Abstract
Background
The long-term administration of antipsychotics is known to induce dopamine supersensitivity psychosis (DSP). Although the mechanism of DSP involves mainly a compensatory upregulation of dopamine D2 receptors, the precise mechanisms underlying DSP are unknown. It is known that glutamatergic signaling plays a key role in psychosis. We thus conducted this study to investigate whether glutamatergic signaling plays a role in the development of DSP.
Methods
Haloperidol (0.75 mg/kg/day for 14 days) or vehicle was administered to rats via osmotic mini-pump. Haloperidol-treated rats were divided into groups of DSP rats and non-DSP rats based on locomotion data. Tissue levels of glutamate, glutamine, glycine, L-serine, D-serine, and GABA and the protein expressions of N-methyl-D-aspartate receptors (NMDAR), glutamic acid decarboxylase (GAD), and serine hydroxymethyltransferase (SHMT) in the rat brain regions were examined.
Results
In the DSP rats, the ratio of GABA to glutamate was significantly increased. In addition, the ratio of L-serine to glycine was increased. The striatal expressions of GAD and SHMT2 in the DSP rats were significantly increased. In contrast, the striatal expression of NMDAR2B in the non-DSP rats was significantly decreased.
Conclusions
The present study suggests that glutamatergic signaling is relatively decreased to GABA in DSP rats. Our results also showed that excessive doses of haloperidol can induce striatal NMDAR hypofunction in non-DSP rats, which could prevent the formation of tardive dyskinesia but cause treatment resistance. In view of the need for therapeutic strategies for treatment-resistant schizophrenia, further research exploring our present findings is necessary.
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Acknowledgements
This study was supported by a Grant-in-Aid for Young Scientists (B) from the Japan Society for the Promotion of Science (JSPS).
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Conceived and designed the experiments: Y.O., K.O., Y.N., M.T., T.N., N.K., Y.S., K.H., M.I. Performed the experiments: Y.O., Y.F., K.O. Analyzed the data: Y.O., T.N., K.H. Wrote the paper: Y.O., K.H., M.I. Supervised the research: Y.S., K.H., M.I.
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Dr. Oda received grant funding from the SENSHIN Medical Research Foundation. Dr. Takase received grant funding from the SENSHIN Medical Research Foundation and reported honoraria from Otsuka. Dr. Niitsu reports speaker’s honoraria from Eli Lilly, Meiji Seika Pharma, Mochida, and Sumitomo Dainippon. Dr. Kanahara received grant funding from the Ministry of Health, Labor, and Welfare of Japan and the SENSHIN Medical Research Foundation and reports honoraria from Eli Lilly, Otsuka, Sumitomo Dainippon, Meiji Seika, and Janssen. Dr. Shirayama received research support from Eli Lilly, Eisai, MSD, Otsuka, Pfizer, Taisho, Takeda, and Mitsubishi-Tanabe. Dr. Hashimoto has served as a scientific consultant to Astellas, Dainippon-Sumitomo, and Taisho and received research support from Abbvie, Dainippon-Sumitomo, Mochida, Otsuka, and Taisho. Dr. Iyo received consultant fees from Eli Lilly, Sumitomo Dainippon, Pfizer, and Abbott and reports honoraria from Janssen, Eli Lilly, Otsuka, Meiji Seika, Astellas, Sumitomo Dainippon, Ono, GlaxoSmithKline, Takeda, Mochida, Kyowa Hakko, MSD, Eisai, Daiichi-Sankyo, Novartis, Teijin, Shionogi, Hisamitsu, and Asahi Kasei. Dr. Oishi and Dr. Nakata have no potential conflicts of interest to report.
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Supplementary Fig. 1
Discrimination of DSP based on locomotor activity. Rats 5, 6, 7, 9, 11, and 13 rats were assigned to the DSP group. Rats 1, 2, 3, 4, 8, 10, 12, and 14 rats were assigned to the non-DSP group. (XLSX 23 kb)
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Oda, Y., Fujita, Y., Oishi, K. et al. Alterations in glutamatergic signaling in the brain of dopamine supersensitivity psychosis and non-supersensitivity psychosis model rats. Psychopharmacology 234, 3027–3036 (2017). https://doi.org/10.1007/s00213-017-4695-5
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DOI: https://doi.org/10.1007/s00213-017-4695-5