Evidence map›Paper›PMID 22987851›Full record

ReviewSchizophrenia bulletin2012

Has an angel shown the way? Etiological and therapeutic implications of the PCP/NMDA model of schizophrenia.

Daniel C Javitt, Stephen R Zukin, Uriel Heresco-Levy, Daniel Umbricht

Abstract readReview
In one paragraph

Review in Schizophrenia bulletin, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 151 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

151 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  12. Review
  13. Impaired effort allocation in schizophrenia.Schizophrenia research. Cognition · 2025
    Article
  14. Concerted elevations of cortical and striatal glutamate and GABA in antipsychotic-free individuals at clinical high-risk for psychosis.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  15. Review
  16. Article
  17. Psychiatric manifestations of encephalitis.Annals of clinical and translational neurology · 2025
    Article
  18. Review
  19. Article
  20. Article

91 more citing papers are in PubMed but not listed here.

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

4 authors.

Daniel C JavittDepartment of Psychiatry, Nathan Kline Institute for Psychiatric Research/Columbia University College of Physicians and Surgeons, Orangeburg, NY 10962, USA. javitt@nki.rfmh.org
Stephen R Zukin
Uriel Heresco-Levy
Daniel Umbricht

Funding

The Conte Center for Schizophrenia ResearchP50MH086385 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI JAVITT, DANIEL C. · 2009 to 2013
$10.7M
EARLY CORTICAL PROCESSING IN SCHIZOPHRENIAR01MH049334 · NIMH · NATHAN S. KLINE INSTITUTE FOR PSYCH RES · PI JAVITT, DANIEL C. · 1998 to 2022
$8.8M
Early Cortical Processing In SchizophreniaR37MH049334 · NIMH · NATHAN S. KLINE INSTITUTE FOR PSYCH RES · PI JAVITT, DANIEL C. · 2003 to 2012
$4.2M
PHENCYCLIDINE ABUSE &PSYCHOSIS--BIOMEDICAL MECHANISMSR01DA003383 · NIDA · YESHIVA UNIVERSITY · PI JAVITT, DANIEL C. · 1985 to 2010
$3.2M
NIDA NIH HHS R01 DA03383NIMH NIH HHS P50 MH086385NIMH NIH HHS R01 MH049334NIMH NIH HHS R37 MH49334
6 · The paper itself

Abstract

Over the last 20 years, glutamatergic models of schizophrenia have become increasingly accepted as etiopathological models of schizophrenia, based on the observation that phencyclidine (PCP) induces a schizophrenia-like psychosis by blocking neurotransmission at N-methyl-D-aspartate (NMDA)-type glutamate receptors. This article reviews developments in two key predictions of the model: first, that neurocognitive deficits in schizophrenia should follow the pattern of deficit predicted based on underlying NMDAR dysfunction and, second, that agents that stimulate NMDAR function should be therapeutically beneficial. As opposed to dopamine receptors, NMDAR are widely distributed throughout the brain, including subcortical as well as cortical brain regions, and sensory as well as association cortex. Studies over the past 20 years have documented severe sensory dysfunction in schizophrenia using behavioral, neurophysiological, and functional brain imaging approaches, including impaired generation of key sensory-related potentials such as mismatch negativity and visual P1 potentials. Similar deficits are observed in humans following administration of NMDAR antagonists such as ketamine in either humans or animal models. Sensory dysfunction, in turn, predicts impairments in higher order cognitive functions such as auditory or visual emotion recognition. Treatment studies have been performed with compounds acting directly at the NMDAR glycine site, such as glycine, D-serine, or D-cycloserine, and, more recently, with high-affinity glycine transport inhibitors such as RG1678 (Roche). More limited studies have been performed with compounds targeting the redox site. Overall, these compounds have been found to induce significant beneficial effects on persistent symptoms, suggesting novel approaches for treatment and prevention of schizophrenia.

Indexed as

AnimalsAntipsychotic AgentsBrainBrain MappingCerebral CortexCognition DisordersContingent Negative VariationDisease Models, AnimalDrug SynergismGlycineHippocampusHumansKetaminePerceptionPhencyclidinePsychoses, Substance-InducedAntipsychotic AgentsGlycineKetaminePhencyclidineReceptors, Dopamine D2Receptors, N-Methyl-D-Aspartate

Identifiers

PMID22987851
PMCPMC3446214

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.