Kapit R M
Med Hypotheses. 1977 Sep-Oct;3(5):207-10. doi: 10.1016/0306-9877(77)90008-1.
In human beings, amphetamine can induce both schizophreniform psychosis and oral-facial dyskinesia resembling tardive dyskinesia, while neuroleptic agents reduce the manifestations of both conditions. This suggests that such psychosis and movement disorder may occur by the same or very similar mechanisms. It is thought that tardive dyskinesia may result from neuroleptic-induced denervation hypersensitivity to dopamine. The author cites evidence suggesting that amphetamine may act on dopaminergic pathways in the CNS to produce a denervation hypersensitivity like that caused by neuroleptic agents. Clinical evidence compatible with a denervation hypersensitivity hypothesis of schizophrenia is then discussed.
在人类中,苯丙胺可诱发精神分裂症样精神病和类似迟发性运动障碍的口面部运动障碍,而抗精神病药物可减轻这两种病症的表现。这表明此类精神病和运动障碍可能通过相同或非常相似的机制发生。人们认为迟发性运动障碍可能是由抗精神病药物引起的对多巴胺的去神经超敏反应所致。作者引用证据表明,苯丙胺可能作用于中枢神经系统中的多巴胺能通路,产生与抗精神病药物引起的类似的去神经超敏反应。然后讨论了与精神分裂症的去神经超敏反应假说相符的临床证据。