articleWorld PsychiatryJan 10, 2020BRONZE OA

Dopamine and glutamate in schizophrenia: biology, symptoms and treatment

King's College London · South London and Maudsley NHS Foundation Trust · +7 more institutions

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Abstract

Glutamate and dopamine systems play distinct roles in terms of neuronal signalling, yet both have been proposed to contribute significantly to the pathophysiology of schizophrenia. In this paper we assess research that has implicated both systems in the aetiology of this disorder. We examine evidence from post-mortem, preclinical, pharmacological and in vivo neuroimaging studies. Pharmacological and preclinical studies implicate both systems, and in vivo imaging of the dopamine system has consistently identified elevated striatal dopamine synthesis and release capacity in schizophrenia. Imaging of the glutamate system and other aspects of research on the dopamine system have produced less consistent findings,…

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