Evidence map›Paper›PMID 22692564›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2012

Reduced levels of serotonin 2A receptors underlie resistance of Egr3-deficient mice to locomotor suppression by clozapine.

Alison A Williams, Wendy M Ingram, Sarah Levine, Jack Resnik, Christy M Kamel, James R Lish, Diana I Elizalde, Scott A Janowski, Joseph Shoker, Alexey Kozlenkov and 2 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03781115 (Proposal To Develop A Rapid And Cost-Effective Diagnostic Test For Schizophrenia), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03781115 phase1active not recruitingnot on this mapstarted 2017, after this paper: background citation

Proposal To Develop A Rapid And Cost-Effective Diagnostic Test For Schizophrenia

TypeinterventionalSponsorUniversity of ArizonaRan2017 to 2027Enrolled24ConditionsSchizophreniaArmsZiprasidone, Olanzapine, Placebo Comparator
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Peripheral Blood Leukocyte RNA-Seq Identifies a Set of Genes Related to Abnormal Psychomotor Behavior Characteristics in Patients with Schizophrenia.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  5. Article
  6. Article
  7. Article
  8. The Immediate Early GeneFrontiers in behavioral neuroscience · 2018
    Article
  9. Frontiers in behavioral neuroscience · 2018
    Article
  10. Article
  11. Article
  12. Reward Network Immediate Early Gene Expression in Mood Disorders.Frontiers in behavioral neuroscience · 2017
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Clozapine acts as an agonist at serotonin 2A receptors to counter MK-801-induced behaviors through a βarrestin2-independent activation of Akt.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2014
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Alison A WilliamsSchool of Life Sciences, Arizona State University, Tempe, AZ, USA.
Wendy M Ingram
Sarah Levine
Jack Resnik
Christy M Kamel
James R Lish
Diana I Elizalde
Scott A Janowski
Joseph Shoker
Alexey Kozlenkov
Javier González-Maeso
Amelia L Gallitano
University of Arizona · USIcahn School of Medicine at Mount Sinai · USArizona State University · USUniversity of California, Berkeley · US

Funding

Structure and function of the 5HT2A/mGluR2 complex in schizophreniaR01MH084894 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI Javier Gonzalez-Maeso · 2009 to 2026
$6.8M
Mechanism of 5HT2AR regulation by Egr3R01MH097803 · NIMH · UNIVERSITY OF ARIZONA · PI GALLITANO, AMELIA · 2012 to 2023
$3.5M
Howard Hughes Medical InstituteNIMH NIH HHS L40 MH084542NIMH NIH HHS R01 MH084894NIMH NIH HHS R01 MH097803PHS HHS HHSN-271-2008-00025-C
6 · The paper itself

Abstract

The immediate-early gene early growth response 3 (Egr3) is associated with schizophrenia and expressed at reduced levels in postmortem patients' brains. We have previously reported that Egr3-deficient (Egr3(-/-)) mice display reduced sensitivity to the sedating effects of clozapine compared with wild-type (WT) littermates, paralleling the heightened tolerance of schizophrenia patients to antipsychotic side effects. In this study, we have used a pharmacological dissection approach to identify a neurotransmitter receptor defect in Egr3(-/-) mice that may mediate their resistance to the locomotor suppressive effects of clozapine. We report that this response is specific to second-generation antipsychotic agents (SGAs), as first-generation medications suppress the locomotor activity of Egr3(-/-) and WT mice to a similar degree. Further, in contrast to the leading theory that sedation by clozapine results from anti-histaminergic effects, we show that H1 histamine receptors are not responsible for this effect in C57BL/6 mice. Instead, selective serotonin 2A receptor (5HT(2A)R) antagonists ketanserin and MDL-11939 replicate the effect of SGAs, repressing the activity in WT mice at a dosage that fails to suppress the activity of Egr3(-/-) mice. Radioligand binding revealed nearly 70% reduction in 5HT(2A)R expression in the prefrontal cortex of Egr3(-/-) mice compared with controls. Egr3(-/-) mice also exhibit a decreased head-twitch response to 5HT(2A)R agonist 1-(2,5-dimethoxy 4-iodophenyl)-2-amino propane (DOI). These findings provide a mechanism to explain the reduced sensitivity of Egr3(-/-) mice to the locomotor suppressive effects of SGAs, and suggest that 5HT(2A)Rs may also contribute to the sedating properties of these medications in humans. Moreover, as the deficit in cortical 5HT(2A)R in Egr3(-/-) mice aligns with numerous studies reporting decreased 5HT(2A)R levels in the brains of schizophrenia patients, and the gene encoding the 5HT(2A)R is itself a leading schizophrenia candidate gene, these findings suggest a potential mechanism by which putative dysfunction in EGR3 in humans may influence risk for schizophrenia.

Indexed as

AnimalsClozapineDisease Models, AnimalEarly Growth Response Protein 3HumansHypnotics and SedativesKetanserinMaleMiceMice, TransgenicMotor ActivityPiperidinesReceptor, Serotonin, 5-HT2ASchizophreniaSerotonin 5-HT2 Receptor AgonistsSerotonin Antagonistsalpha-phenyl-1-(2-phenylethyl)-4-piperidinemethanolClozapineEarly Growth Response Protein 3Egr3 protein, mouseHypnotics and SedativesKetanserinPiperidinesReceptor, Serotonin, 5-HT2ASerotonin 5-HT2 Receptor AgonistsSerotonin Antagonists

Identifiers

PMID22692564
PMCPMC3422493
OpenAlexW1983399427

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.