Evidence map›Paper›PMID 39137162›Full record

Observational studySchizophrenia bulletin2024

Amphetamine-Induced Dopamine Release Predicts 1-Year Outcome in First-Episode Psychosis: A Naturalistic Observation.

Ana Weidenauer, Ulrich Sauerzopf, Martin Bauer, Carina Bum, Cornelia Diendorfer, Irena Dajic, Lucie Bartova, Alina Kastner, Karsten Bamminger, Lukas Nics and 6 more

Erratum issuedAbstract readObservational Study
In one paragraph

Observational study in Schizophrenia bulletin, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Associations of neuromelanin in the substantia nigra with antipsychotic response in schizophrenia.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Ana WeidenauerDepartment of Psychiatry and Psychotherapy, Division of General Psychiatry, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-1210-7617
Ulrich SauerzopfDepartment of Psychiatry and Psychotherapy, Division of General Psychiatry, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-5859-8792
Martin BauerDepartment of Psychiatry and Psychotherapy, Division of General Psychiatry, Medical University of Vienna, Vienna, Austria.
Carina BumDepartment of Psychiatry and Psychotherapy, Division of General Psychiatry, Medical University of Vienna, Vienna, Austria.
Cornelia DiendorferDepartment of Psychiatry and Psychotherapy, Division of General Psychiatry, Medical University of Vienna, Vienna, Austria.
Irena DajicDepartment of Psychiatry and Psychotherapy, Division of General Psychiatry, Medical University of Vienna, Vienna, Austria.
Lucie BartovaDepartment of Psychiatry and Psychotherapy, Division of General Psychiatry, Medical University of Vienna, Vienna, Austria.
Alina KastnerDepartment of Psychiatry and Psychotherapy, Division of General Psychiatry, Medical University of Vienna, Vienna, Austria.
Karsten BammingerDepartment of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, Austria.
Lukas NicsDepartment of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, Austria.
Cecile PhilippeDepartment of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, Austria.
Marcus HackerDepartment of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, Austria.
Dan RujescuDepartment of Psychiatry and Psychotherapy, Division of General Psychiatry, Medical University of Vienna, Vienna, Austria.
Wolfgang WadsakDepartment of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, Austria.
Nicole Praschak-RiederDepartment of Psychiatry and Psychotherapy, Division of General Psychiatry, Medical University of Vienna, Vienna, Austria.
Matthäus WilleitDepartment of Psychiatry and Psychotherapy, Division of General Psychiatry, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-8418-6188

Funding

Anniversary Fund of the Austrian National Bank 16723Austrian Science Fund FWF P23585-B09Medical Scientific Fund of the Mayor of Vienna 15189Vienna Science and Technology Fund 10.47379/CS15033
6 · The paper itself

Abstract

background and hypothesisThe dopamine theory of schizophrenia suggests that antipsychotics alleviate symptoms by blocking dopamine D2/3 receptors, yet a significant subset of patients does not respond adequately to treatment. To investigate potential predictors, we evaluated d-amphetamine-induced dopamine release and 1-year clinical outcomes in 21 antipsychotic-naive patients with first-episode schizophrenia. STUDY

designTwenty-one antipsychotic-naive patients (6 female) underwent dopamine D2/3 receptor radioligand [11C]-(+)-PHNO positron emission tomography. For estimating dopamine release, scans were performed with and without d-amphetamine pretreatment. The Positive and Negative Syndrome Scale was performed at regular intervals over 1 year while receiving treatment in a naturalistic setting (Clinical Trial Registry: EUDRACT 2010-019586-29). STUDY

resultsA group analysis revealed no significant differences in d-amphetamine-induced dopamine release between patients with or without clinically significant improvement. However, d-amphetamine-induced dopamine release in ventral striatum was significantly associated with reductions in positive symptoms (r = 0.54, P = .04; uncorrected P-values); release in globus pallidus correlated with a decrease in PANSS negative (r = 0.58, P = .02), general (r = 0.53, P = .04), and total symptom scores (r = 0.063, P = .01). Higher dopamine release in substantia nigra/ventral tegmental area predicted larger reductions in general symptoms (r = 0.51, P = .05). Post-amphetamine binding in putamen correlated positively with negative symptom scores at baseline (r = 0.66, P = .005) and throughout all follow-up visits.

conclusionsThese exploratory results support a relationship between d-amphetamine-induced dopamine release and the severity and persistence of symptoms during the first year of psychosis.

Indexed as

DextroamphetamineDopaminePsychotic DisordersAdultAmphetamineAntipsychotic AgentsFemaleGlobus PallidusHumansMaleOutcome Assessment, Health CareOxazinesPositron-Emission TomographyReceptors, Dopamine D2Receptors, Dopamine D3SchizophreniaAmphetamineAntipsychotic AgentsDextroamphetamineDopaminenaxagolideOxazinesReceptors, Dopamine D2Receptors, Dopamine D3dopamine releasepatientsPETPHNOpsychosisschizophreniasymptoms

Identifiers

PMID39137162
PMCPMC11661945

What OpenQuestion holds

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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.