.Sc., and
Daniel R. Weinberger, M.D.
OBJECTIVE: Postmortem studies have implicated the central muscarinic acetylcholine system in schizophrenia. However, central muscarinic receptor availability has not previously been studied in vivo. Using [I-123]iodoquinuclidinyl benzilate ([123I]IQNB) single photon emission computed tomography (SPECT), the authors sought to compare the muscarinic receptor availability in vivo in unmedicated patients with schizophrenia and normal subjects. METHOD: Twelve medication-free patients with schizophrenia underwent an [123I]IQNB SPECT scan during approximate-equilibrium conditions. A group of 10 age- and gender-matched normal comparison subjects were given the same kind of scan under similar conditions. Regions of interest were analyzed in the cortex, basal ganglia, thalamus, and pons. Binding data were analyzed as nCi/ml tissue per mCi injected dose. RESULTS: Muscarinic receptor availability was significantly less in patients with schizophrenia than in normal subjects in all regions of interest except the pons. Reductions ranged from 33% in the caudate to 20% in the occipital cortex. Positive symptoms of schizophrenia correlated negatively with muscarinic receptor availability in the striatum and the frontal cortex. CONCLUSIONS: These results indicate a reduction in muscarinic acetylcholine receptor availability in vivo in unmedicated patients with schizophrenia, confirming results from postmortem studies and adding further evidence that the muscarinic system is involved in the pathophysiology of schizophrenia.
This article has been cited by other articles:

|
 |

|
 |
 
R. W. Buchanan, R. R. Conley, D. Dickinson, M. P. Ball, S. Feldman, J. M. Gold, and R. P. McMahon
Galantamine for the Treatment of Cognitive Impairments in People With Schizophrenia
Am J Psychiatry,
January 1, 2008;
165(1):
82 - 89.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. W. Buchanan, R. Freedman, D. C. Javitt, A. Abi-Dargham, and J. A. Lieberman
Recent Advances in the Development of Novel Pharmacological Agents for the Treatment of Cognitive Impairments in Schizophrenia
Schizophr Bull,
September 1, 2007;
33(5):
1120 - 1130.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
O. van der Stelt and A. Belger
Application of Electroencephalography to the Study of Cognitive and Brain Functions in Schizophrenia
Schizophr Bull,
July 1, 2007;
33(4):
955 - 970.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. M. Stone, P. D. Morrison, and L. S. Pilowsky
Review: Glutamate and dopamine dysregulation in schizophrenia a synthesis and selective review
J Psychopharmacol,
June 1, 2007;
21(4):
440 - 452.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
K. Yamada, D. J. Gerber, Y. Iwayama, T. Ohnishi, H. Ohba, T. Toyota, J. Aruga, Y. Minabe, S. Tonegawa, and T. Yoshikawa
From the Cover: Genetic analysis of the calcineurin pathway identifies members of the EGR gene family, specifically EGR3, as potential susceptibility candidates in schizophrenia
PNAS,
February 20, 2007;
104(8):
2815 - 2820.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R.-P. Behrendt
Dysregulation of thalamic sensory 'transmission' in schizophrenia: neurochemical vulnerability to hallucinations
J Psychopharmacol,
May 1, 2006;
20(3):
356 - 372.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Breier
Developing Drugs for Cognitive Impairment in Schizophrenia
Schizophr Bull,
October 1, 2005;
31(4):
816 - 822.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Sarter, C. L Nelson, and J. P Bruno
Cortical Cholinergic Transmission and Cortical Information Processing in Schizophrenia
Schizophr Bull,
January 1, 2005;
31(1):
117 - 138.
[Abstract]
[Full Text]
[PDF]
|
 |
|
Get information about faster international access.
a>
Privacy Policy
Copyright © 2003
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|