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纹状体以外区域对精神病症状出现的作用(临床及生化方面的人体尸检结果)

Responsibility of extrastriatal areas for the appearance of psychotic symptoms (clinical and biochemical human post-mortem findings).

作者信息

Birkmayer W, Riederer P

出版信息

J Neural Transm. 1975;37(2):175-82. doi: 10.1007/BF01663632.

Abstract
  1. A Dopa-medication leads sometimes in Parkinsonian patients to a psychosis. 2. The diminished capacity of striatal dopaminergic neurons to store DA leads to a storage of DA in serotoninergic or noradrenergic neurons. 3. Extrastriatal noradrenergic and/or serotoninergic neurons are involved. 4. Dopaminergic receptors of the striatium are not involved because of a lack of kinetic response after L-Dopa application in Parkinsonian patients with akinetic crises. 5. Extrastriatal dopaminergic receptors of DA as "false transmitter" at serotoninergic receptors seem to be responsible for the production of psychotic symptoms, whereas noradrenaline is not responsible. Psychotic symptoms can be imagined to be triggered by a contact of a transmitter to a nonspecific receptor.
摘要
  1. 多巴胺药物治疗有时会导致帕金森病患者出现精神病症状。2. 纹状体多巴胺能神经元储存多巴胺的能力下降,导致多巴胺在5-羟色胺能或去甲肾上腺素能神经元中储存。3. 脑外去甲肾上腺素能和/或5-羟色胺能神经元参与其中。4. 纹状体的多巴胺能受体不参与,因为在患有运动不能危象的帕金森病患者中应用左旋多巴后缺乏动力学反应。5. 多巴胺作为“假递质”作用于5-羟色胺能受体的脑外多巴胺能受体似乎是产生精神病症状的原因,而去甲肾上腺素则不是。可以想象,精神病症状是由递质与非特异性受体的接触触发的。

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