Abstract
Though one of the first hypotheses in modern biological psychiatry proposed a relationship between serotonin (5-hydroxytryptamine; 5-HT) dysfunction in the brain and schizophrenia, work in this field was kept simmering once the neuroleptics with their strong impact on dopaminergic functioning were introduced. Recently, however, evidence has been found that blockage of certain populations of 5-HT receptors may result in antipsychotic effects. Ritanserin, a 5-HT, receptor blocker was reported to possess antipsychotic properties. Risperidone and clozapine, combined 5-HT, and dopamine (DA)2 receptor blockers, are probably superior to classical neuroleptics. The antipsychotic potential of 5-HT, receptor antagonists was inferred from animal experiments and the first human data are encouraging. These findings justify the question whether in schizophrenic patients 5-HT disturbances do occur.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Woolley, D.W. and Shaw, E. (1954) A biochemical and pharmacological suggestion about certain mental disorders. Proceedings of the National Academy of Sciences 40, 228–231.
Gelders, Y., Ceulemans, D.L.S., Hoppenbrouwers, M.L., Reyntjens, A., and Mesotten, F. (1985) ‘Ritanserin, a selective serotonin antagonist in chronic schizophrenia‘, Proceedings of the Fourth World Congress of Biological Psychiatry, Philadelphia, p. 338.
Kane, J., Honigfield, G., Singer, J., Meltzer, H., and Clozaril Collaborative Study Group (1988) ‘Clozapine for the treatment-resistant schizophrenic‘, Arch. Gen. Psych. 45, 798–796.
Meltzer, H.Y., Matsubara, S., and Lee, J.C. (1989) ‘Classification of typical and atypical antipsychotic drugs on the basis of dopamine D-1, D-2 and serotonin 2 pk, values‘, J. Pharm. Exper. Ther. 251, 238–246.
van Praag, H.M. (1992) ‘Serotonergic mechanisms in the pathogenesis of schizophrenia‘, in J.P. Lindemayer and S.R. Kay (eds.), New Biological Vistas on Schizophrenia, Brunner Mazel, New York.
Chen, J., Paredes, W., van Praag, H.M., and Gardner, E.L. (1992) ‘Serotonin denervation enhances responsiveness of presynaptic dopamine efflux to acute clozapine in nucleus accumbens but not in caudate-putamen‘, Brain Res., 582, 173–178.
Claus, A., Bollen, J., De Cuyper, H., Eneman, M., Malfroid, M., Peuskens, J., and Heylen, S. (1992) ‘Risperidone versus haloperidol in the treatment of chronic schizophrenic in patients: a multicentre double-blind comparative study‘ Acta Psych. Scand. 85, 295–305.
Costall, B., Domeney, A.M., Naylor, R.J., and Tyers, M.B. (1987) ‘Effects of the 5-HT3 receptor antagonist, GR38032F, on raised dopaminergic activity in the mesolimbic system of the rat and marmoset brain‘, Br. J. Pharm. 92, 881–894.
Newcombes, J.W., Faustman, W.J., Zipursky, R.B., and Csernansky, J.G. (1992) ‘Zacopride in schizophrenia: a fragile blood serotonin type 3 antagonist trial‘, Arch. Gen. Psych. 49, 751.
Jacobs, B.L. (1987) ‘How hallucinogenic drugs work‘, American Scientist 75, 386–392.
Bleich, A., Brown, S.L., Kahn, R.S., and van Praag, H.M. (1988) ‘The role of serotonin in schizophrenia‘, Schizophrenia Bull. 14, 297–315.
Bleich, A., Brown, S.L., and van Praag, H.M. (1991) ‘A serotonergic theory of schizophrenia‘, in S.L. Brown and H.M. van Praag (eds.), The role of serotonin in psychiatric disorders, Brunner Mazel, New York, pp. 183–214.
van Praag, H.M. (1992) Make Believes in Psychiatry or The Perils of Progress, Brunner Mazel, New York.
Korf, J. and van Praag, H.M. (1971) ‘Amine metabolism in de human brain: further evaluation of the probenecid test‘, Brian Res. 35, 221–230.
van Praag, H.M. (1977) ‘The significance of dopamine for the mode of action of neuroleptics and the pathogenesis of schizophrenia‘, Br. J. Psych. 130, 463–474.
van Praag, H.M. (1982) ‘Neurotransmitters and schizophrenia. Part A: Catecholamines and schizophrenia‘, in P.J.V. Beumont and G.D. Burrows (eds.), Handbook of Psychiatry and Endocrinology, Elsevier, Amsterdam.
Potkin, S.G., Weinberger, D.R., Linnoila, M., and Wyatt, R.J. (1983) ‘Low CSF 5-hydroxyindoleacetic acid in schizophrenic patients with enlarged cerebral ventricles‘, Am. J. Psych. 140, 21–25.
Asberg, M., Traskman, L., and Thoren, P. (1976) ‘5-HIAA in the cerebrospinal fluid: a biochemical suicide predictor?‘, Arch. Gen. Psych. 33, 1193–1197.
van Praag, H.M. (1982) ‘Depression, suicide and the metabolism of serotonin in the brian‘, J. Affective Disorders 4, 275–290.
Traskman, L., Asberg, M., Bertilsson, L., and Sgostrand, L. (1981) ‘Monoamine metabolites in CSF and suicidal behavior‘, Arch. Gen. Psych. 38, 631–636.
van Praag, H.M. (1983) ‘CSF 5-HIAA and suicide in non-depressed schizophrenics‘, Lancet 2, 977–978.
Ninan, P.T., van Kammen, D.P., Scheinin, M., Linnoila, M., Bunney Jr., W.E., and Goodwin, F.K. (1984) ‘CSF 5-hydroxyindoleacetic acid levels in suicidal schizophrenic patients‘, Am. J. Psych. 141, 566–569.
Banki, C.M., Arato, M., Papp, Z., and Kurcz, M. (1984) ‘Cerebrospinal fluid amine metabolites and neuroendocrine charges in psychoses and suicide‘, in E. Usdin, A. Carlsson and A. Dahlstrom (eds.), Catecholamines: Neuropharmacology and central nervous system-therapeutic aspects, Alan Liss, New York, pp. 153–159.
Cooper, S.J., Kelly, C.B., and King, D.J. (1992) ‘S-hydroxyindoleacetic acid in cerebrospinal fluid and prediction of suicidal behavior in schizophrenia‘, Lancet 340, 940–941.
van Praag, H.M., Lemus, C., and Kahn, R. (1987) ‘Hormonal probes of central serotonergic activity. Do they really exist?‘, Biol. Psych. 22, 86–98.
van Praag, H.M., Asnis, G.M., Brown, S.L., and Korn, M. (1990) ‘Monoamines and abnormal behavior. A multidimensional perspective, Br. J. Psych. 157 723–734.
Wyatt, R.J., Vaughan, T., Galanter, M., Kaplan, J., and Green, R. (1972) ‘Behavioral changes of chronic schizophrenic patients given 1-hydroxytryptophan‘, Science 177, 1124–1126.
Bigelow, L., Walls, P., Gillin, J.C., and Wyatt, R.J. (1979).‘Clinical effects of 1–5-Hydroxytryptophan in chronic schizophrenic patients‘, Biol. Psych. 14, 53--67.
Praag, van H.M. (1962), ‘A critical investigation of the importance of monoamine oxidase inhibition as a therapeutic principle in the treatment of depression‘ (Dutch), Thesis, Utrecht.
Mandalos, G.E. and Szarek, B.L. (1990) ‘Dose-related paranoid reaction associated with fluxotine‘, Journal of Nervous and Mental Disease 178, 57–58.
Lindenmayer, J.P., Vakharia, M., and Kanofsky, D. (1990) ‘Fluoxetine in chronic schizophrenia‘, Clinical Psychopharm. 10, 76.
van Praag, H.M., Kahn, R., Asnis, G.M., Wetzler, S., Brown, S., Bleich, A., and Korn, M. (1987) ‘Denosologization of biological psychiatry or the specificity of 5-HT disturbances in psychiatric disorders‘, Journal of Affective Disorders 13, 108.
Glennon, R.A., Ismael, A., McCarthy, B., and Peroudka, S.J. (1989) ‘Binding of azylpiperazines to 5-HT, serotonin receptors: results of a structure-affinity study‘, Eur. J. Pharmacol. 168, 387–392.
Iqbal, N., Asnis, G.M., Wetzler, S., Kahn, R.S., Kay, S.R., and van Praag, H.M. (1991) ‘The role of serotonin in schizophrenia: new findings‘, Schizophr. Res. 5, 515–519.
Iqbal, N., Asnis, G.M., Wetzler, S., Kahn, R.S., Kay, S.R., and van Praag, H.M. (1991), ‘The MCPP challenge test in schizophrenia: Hormonal and behavioral responses‘, Biological Psychiatry 30, 770–78.
Kay, S.R. (1991) ‘Positive and negative syndromes in schizophrenia. Assessment and research. Brunner Mazel, New York.
Charney, D.S., Words, S.W., Goodman, W.K., and Henniger, G.R. (1987) ‘Serotonin function in anxiety. II Effects of the serotonin agonist MCPP in panic disorder patients and healthy subjects‘, Psychopharmacology 92, 14–24.
Kahn, R.S., Siever, L.J., Gabriel, S., Amin, F., Stern, R.J., Dumont, K., Apter, S., and Davidson, M. (1992) ‘Serotonin function in schizophrenia: effects of metachlorophenylpiperazine in schizophrenic patients and healthy subjects‘, Psychiat. Res. 43, 1–12.
Hashimoto, T., Nishino, N., Nakai, H., and Tanaka, C. (1991) ‘Increase in serotonin 5-HT1A receptors in prefrontal and temporal cortices of brains from patients with chronic schizophrenia‘, Life Sciences 48, 355–363.
Mita, T., Hanada, S., Nishino, N., Kuno, T., Nakai, H., Yamadori, T., Mizoi, Y., and Tanaka, C. (1986) ‘Decreased serotonin (S2) and increased dopamine (D2) receptors in chronic schizophrenics‘, Biological Psychiatry 21,1407–1414.
Krystal, J.H., Seibyl, J.P., Price, L.P., Woods, S.W., Henniger, G.R., and Charney, D.S. (1991) ‘MCPP effects in schizophrenic patients before and after typical and atypical neuroleptic treatment‘, Schizophrenia Res. 4, 350.
Zohar, J., Mueller, E.A., Insel, T.R., Zohar-Kadouch, R.C., and Murphy, D.L. (1987) ‘Serotonergic responsivity in obsessive-compulsive disorder‘, Archives of General Psychiatry 44, 946–951.
van Praag H.M., Korf, J., Lakke, J.P.W.F., and Schut, T. (1975) ‘Dopamine metabolism in depression, psychoses and parkinson‘s disease: The problem of the specificity of biological variables in behavior disorders‘, Psychol. Med. 5, 138–146.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Van Praag, H.M. (1993). Is Serotonin Involved in the Pathogenesis of Schizophrenia?. In: Vanhoutte, P.M., Saxena, P.R., Paoletti, R., Brunello, N., Jackson, A.S. (eds) Serotonin. Medical Science Symposia Series, vol 5. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-1920-7_33
Download citation
DOI: https://doi.org/10.1007/978-94-011-1920-7_33
Published:
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-4849-1
Online ISBN: 978-94-011-1920-7
eBook Packages: Springer Book Archive