Dopamine and Glutamate in Antipsychotic-Responsive Compared With Antipsychotic-Nonresponsive Psychosis: A Multicenter Positron Emission Tomography and Magnetic Resonance Spectroscopy Study (STRATA).

Abstract:

:The variability in the response to antipsychotic medication in schizophrenia may reflect between-patient differences in neurobiology. Recent cross-sectional neuroimaging studies suggest that a poorer therapeutic response is associated with relatively normal striatal dopamine synthesis capacity but elevated anterior cingulate cortex (ACC) glutamate levels. We sought to test whether these measures can differentiate patients with psychosis who are antipsychotic responsive from those who are antipsychotic nonresponsive in a multicenter cross-sectional study. 1H-magnetic resonance spectroscopy (1H-MRS) was used to measure glutamate levels (Glucorr) in the ACC and in the right striatum in 92 patients across 4 sites (48 responders [R] and 44 nonresponders [NR]). In 54 patients at 2 sites (25 R and 29 NR), we additionally acquired 3,4-dihydroxy-6-[18F]fluoro-l-phenylalanine (18F-DOPA) positron emission tomography (PET) to index striatal dopamine function (Kicer, min-1). The mean ACC Glucorr was higher in the NR than the R group after adjustment for age and sex (F1,80 = 4.27; P = .04). This was associated with an area under the curve for the group discrimination of 0.59. There were no group differences in striatal dopamine function or striatal Glucorr. The results provide partial further support for a role of ACC glutamate, but not striatal dopamine synthesis, in determining the nature of the response to antipsychotic medication. The low discriminative accuracy might be improved in groups with greater clinical separation or increased in future studies that focus on the antipsychotic response at an earlier stage of the disorder and integrate other candidate predictive biomarkers. Greater harmonization of multicenter PET and 1H-MRS may also improve sensitivity.

journal_name

Schizophr Bull

journal_title

Schizophrenia bulletin

authors

Egerton A,Murphy A,Donocik J,Anton A,Barker GJ,Collier T,Deakin B,Drake R,Eliasson E,Emsley R,Gregory CJ,Griffiths K,Kapur S,Kassoumeri L,Knight L,Lambe EJB,Lawrie SM,Lees J,Lewis S,Lythgoe DJ,Matthews J,McGuire

doi

10.1093/schbul/sbaa128

subject

Has Abstract

pub_date

2020-09-10 00:00:00

eissn

0586-7614

issn

1745-1701

pii

5903699

pub_type

杂志文章
  • Psychotic controls in schizophrenia research.

    abstract::Schizophrenia is but one form of psychosis; therefore, it is important to control for the psychotic factor in studies of the schizophrenic syndrome. A survey was done of 478 articles in 15 major psychiatric and psychological journals to determine the frequency of controls for psychosis in schizophrenia research. The s...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/7.4.729

    authors: Ritzler BA,Rinehart K

    更新日期:1981-01-01 00:00:00

  • Premorbid Adjustment and IQ in Patients With First-Episode Psychosis: A Multisite Case-Control Study of Their Relationship With Cannabis Use.

    abstract::Psychotic patients with a lifetime history of cannabis use generally show better cognitive functioning than other psychotic patients. Some authors suggest that cannabis-using patients may have been less cognitively impaired and less socially withdrawn in their premorbid life. Using a dataset comprising 948 patients wi...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbz077

    authors: Ferraro L,La Cascia C,Quattrone D,Sideli L,Matranga D,Capuccio V,Tripoli G,Gayer-Anderson C,Morgan C,Sami MB,Sham P,de Haan L,Velthorst E,Jongsma HE,Kirkbride JB,Rutten BPF,Richards AL,Roldan L,Arango C,Bernardo M,

    更新日期:2020-04-10 00:00:00

  • Personality and neuropsychological performance of high-risk children.

    abstract::The present article reports findings on intelligence and personality functioning during the school period and at adolescence in a sample of kibbutz and urban Israeli children at risk for schizophrenia, as measured by a standard psychological test battery. On the first round of testing it was found that the index subje...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/11.1.48

    authors: Sohlberg SC

    更新日期:1985-01-01 00:00:00

  • The genetic deconstruction of psychosis.

    abstract::Psychiatric research, including the search for predisposing genes, has tended to proceed under the assumptions that schizophrenia and bipolar disorder, as defined in Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and International Statistical Classification of Diseases, 10th Revision, are discr...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,评审

    doi:10.1093/schbul/sbm053

    authors: Owen MJ,Craddock N,Jablensky A

    更新日期:2007-07-01 00:00:00

  • Role of psychosocial treatments in management of schizophrenia: a meta-analytic review of controlled outcome studies.

    abstract::This meta-analytic review sought to answer questions concerning the role of psychosocial treatments in the comprehensive management of patients with schizophrenia. The review focused on the effects of combining psychosocial treatment with somatic treatment. Findings demonstrated the additive and supplementary effects ...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,meta分析

    doi:10.1093/oxfordjournals.schbul.a033350

    authors: Mojtabai R,Nicholson RA,Carpenter BN

    更新日期:1998-01-01 00:00:00

  • Genetic evidence for the existence of subgroups of the schizophrenic syndrome.

    abstract::Evidence for the existence of a genetic factor in the etiology of a significant proportion of the people diagnosed as having a schizophrenic disorder is reviewed. It is suggested that whatever is transmitted genetically need not be inherently pathologic and/or pathogenic. It is argued that only people who have certain...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/5.3.453

    authors: Cancro R

    更新日期:1979-01-01 00:00:00

  • Psychotic-like experiences in nonpsychotic help-seekers: associations with distress, depression, and disability.

    abstract::Psychotic-like experiences (PLEs) increase the risk of schizophrenia and other psychotic disorders yet are common in the community. Some PLEs, such as those associated with depression, distress, and poor functioning, may confer increased risk. The aim of this study is to determine the prevalence of PLEs in a nonpsycho...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbj018

    authors: Yung AR,Buckby JA,Cotton SM,Cosgrave EM,Killackey EJ,Stanford C,Godfrey K,McGorry PD

    更新日期:2006-04-01 00:00:00

  • Rationale and baseline characteristics of PREVENT: a second-generation intervention trial in subjects at-risk (prodromal) of developing first-episode psychosis evaluating cognitive behavior therapy, aripiprazole, and placebo for the prevention of psychosi

    abstract::Antipsychotics, cognitive behavioral therapy (CBT), and omega-3-fatty acids have been found superior to control conditions as regards prevention of psychosis in people at-risk of first-episode psychosis. However, no large-scale trial evaluating the differential efficacy of CBT and antipsychotics has been performed yet...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/schbul/sbr083

    authors: Bechdolf A,Müller H,Stützer H,Wagner M,Maier W,Lautenschlager M,Heinz A,de Millas W,Janssen B,Gaebel W,Michel TM,Schneider F,Lambert M,Naber D,Brüne M,Krüger-Özgürdal S,Wobrock T,Riedel M,Klosterkötter J,PREVENT stu

    更新日期:2011-09-01 00:00:00

  • Schizophrenia, psychosis, and cerebral spinal fluid homovanillic acid concentrations.

    abstract::Neuroleptic drugs block brain dopamine receptors and are effective in treating psychoses of diverse origins. This finding has become a cornerstone of the dopamine theory of schizophrenia, but clinical studies relating schizophrenia, per se, to brain dopamine metabolism have ranged from controversial to negative. This ...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/23.1.147

    authors: Maas JW,Bowden CL,Miller AL,Javors MA,Funderburg LG,Berman N,Weintraub ST

    更新日期:1997-01-01 00:00:00

  • At issue: Stop the stigma: call mental illness a brain disease.

    abstract::Educating the public that mental illness is a brain disease is a popular strategy for combating mental illness stigma. Evidence suggests that while such an approach reduces blame for mental illness, it may unintentionally exacerbate other components of stigma, particularly the benevolence and dangerousness stigmas. Co...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.schbul.a007095

    authors: Corrigan PW,Watson AC

    更新日期:2004-01-01 00:00:00

  • Determinants of medication compliance in schizophrenia: empirical and clinical findings.

    abstract::Advances in psychopharmacology have produced medications with substantial efficacy in the treatment of positive and negative symptoms of schizophrenia and the prevention of relapse or symptom exacerbation after an acute episode. In the clinical setting, the individual patient's acceptance or rejection of prescribed ph...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,评审

    doi:10.1093/schbul/23.4.637

    authors: Fenton WS,Blyler CR,Heinssen RK

    更新日期:1997-01-01 00:00:00

  • How neurocognition and social cognition influence functional change during community-based psychosocial rehabilitation for individuals with schizophrenia.

    abstract::The purpose of this study was to assess how neurocognition and social cognition were associated with initial functional level and with rates of functional change in intensive community-based psychosocial rehabilitation interventions that have been shown to yield significant functional change for individuals diagnosed ...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,多中心研究

    doi:10.1093/schbul/sbl072

    authors: Brekke JS,Hoe M,Long J,Green MF

    更新日期:2007-09-01 00:00:00

  • Does change in cognitive function predict change in costs of care for people with a schizophrenia diagnosis following cognitive remediation therapy?

    abstract:BACKGROUND AND AIMS:Schizophrenia leads to significant personal costs matched by high economic costs. Cognitive function is a strong predictor of disabilities in schizophrenia, which underpin these costs. This study of cognitive remediation therapy (CRT), which has been shown to improve cognition and reduce disability ...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbu046

    authors: Reeder C,Harris V,Pickles A,Patel A,Cella M,Wykes T

    更新日期:2014-11-01 00:00:00

  • Main Symptomatic Treatment Targets in Suspected and Early Psychosis: New Insights From Network Analysis.

    abstract::The early detection and intervention in psychoses prior to their first episode are presently based on the symptomatic ultra-high-risk and the basic symptom criteria. Current models of symptom development assume that basic symptoms develop first, followed by attenuated and, finally, frank psychotic symptoms, though int...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbz140

    authors: Jimeno N,Gomez-Pilar J,Poza J,Hornero R,Vogeley K,Meisenzahl E,Haidl T,Rosen M,Klosterkötter J,Schultze-Lutter F

    更新日期:2020-07-08 00:00:00

  • Psychotherapy with persons suffering from schizophrenia: the need for a new agenda.

    abstract::The success of the biological revolution in our understanding of schizophrenia, along with the lack of convincing evidence for the efficacy of global approaches to individual psychotherapy with schizophrenia, has led to the virtual disappearance of research and theory in this area. However, it seems timely to reexamin...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/15.3.349

    authors: Coursey RD

    更新日期:1989-01-01 00:00:00

  • Neurological Soft Signs Predict Auditory Verbal Hallucinations in Patients With Schizophrenia.

    abstract::Neurological soft signs (NSS) are well documented in individuals with schizophrenia (SZ), yet so far, the relationship between NSS and specific symptom expression is unclear. We studied 76 SZ patients using magnetic resonance imaging (MRI) to determine associations between NSS, positive symptoms, gray matter volume (G...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbaa146

    authors: Wolf RC,Rashidi M,Schmitgen MM,Fritze S,Sambataro F,Kubera KM,Hirjak D

    更新日期:2020-10-24 00:00:00

  • Familial risks and reproductive fitness in schizophrenia.

    abstract::Recently published data from the Roscommon Family Study show that a parental diagnosis of schizotypal disorder (SPD) has a significant and specific impact on the risk for schizophrenia in siblings of index probands with schizophrenia spectrum disorders. The distribution patterns of risks for schizophrenia and SPD in p...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,评审

    doi:10.1093/schbul/22.2.191

    authors: Battaglia M,Bellodi L

    更新日期:1996-01-01 00:00:00

  • Latent class analysis of DSM-IV schizotypal personality disorder criteria in psychiatric patients.

    abstract::The aim of the study was to evaluate the latent structure of DSM-IV schizotypal personality disorder (SPD) diagnostic criteria. The sample consisted of 564 consecutively admitted inpatients and outpatients. Exploratory latent class analysis identified a four-class model as the best fitting model for DSM-IV SPD criteri...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.schbul.a006860

    authors: Fossati A,Maffei C,Battaglia M,Bagnato M,Donati D,Donini M,Fiorilli M,Novella L

    更新日期:2001-01-01 00:00:00

  • Schizophrenia and multiple sclerosis.

    abstract::Similarities in clinical course, age of onset, geographical distribution, and immunological responses of patients with schizophrenia and multiple sclerosis (MS) suggest that these two common illnesses of young adults may belong to a similar class of disorders. This review examines some of the similarities and differen...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,评审

    doi:10.1093/schbul/14.2.231

    authors: Stevens JR

    更新日期:1988-01-01 00:00:00

  • fMRI activity correlated with auditory hallucinations during performance of a working memory task: data from the FBIRN consortium study.

    abstract:INTRODUCTION:Auditory hallucinations are a hallmark symptom of schizophrenia. The neural basis of auditory hallucinations was examined using data from a working memory task. Data were acquired within a multisite consortium and this unique dataset provided the opportunity to analyze data from a large number of subjects ...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/sbn142

    authors: Wible CG,Lee K,Molina I,Hashimoto R,Preus AP,Roach BJ,Ford JM,Mathalon DH,McCarthey G,Turner JA,Potkin SG,O'Leary D,Belger A,Diaz M,Voyvodic J,Brown GG,Notestine R,Greve D,Lauriello J,FBIRN.

    更新日期:2009-01-01 00:00:00

  • The genetics of schizophrenia: a review.

    abstract::The evidence suggesting that genetic factors are involved in the etiology of schizophrenia is reviewed. Despite methodological and other difficulties, independent lines of research--family, twin, and adoption studies--point in a common direction: Persons genetically at risk for schizophrenia are more likely to become ...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,评审

    doi:10.1093/schbul/6.3.404

    authors: Kessler S

    更新日期:1980-01-01 00:00:00

  • Investigating graphesthesia task performance in the biological relatives of schizophrenia patients.

    abstract::This study compared the performance of 39 biological relatives of persons with schizophrenia to that of 30 normal adult controls on graphesthesia processing, a complex somatosensory processing task. The relatives performed significantly worse on the graphesthesia task compared to the healthy controls. The relatives an...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.schbul.a007082

    authors: Chang BP,Lenzenweger MF

    更新日期:2004-01-01 00:00:00

  • Long-term course of hospitalization for schizophrenia: Part II. Change with passage of time.

    abstract::This analysis examines the notion of progressive deterioration in schizophrenia, using long-term followup data on hospital episodes in defined cohorts from psychiatric case registers in Victoria, Australia; Denmark; and Salford, England. The analyses differentiate heterogeneity existing at the first hospitalization fo...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/18.2.229

    authors: Eaton WW,Bilker W,Haro JM,Herrman H,Mortensen PB,Freeman H,Burgess P

    更新日期:1992-01-01 00:00:00

  • Healthy Adolescent Performance With Standardized Scoring Tables for the MATRICS Consensus Cognitive Battery: A Multisite Study.

    abstract:OBJECTIVE:The aim of this study was to develop standardized scores and scoring tables for test performance in healthy adolescents for the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB) for each year from 11 to 19 years of age, by sex, with T scores ...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,多中心研究

    doi:10.1093/schbul/sby131

    authors: Smelror RE,Jørgensen KN,Lonning V,Kelleher I,Cannon M,DeRosse P,Malhotra AK,Karlsgodt KH,Andreassen OA,Lundberg M,Edbom T,Cleland N,Ueland T,Myhre AM,Rund BR,Agartz I

    更新日期:2019-06-18 00:00:00

  • Antipsychotics: Past and Future: National Institute of Mental Health Division of Services and Intervention Research Workshop, July 14, 1998.

    abstract::A workshop on "Antipsychotics: Past and Future" was convened by the National Institute of Mental Health (NIMH), Division of Services and Intervention Research (DSIR), on July 14, 1998, to review the results of recent antipsychotic drug research, discuss current standards of treatment, and identify areas needing furthe...

    journal_title:Schizophrenia bulletin

    pub_type:

    doi:10.1093/oxfordjournals.schbul.a033387

    authors: Dawkins K,Lieberman JA,Lebowitz BD,Hsiao JK

    更新日期:1999-01-01 00:00:00

  • Social networks and mental illness in a peasant society.

    abstract::Social networks of 35 mentally ill persons were studied in Lao villages. Mental illness was associated with a decrease in size of social networks, disproportionate reliance on family, and asymmetric instrumental exchange. Nonkin "sponsors" provided assistance to those alienated from or abandoned by relatives. For thos...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/7.1.125

    authors: Westermeyer J,Pattison EM

    更新日期:1981-01-01 00:00:00

  • Living with the mentally ill: factors affecting household complaints.

    abstract::Data provided by case managers in community support programs are used to analyze the problems of families providing shelter to mentally ill relatives. Factors affecting complaints in 345 family households are contrasted with factors leading to complaints in a subsample of 622 other residential alternatives. Behavioral...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/schbul/13.4.727

    authors: Gubman GD,Tessler RC,Willis G

    更新日期:1987-01-01 00:00:00

  • Differences in age of first hospitalization for schizophrenia among immigrants and nonimmigrants in a national case registry.

    abstract::While previous studies have found an increased incidence of schizophrenia in some immigrant groups, differences in age of onset in these groups has not been examined. The purpose of this study was to compare age of first hospitalization of (1) native-born people versus immigrants, (2) immigrants from different countri...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.schbul.a006956

    authors: Rabinowitz J,Fennig S

    更新日期:2002-01-01 00:00:00

  • Childhood trauma and psychotic disorders: a systematic, critical review of the evidence.

    abstract::There is controversy over whether childhood trauma (CT) is a causal factor in the development of psychosis. This review aims to identify and critically analyze the association between CT and psychotic disorders. Studies investigating CT and psychotic disorder were identified by searches of electronic databases and man...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,评审

    doi:10.1093/schbul/sbm121

    authors: Bendall S,Jackson HJ,Hulbert CA,McGorry PD

    更新日期:2008-05-01 00:00:00

  • Considerations on "organic" exclusion criteria for schizophrenia.

    abstract::Given the variety of "organic" or "toxic" conditions that may produce, precipitate, or exacerbate psychotic disorders, it is important to attempt to clarify existing nosologies and to highlight the need for research strategies that may help to validate relevant distinctions. This review provides a brief discussion of ...

    journal_title:Schizophrenia bulletin

    pub_type: 杂志文章,评审

    doi:10.1093/schbul/17.1.69

    authors: Kane JM,Selzer J

    更新日期:1991-01-01 00:00:00