Potential Breakthrough For Schizophrenia Treatment
Main Category: SchizophreniaArticle Date: 26 Jan 2007 - 5:00 PDT
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A team of Canadian researchers, lead by Dr. Susan George and Dr. Brian O'Dowd at the Centre for Addiction and Mental health (CAMH), discovered a distinct dopamine signalling complex in the brain. Composed of two different types of dopamine receptors, this novel target may have a significant role in understanding and treating schizophrenia.
Published in the Proceedings of the National Academy of Sciences USA (Rashid et al., 2007), this important discovery demonstrates the existence of a Gq/11-coupled signalling unit that triggers a calcium signal, which is turned on by stimulating D1 and D2 dopamine receptors. Unlike other dopamine receptors, this novel unit will only create brain signals when both receptors are stimulated at the same time.
Using animal models. Drs. George and O'Dowd and their team identified this complex by its unique reaction to dopamine or specific drug triggers. Strikingly, stimulating this target with dopamine or specific drugs triggered a rise in calcium in the brain. As calcium has a profound effect on almost all brain function, this rise in calcium causes a cascade of events in the brain. This is the first time that a direct connection between dopamine and calcium signals has been reported.
"This distinct unit provides a novel signalling pathway through which dopamine can impact the function of brain cells", said Dr. George. "This is significant because signalling through calcium release is a major mechanism regulating many important functions in the brain and we have provided the first direct mechanism by which dopamine can activate a calcium signal."
This data has significant implications for schizophrenia. Research tells us that people with schizophrenia may have disordered calcium signals, and the major treatments for this disease target the dopamine system. Drs. George and O'Dowd state, "our data links these two pieces of evidence, creating better understanding of the disease and opening the door for a new generation of highly specific drugs that may help alleviate the devastating symptoms of schizophrenia."
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The research was funded by grants from the NIH National Institute on Drug Abuse and the Canadian Institutes of Health Research.
The Centre for Addiction and Mental Health (CAMH) is one of the leading addiction and mental health organizations in North America and Canada's largest mental health and addiction teaching hospital. CAMH is a Pan American Health Organization and World Health Organization Collaborating Centre, and is fully affiliated with the University of Toronto. CAMH combines clinical care, research, policy, education and health promotion to improve the lives of people impacted by mental health and addiction issues.
Contact: Michael Torres
Centre for Addiction and Mental Health
Visit our schizophrenia section for the latest news on this subject.
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Visitor Opinions In Chronological Order (2)
NMDA Receptor Antagonist Regulates Calcium Instead Of Dopamine Blocker
posted by Julie Pircher on 28 Jan 2007 at 12:13 amI received long term treatment for mental illness. For twenty years I was given medicines which not only did not help my condition but had severe side effects such as parkinsonian symptoms and dystonia.
Recently, I told my doctor that although I had been diagnosed with bipolar disorder, I felt that my confusion was due to the fact that I couldn't tune into what people were saying. If I managed to tune in at all, I would quickly forget what I had just heard.
My doctor prescribed namenda and straterra in conjunction with what I was already taking - Geodon, Artane, and Lamictal.
Almost immediately after adding these medicines to my treatment plan, I experienced a miraculous
improvement. Suddenly I heard 90% of what was said to me. I began to develop the ability to evaluate and respond to what I heard.
I can see better, too. My sense of touch has also improved. I am a new person. I am actually becoming intelligent! As time goes by I continually improve my abilities to follow directions, figure things out for myself, and complete tasks which before would have been impossible for me. I am energetic and happy.
I have not had any confusion or been hospitalized for four years, I know it is because I can now connect with the world around me, so there is no need to try to guess what is going on (become delusional) or give in to a fear (paranoia) that has nothing to do with reality - now that I am able to hear, speak and comprehend.
I am so relieved to be able to talk to people and have them listen to me and respect me.
Normally doctors avoid giving straterra (prescribed for Attention Deficit Disorder) and namenda
(prescribed for Alzheimers) to patients suffering from other types of mental illnesses. It is never given to patients with a hearing loss.
Yet these drugs have been a saving grace.
Please feel free to contact me by email. I hope my experience can help others.
Julie
Namenda or memantine regulates the activity of glutamate. Glutamate plays an essential role in learning and memory by triggering NMDA receptors to alow a controlled amount of calcium to flow into a nerve cell, creating a chemical environment required for information storage.
The dopamine blocker was a total nightmare for me because I then suffered what parkinsons patients have - not an excess of dopamine (which it is believed to be a cause of schizophrenia) but too little dopamine - thanks to the dopamine blocker.
Thanks For The Helpful Share !
posted by Barefoot in MN on 1 Oct 2008 at 12:03 pmThanks, Julie, for sharing your experience. I'm glad for you that life is better. your letter helped me.
Even that last tidbit you put in -- about the dopamine blocker making things rough -- helps me. In my research I've concluded that I am very low on dopamine, & too high on prolactin.
Of course, I'm going only on symptoms... I can't afford to order my own lab work & I can't write a rx for me -- & So far, I can't get a dr with time to listen & take me seriously; but I'm still looking, & meanwhile I'm taking care of myself (the professionals call it 'self-medicating', & they frown deeply) the best I can, with over-the-counter vitmains, herbs, & such ... all coming out of my own pocket, of course.
But hey, it keeps me out of the hospital!
I agree -- it sure is wonderful to be able to think.
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