Evidence map›Paper›PMID 23027419›Full record

ReviewHandbook of experimental pharmacology2012

Glutamatergic synaptic dysregulation in schizophrenia: therapeutic implications.

Joseph T Coyle, Alo Basu, Michael Benneyworth, Darrick Balu, Glenn Konopaske

Abstract readReview
In one paragraph

Review in Handbook of experimental pharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed
29.0field-weighted citation impact, top 1% 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.

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

86 citing papers in PubMed, 179 citations in OpenAlex.

  1. Trial
  2. Alpha psychiatry · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. miRNA-Based Diagnosis of Schizophrenia Using Machine Learning.International journal of molecular sciences · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Developmental Manipulation-Induced Changes in Cognitive Functioning.Current topics in behavioral neurosciences · 2023
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review

26 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

5 authors at 2 institutions in 1 country.

Joseph T CoyleDepartment of Psychiatry, Harvard Medical School, MA, USA. joseph_coyle@hms.harvard.edu
Alo Basu
Michael Benneyworth
Darrick Balu
Glenn Konopaske
Harvard University · USMcLean Hospital · US

Funding

NMDA RECEPTOR FUNCTION IN SCHIZOPHRENIAP50MH060450 · NIMH · MC LEAN HOSPITAL (BELMONT, MA) · PI COYLE, JOSEPH T. · 2000 to 2010
$15.4M
PSYCHOSIS AND BRAIN GLUTAMATER01MH051290 · NIMH · MC LEAN HOSPITAL (BELMONT, MA) · PI COYLE, JOSEPH T. · 1994 to 2017
$5.0M
Molecular Mechanisms of Dendritic Abnormalities Related to D-Serine DeficiencyF32MH090697 · NIMH · MCLEAN HOSPITAL · PI BALU, DARRICK T · 2010 to 2011
$99k
NIMH NIH HHS F32 MH090697NIMH NIH HHS P50MH06045NIMH NIH HHS P50 MH060450NIMH NIH HHS R01 MH051290NIMH NIH HHS R01MH51290
6 · The paper itself

Abstract

Schizophrenia affects approximately 1% of the population and continues to be associated with poor outcome because of the limited efficacy of and noncompliance with existing antipsychotic medications. An alternative hypothesis invoking the excitatory neurotransmitter, glutamate, arose out of clinical observations that NMDA receptor antagonists, the dissociative anesthetics like ketamine, can replicate in normal individuals the full range of symptoms of schizophrenia including psychosis, negative symptoms, and cognitive impairments. Low dose ketamine can also re-create a number of physiologic abnormalities characteristic of schizophrenia. Postmortem studies have revealed abnormalities in endogenous modulators of NMDA receptors in schizophrenia as well as components of a postsynaptic density where NMDA receptors are localized. Gene association studies have revealed several genes that affect NMDA receptor function whose allelic variants are associated with increased risk for schizophrenia including genes encoding D-amino acid oxidase, its modulator G72, dysbindin, and neuregulin. The parvalbumin-positive, fast-firing GABAergic interneurons that provide recurrent inhibition to cortical-limbic pyramidal neurons seem to be most sensitive to NMDA receptor hypofunction. As a consequence, disinhibition of glutamatergic efferents disrupts cortical processing, causing cognitive impairments and negative symptoms, and drives subcortical dopamine release, resulting in psychosis. Drugs designed to correct the cortical-limbic dysregulated glutamatergic neurotransmission show promise for reducing negative and cognitive symptoms of schizophrenia as well as its positive symptoms.

Indexed as

AnimalsCognitiongamma-Aminobutyric AcidGlutamic AcidHumansKetamineReceptors, N-Methyl-D-AspartateSchizophreniaSynapsesSynaptic Transmissiongamma-Aminobutyric AcidGlutamic AcidKetamineReceptors, N-Methyl-D-Aspartate

Identifiers

PMID23027419
PMCPMC4817347
OpenAlexW1872072116

What OpenQuestion holds

Textmetadata
LicenceTDM
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.