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Pharmacological Targets in
Schizophrenia
Dopamine
Adapted from Kandel et al., eds. Principles of Neural Science.
Norwalk, CT: Appleton & Lange; 1991:854.
Hypoactivity: Negative
and Cognitive Symptoms
Hyperactivity:
Positive Symptoms
Tuberoinfundibular Pathway
Mesocortical
Pathway
Mesolimbic
Pathway
Nigrostriatal
Pathway
Dopaminergic Pathways in the Brain
Schizophrenia Core Symptoms
Psychotic Deficit Cognitive
Positive
Symptoms
Mesolimbic pathway
Negative
Symptoms
DLPC &VMPFC
Cognitive
Dysfunction
DLPFC
Affective
VMPFC
Smith et al (1997)
Synthesis and degradation of
serotonin
Tryptophan
5-Hydroxytryptophan (5-
HTP)
Tryptophan hydroxylase
5-Hydroxytryptamine (5-
HT)
5-Hydroxytryptophan decarboxylase
5-Hydroxyindolacetic acid
(5-HIAA)
Monoamine oxidase (MAO)
Synthesis and degradation of
catecholamines
Phenylalanine
Key
COMT =
Catechol
O-methyltransferase
MAO =
Monoamine
oxidase
L-tyrosine
Dopamine
L-dopa
Tyrosine hydroxylase
3-methoxy-tyramine Noradrenaline3,4-dihydroxyphenylacetic acid
(DOPAC)
Homovalinillic
acid (HVA)
3-methoxy-4-hydroxy
phenylglycol (MHPG)
3-methoxy-4-hydroxy
mandelic acid (VMA))
COMT MAO MAO/COMT
Roth et al (1995)
Synthesis and degradation of
catecholamines
Phenylalanine
Key
COMT =
Catechol
O-methyltransferase
MAO =
Monoamine
oxidase
L-tyrosine
Dopamine
L-dopa
Tyrosine hydroxylase
3-methoxy-tyramine Noradrenaline3,4-dihydroxyphenylacetic acid
(DOPAC)
Homovalinillic
acid (HVA)
3-methoxy-4-hydroxy
phenylglycol (MHPG)
3-methoxy-4-hydroxy
mandelic acid (VMA))
COMT MAO MAO/COMT
Roth et al (1995)

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biology, basic

  • 1.
  • 2.
  • 3. Pharmacological Targets in Schizophrenia Dopamine Adapted from Kandel et al., eds. Principles of Neural Science. Norwalk, CT: Appleton & Lange; 1991:854. Hypoactivity: Negative and Cognitive Symptoms Hyperactivity: Positive Symptoms Tuberoinfundibular Pathway Mesocortical Pathway Mesolimbic Pathway Nigrostriatal Pathway Dopaminergic Pathways in the Brain
  • 4. Schizophrenia Core Symptoms Psychotic Deficit Cognitive Positive Symptoms Mesolimbic pathway Negative Symptoms DLPC &VMPFC Cognitive Dysfunction DLPFC Affective VMPFC
  • 5. Smith et al (1997) Synthesis and degradation of serotonin Tryptophan 5-Hydroxytryptophan (5- HTP) Tryptophan hydroxylase 5-Hydroxytryptamine (5- HT) 5-Hydroxytryptophan decarboxylase 5-Hydroxyindolacetic acid (5-HIAA) Monoamine oxidase (MAO)
  • 6. Synthesis and degradation of catecholamines Phenylalanine Key COMT = Catechol O-methyltransferase MAO = Monoamine oxidase L-tyrosine Dopamine L-dopa Tyrosine hydroxylase 3-methoxy-tyramine Noradrenaline3,4-dihydroxyphenylacetic acid (DOPAC) Homovalinillic acid (HVA) 3-methoxy-4-hydroxy phenylglycol (MHPG) 3-methoxy-4-hydroxy mandelic acid (VMA)) COMT MAO MAO/COMT Roth et al (1995)
  • 7. Synthesis and degradation of catecholamines Phenylalanine Key COMT = Catechol O-methyltransferase MAO = Monoamine oxidase L-tyrosine Dopamine L-dopa Tyrosine hydroxylase 3-methoxy-tyramine Noradrenaline3,4-dihydroxyphenylacetic acid (DOPAC) Homovalinillic acid (HVA) 3-methoxy-4-hydroxy phenylglycol (MHPG) 3-methoxy-4-hydroxy mandelic acid (VMA)) COMT MAO MAO/COMT Roth et al (1995)

Hinweis der Redaktion

  1. Serotonin (5-HT) is an indolamine neurotransmitter synthesised from tryptophan, an essential amino acid found in the diet that is preferentially taken up by serotonergic neurons. The rate-limiting step in its formation involves tryptophan hydroxylase. 5-HT is catabolised by monoamine oxidase to form 5-hydroxyindolacetic acid.
  2. ·The rate-limiting step is between L-tyrosine and L-DOPA (tyrosine hydroxylase). ·The main break down products are MHPG, HVA and VMA. ·MAO acts mainly intraneuronally. ·COMT acts at the synaptic cleft.