Javitt D C
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Hillside J Clin Psychiatry. 1987;9(1):12-35.
Amphetamine induced psychosis has for the past 30 years provided a useful model for the study of schizophrenia. The amphetamine model, however, has been shown to have a number of shortcomings including an inability to model the deficit symptoms of schizophrenia. PCP (phencyclidine) has been shown to be capable of inducing a schizophreniform psychosis consisting of both productive and defict symptomatology. PCP induced psychosis, therefore, may provide a useful model of schizophrenia. This paper reviews the literature concerning the PCP model of schizophrenia and provides some independent confirmation of the ability of PCP to modulate mesocortical dopaminergic activity. Since PCP appears to mediate its CNS effects via a subclass of glutamate receptors, a possible glutamate theory of schizophrenia is proposed.
在过去30年里,苯丙胺所致精神病为精神分裂症的研究提供了一个有用的模型。然而,苯丙胺模型已被证明存在一些缺点,包括无法模拟精神分裂症的缺陷症状。已证明苯环己哌啶(PCP)能够诱发一种兼具阳性和缺陷症状的精神分裂症样精神病。因此,PCP所致精神病可能为精神分裂症提供一个有用的模型。本文综述了有关PCP精神分裂症模型的文献,并对PCP调节中脑皮质多巴胺能活性的能力提供了一些独立的证实。由于PCP似乎通过一类谷氨酸受体介导其对中枢神经系统的作用,因此提出了一种可能的精神分裂症谷氨酸理论。