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Vol. 289, Issue 2, 1000-1006, May 1999
Department of Psychiatry, State University of New York at Stony
Brook, Stony Brook, New York
Repeated exposure of rats to the psychotomimetic drug phencyclidine
(PCP) markedly increased the response of prefrontal cortical neurons to
the glutamate agonist N-methyl-D-aspartate
(NMDA) relative to agonist
-amino-3-hydroxy-5-methylisoxazole-4-propionic acid. Moreover, acute
challenge by PCP produced a significantly reduced block of NMDA-induced
current. In addition, the subchronic administration of PCP reduced
significantly the paired-pulse facilitation, accompanied by a
significant increase of excitatory postsynaptic current variance. These
results suggest that repeated exposure to PCP increased evoked release
of excitatory amino acids. The enhanced release of excitatory amino
acids evoked by NMDA could explain, at least partly, a hypersensitive
response to NMDA and a reduced blockade of the NMDA responses by a PCP
challenge in rats exposed repeatedly to PCP. Pretreatment with the
atypical antipsychotic drug clozapine, but not the typical
antipsychotic drug haloperidol, attenuates the repeated PCP-induced
effect. Our results support the hypothesis that clozapine may
facilitate NMDA receptor-mediated neurotransmission to improve
schizophrenic-negative symptoms and cognitive dysfunction. This novel
approach is useful for evaluating the cellular mechanisms of action of
atypical antipsychotic drugs.
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