Evidence map›Paper›PMID 27557949›Full record

ArticlePsychopharmacology2016

Lack of association between dopaminergic antagonism and negative symptoms in schizophrenia: a positron emission tomography dopamine D2/3 receptor occupancy study.

Gagan Fervaha, Fernando Caravaggio, David C Mamo, Benoit H Mulsant, Bruce G Pollock, Shinichiro Nakajima, Philip Gerretsen, Tarek K Rajji, Wanna Mar, Yusuke Iwata and 4 more

Open access · greenAbstract read
In one paragraph

Article in Psychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Mutual activation of glutamatergic mGluPsychopharmacology · 2018
    Article
  5. 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

14 authors at 2 institutions in 1 country.

Gagan FervahaSchizophrenia Division, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Fernando CaravaggioCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
David C MamoMultimodal Imaging Group, Research Imaging Centre, Centre for Addiction and Mental Health, 250 College Street, Toronto, ON, M5T 1R8, Canada.
Benoit H MulsantCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Bruce G PollockCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Shinichiro NakajimaCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Philip GerretsenCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Tarek K RajjiCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Wanna MarMultimodal Imaging Group, Research Imaging Centre, Centre for Addiction and Mental Health, 250 College Street, Toronto, ON, M5T 1R8, Canada.
Yusuke IwataCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Eric PlitmanCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Jun Ku ChungCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Gary RemingtonSchizophrenia Division, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Ariel Graff-GuerreroSchizophrenia Division, Centre for Addiction and Mental Health, Toronto, ON, Canada. ariel.graff@camh.ca.
Centre for Addiction and Mental Health · CAUniversity of Toronto · CA

Funding

Optimal Dosing of Antipsychotic Drugs in Late LifeR01MH084886 · NIMH · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI MAMO, DAVID · 2010 to 2014
$761k
CIHR MOP-97946NIMH NIH HHS R01 MH084886
6 · The paper itself

Abstract

rationaleSeveral pre-clinical studies suggest that antipsychotic medications cause secondary negative symptoms. However, direct evidence for a relationship among antipsychotic medications, their direct effects on neurotransmitter systems, and negative symptoms in schizophrenia remains controversial.

objectiveThe objective of this study was to examine the relationship between antipsychotic-related dopamine D

methodsForty-one clinically stable outpatients with schizophrenia participated in this prospective dose reduction positron emission tomography (PET) study. Clinical assessments and [

resultsNo significant relationship was found between antipsychotic-related dopamine D

conclusionsOur cross-sectional and longitudinal results failed to find a significant dose-dependent relationship between severity of negative symptoms and antipsychotic-related dopaminergic antagonism in schizophrenia. These findings argue against the notion that antipsychotics necessarily cause secondary negative symptoms. Our results are also in contrast with the behavioral effects of dopaminergic antagonism routinely reported in pre-clinical investigations, suggesting that the role of this variable in the context of chronic treatment and schizophrenia needs to be re-examined.

Indexed as

Dopamine AntagonistsRacloprideSchizophrenic PsychologyAdultAntipsychotic AgentsBrainCarbon RadioisotopesCross-Sectional StudiesDose-Response Relationship, DrugFemaleHumansLongitudinal StudiesMaleMiddle AgedPositron-Emission TomographyProspective StudiesAntipsychotic AgentsCarbon RadioisotopesDopamine AntagonistsDRD2 protein, humanDRD3 protein, humanRacloprideRadiopharmaceuticalsReceptors, Dopamine D2Receptors, Dopamine D3ApathyDopamineExtrapyramidal symptomsMotivationNegative symptomsSchizophreniaSide effectsVentral striatum

Identifiers

PMID27557949
PMCPMC5065392
OpenAlexW2517795021

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.