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자료유형
학술저널
저자정보
저널정보
대한생물치료정신의학회 생물치료정신의학 생물치료정신의학 제8권 제1호
발행연도
2002.6
수록면
128 - 133 (6page)

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It has been postulated that dopamine(DA) is a key neurotransmitter in the pathogenesis of schizophrenia. The significance of plasma concentration of the major metabolite of DA, homovanillic acid(HVA), was investigated in this study. Sixteen patients with schizophrenia were enrolled after 2 week washout of neuroleptics. Plasma were taken before neuroleptic treatment, post-neuroleptic samplings were done at 2 week and 4 week point after neuroleptic treatment. Plasma HVA(pHVA) levels following nemonapride or olanzapine treatment were assayed by high pressure liquid chromatography with electrochemical detection.
The pHVA levels increased significantly after 2 week treatment with nemonapride, then the levels decreased after 4 week treatment. The pHVA levels increased significantly after 2 week treatment with olanzapine, then the levels continuously increased after 4 week treatment.
There was no significant difference in pHVA levels between nemonapride group and olanzapine group at starting point after neuroleptic washout, but pHVA levels of olanzapine group were significantly higher than those of nemonapride group at 2 week and 4 week point after treatment.
The chronic treatment with nemonapride and olanzapine induced different changes in the dopaminergic system. Olanzapine is an atypical neuroleptics and nemonapride is regarded as typical neuroleptics. This finding suggests that different mechanism might be related to the antipsychotic effect of atypical neuroletpics in contrast to classical neuroleptics. The contribution of other neurotransmitter systems, possibly serotonin, GABA, or glutamate, may explain this differential finding. In the near future we will try to delineate this finding in extended research.

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