Probing Cortical Sites of Antipsychotic Drug Action with in vivo Receptor Imaging

Imaging receptors using radioactive ligands has allowed direct determination of the sites of action of antipsychotic drugs. Initial studies relating antipsychotic drug efficacy to action at striatal dopamine D2-like receptors have recently been undermined. Developments in imaging extrastriatal dopam...

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Main Authors: P. Shaw, L. S. Pilowsky
Format: Article
Language:English
Published: Wiley 2000-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2000/184707
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author P. Shaw
L. S. Pilowsky
author_facet P. Shaw
L. S. Pilowsky
author_sort P. Shaw
collection DOAJ
description Imaging receptors using radioactive ligands has allowed direct determination of the sites of action of antipsychotic drugs. Initial studies relating antipsychotic drug efficacy to action at striatal dopamine D2-like receptors have recently been undermined. Developments in imaging extrastriatal dopamine D2-like receptors suggest rather that antagonism of these receptors in the temporal cortex is the common site of action for antipsychotic drugs, with occupancy at striatal receptors relating more closely to extrapyramidal side effects. Further work into dopamine receptor subtypes and other receptor groups such as serotonin and GABA neurotransmitters awaits the development of suitable probes, but there are some initial finding. Again a main site of antipsychotic drug action is at cortical levels with high degrees of cortical D1 and 5HT2a receptor occupancy attained particularly by atypical antipsychotic drugs.
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spelling doaj-art-cd44b3342fe140aba2fac021c5b624e92025-02-03T05:52:48ZengWileyBehavioural Neurology0953-41801875-85842000-01-01121-23910.1155/2000/184707Probing Cortical Sites of Antipsychotic Drug Action with in vivo Receptor ImagingP. Shaw0L. S. Pilowsky1Department of Psychiatry, South London and Maudsley N.H.S. Trust, Denmark Hill, London SE5 8AF, UKSection of Neurochemical Imaging, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF, UKImaging receptors using radioactive ligands has allowed direct determination of the sites of action of antipsychotic drugs. Initial studies relating antipsychotic drug efficacy to action at striatal dopamine D2-like receptors have recently been undermined. Developments in imaging extrastriatal dopamine D2-like receptors suggest rather that antagonism of these receptors in the temporal cortex is the common site of action for antipsychotic drugs, with occupancy at striatal receptors relating more closely to extrapyramidal side effects. Further work into dopamine receptor subtypes and other receptor groups such as serotonin and GABA neurotransmitters awaits the development of suitable probes, but there are some initial finding. Again a main site of antipsychotic drug action is at cortical levels with high degrees of cortical D1 and 5HT2a receptor occupancy attained particularly by atypical antipsychotic drugs.http://dx.doi.org/10.1155/2000/184707
spellingShingle P. Shaw
L. S. Pilowsky
Probing Cortical Sites of Antipsychotic Drug Action with in vivo Receptor Imaging
Behavioural Neurology
title Probing Cortical Sites of Antipsychotic Drug Action with in vivo Receptor Imaging
title_full Probing Cortical Sites of Antipsychotic Drug Action with in vivo Receptor Imaging
title_fullStr Probing Cortical Sites of Antipsychotic Drug Action with in vivo Receptor Imaging
title_full_unstemmed Probing Cortical Sites of Antipsychotic Drug Action with in vivo Receptor Imaging
title_short Probing Cortical Sites of Antipsychotic Drug Action with in vivo Receptor Imaging
title_sort probing cortical sites of antipsychotic drug action with in vivo receptor imaging
url http://dx.doi.org/10.1155/2000/184707
work_keys_str_mv AT pshaw probingcorticalsitesofantipsychoticdrugactionwithinvivoreceptorimaging
AT lspilowsky probingcorticalsitesofantipsychoticdrugactionwithinvivoreceptorimaging