Skip to main content
Log in

Dopaminergic mechanisms and cognitive deficit in schizophrenia

A neurobiological model

  • Original Investigations
  • Published:
Psychopharmacology Aims and scope Submit manuscript

Abstract

A hypothesis is briefly discussed proposing that schizophrenic symptoms are due to a breakdown in a mechanism by which conscious attention is limited and directed. It is shown that this mechanism can be modelled in terms of a simple nerve network in which every channel inhibits all the others. Failure of this inhibition would cause the defect hypothesised to occur in schizophrenia.

It is shown that if dopamine is given a central role as transmitter in such a network then the various predictions about the biochemistry of schizophrenia that follow are not only consistent with the evidence for the ‘dopamine theory’ of schizophrenia, but also with much of the evidence held to be contrary to that theory.

While not purporting to be an experimentally validated description of schizophrenia, this model goes beyond the single amine theories of schizophrenia and links dysfunctions in amine systems with specific behavioural control mechanisms. Given the current state of knowledge, such models can make only limited predictions about the biochemistry of schizophrenia. However, an attempt to link behavioural and biochemical systems in this way will be crucial for the development of viable animal models of schizophrenia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Aghajanian, G. K., Cederbaum, J. M., Wang, R. Y.: Evidence for norepinephrine-mediated collateral inhibition of locus coeruleus neurones. Brain Res. 136, 570–577 (1977)

    Google Scholar 

  • Angrist, B., Lee, H. K., Gershon, S.: The antagonism of amphetamine-induced symptomatology by a neuroleptic. Am. J. Psychiatry 131, 817–819 (1974a)

    Google Scholar 

  • Angrist, B. M., Sathananthan, G., Wilk, S., Gershon, S.: Amphetamine psychosis: behavioural and biochemical aspects. J. Psychiatr. Res 11, 13–23 (1974b)

    Google Scholar 

  • Bowers, M. B. Jr.: Central dopamine turnover in schizophrenic syndromes. Arch. Gen. Psychiatry 31, 50–54 (1974)

    Google Scholar 

  • Brown, G. W., Birley, J. L. T., Wing, J. K.: Influence of family life on the course of schizophrenic disorders: a replication. Br. J. Psychiatry 121, 241–258 (1972)

    Google Scholar 

  • Carlsson, A.: Does dopamine play a role in schizophrenia?, Psychol. Med 7, 583–597 (1977)

    Google Scholar 

  • Cheramy, A., Nieoullon, A. J., Glowinski, J.: Inhibition of dopamine ralease in the cat caudate nucleus by nigral application of glycine. Eur. J. Pharmacol. 47, 141–147 (1978)

    Google Scholar 

  • Connell, P. H.: Amphetamine psychosis. London: Chapman and Hall 1958

    Google Scholar 

  • Cools, A. R., Van Rossum, J. M.: Excitation-mediating and inhibition-mediating dopamine-receptors: a new concept towards a better understanding of electrophysiological, biochemical, pharmacological, functional and clinical data. Psychopharmacologia 45, 243–254 (1976)

    Google Scholar 

  • Creese, I., Burt, D. R., Snyder, S. H.: Dopamine receptor binding predicts clinical and pharmacological potencies of antischizophrenic drugs. Science 192, 481–483 (1976)

    Google Scholar 

  • Cromwell, R. J.: Stimulus redundancy and schizophrenia. J. Nerv. Ment. Dis. 146, 360–375 (1968)

    Google Scholar 

  • Crow, T. J.: Specific monoamine systems as reward pathways. In: Brain-stimulation reward. A. Wauquier and E. T. Rolls, eds., pp. 211–237. Amsterdam: North Holland 1976

    Google Scholar 

  • Crow, T. J. Deakin, J. F. W., Johnstone, E. C., Longden, A.: Dopamine and schizophrenia. Lancet 1976II, 563–566

  • Dray, A., Goyne, T. J., Oakley, N. R., Tanner, T.: Evidence for the existence of a raphe projection to the substantia nigra in rat. Brain Res 113, 45–57 (1976)

    Google Scholar 

  • Dray, A., Straughan, D. W.: Synaptic mechanisms in the substantia nigra. J. Pharm. Pharmacol. 28, 400–405 (1976)

    Google Scholar 

  • Erdelyi, M. H.: A new look at the new look: perceptual defence and vigilance. Psychol. Rev. 81, 1–25 (1974)

    Google Scholar 

  • Feighner, J. P., Robins, F., Guze, J. B., Woodruff, R. A., Winokur, G., Munoz, R.: Diagnostic criteria for use in psychiatric reaserch. Arch. Gen. Psychiatry 26, 57–63 (1972)

    Google Scholar 

  • Ferguson, J., Henriksen, S., Cohen, H., Mitchell, G., Barchas, J., Dement, W.: ‘Hypersexuality’ and behavioural changes in cats caused by administration of pCPA. Science 168, 499–501 (1970)

    Google Scholar 

  • Frith, C. D.: Information processing, consciousness and schizophrenia. Br. J. Psychiatry 134, 225–235 (1979)

    Google Scholar 

  • Fuxe, K., Hökfelt, T., Agnati, L., Ljungdahl, A., Johansson, O., Perez de la Mora, M.: Evidence for an inhibitory gabaergic control of the mesolimbic dopamine neurons: possibility of improving treatment of schizophrenia by combined treatment with neuroleptic and gabaergic drugs. Med. Biol. 53, 177–183 (1975)

    Google Scholar 

  • Geffen, L. B., Jessell, T. M., Cuello, A. C., Iversen L. L.: Release of dopamine from dendrites in rat substantia nigra. Nature 260, 258–260 (1976)

    Google Scholar 

  • Geyer, M. A., Puerto A., Menkes, D. B., Mandell, A. J.: Behavioural studies following lesions of the mesolimbic and mesostriatal serotonergic pathways. Brain Res. 106, 257–270 (1976)

    Google Scholar 

  • Groves, P. M.: Possible mechanism involved in the stereotyped behaviour elicited by amphetamine. Biol. Psychiatry 12, 381–388 (1977)

    Google Scholar 

  • Groves, P. M., Wilson, C. J., Young, S. J., Rebec, G. V.: Self inhibition by dopaminergic neurones. Science 190, 522–529 (1975)

    Google Scholar 

  • Haigler, H. J., Aghajanian, G. K.: Serotonin receptors in the brain. Fed. Proc. 36, 2159–2164 (1977)

    Google Scholar 

  • Hamilton, M.: Fish's schizophrenia. Bristol: John Wright & Sons 1970

    Google Scholar 

  • Hartmann, E.: Schizophrenia: a theory. Psychopharmacology 49, 1–15 (1976)

    Google Scholar 

  • Hökfelt, T., Ljungdahl, A., Fuxe, K., Johansson, O.: Dopamine nerve terminals in the rat limbic cortex. Aspects of the dopamine hypothesis of schizophrenia. Science 184, 177–179 (1974)

    Google Scholar 

  • Hornykiewicz, O.: Parkinson's disease: from brain homogenate to treatment. Fed. Proc. 32, 183–190 (1973)

    Google Scholar 

  • Johnstone, E. C., Crow, T. J., Frith, C. D., Carney, M. W. P., Price, J. S.: Mechanism of the antipsychotic effect in the treatment of acute schizophrenia. Lancet 1978 I, 848–851

  • Johnstone, E. C., Crow, T. J., Mashiter, K. A.: Anterior pituitary hormone secretion in chronic schizophrenia — an approach to neurohumoural mechanisms. Psychol. Med. 7, 223–228 (1977)

    Google Scholar 

  • Korf, J., van der Heyden, J. A. M., Westerink, B. H. C.: Coordination of dopaminergic processes in the striatum and the role of presynaptic lateral inhibition. In: Psychobiology of the striatum, A. R. Cools, A. H. M. Lohman, and J. H. L. van den Bercken, eds. pp. 51–60. Amsterdam: North Holland/Elsevier 1977

    Google Scholar 

  • Lichtshtein, D., Dobkin, J., Ebstein, R. P., Biederman, J., Rimon, R., Belmaker, R. H.: Gamma-aminobutyric acid (Gaba) in the CSF of schizophrenic patients before and after neuroleptic treatment. Br. J. Psychiatry 132, 145–148 (1978)

    Google Scholar 

  • Ljungberg, T., Ungerstedt, U.: Sensory inattention produced by 6-hydroxydopamine-induced degeneration of ascending dopamine neurones in the brain. Exp. Neurol. 53, 585–600 (1976)

    Google Scholar 

  • McGhie, A.: Attention and perception in schizophrenia. In: Contributions to the psychopathology of schizophrenia, B. A. Maher, ed. New York: Academic Press 1977

    Google Scholar 

  • Matthysse, S. W.: The role of dopamine in schizophrenia. In: Neuroregulators and psychiatric disorders, U. Usdin, D. A. Hamburg, and J. D. Barchas, eds., pp. 3–13, New York: Oxford 1977

    Google Scholar 

  • Meltzer, H. Y., Sachar, E. J., Frantz, A. G.: Serum prolactin levels in unmedicated schizophrenic patients. Arch. Gen. Psychiatry 31, 564–569 (1974)

    Google Scholar 

  • Meltzer, H. Y., Stahl, S. M.: Biochemical studies in schizophrenia. Schiz. Bull. 2, 10–18 (1976a)

    Google Scholar 

  • Meltzer, H. Y., Stahl, S. M.: The dopamine hypothesis of schizophrenia: a review. Schiz. Bull. 2, 19–76 (1976b)

    Google Scholar 

  • Neale, J. M., Cromwell, R. L.: Attention in schizophrenia. In: Contributions to the psychopathology of schizophrenia, B. A. Maher, ed. New York: Academic Press 1977

    Google Scholar 

  • Norcross, K., Spehlmann, R.: Selective blockade of excitatory caudate responses to nigral stimulation by microiontophoretic application of dopamine antagonists. Neurosci. Lett 6, 323–328 (1977)

    Google Scholar 

  • Owen, F., Cross, A. J., Crow, T. J., Longden, A. Poulter, M., Riley, G. J.: Increased dopamine receptor sensitivity in schizophrenia. Lancet 1978II, 223–226

  • Payne, R. W., Matussek, P., Gronen, G. I.: An experimental study of schizophrenic thought disorder. J. Ment. Sci. 105, 627–652 (1959)

    Google Scholar 

  • Post, R. M.: Cocaine psychoses — a continuum model. Am. J. Psychiatry 132, 225–231 (1975)

    Google Scholar 

  • Post, R. M., Fink, E., Carpenter, W. T., Goodwin, F. K.: Cerebrospinal fluid amine metabolites in acute schizophrenia. Arch. Gen. Psychiatry 32, 1063–1069 (1975)

    Google Scholar 

  • Post, R. M., Goodwin, F. K.: Time-dependant effects of phenothiazines on dopamine turnover in psychiatric patients. Science 190, 488–489 (1975)

    Google Scholar 

  • Randrup, A., Munkvad, I.: Pharmacology and physiology of stereotyped behaviour. J. Psychiatr. Res. 11, 1–10 (1974)

    Google Scholar 

  • Ratliff, F., Miller, W. H., Hartline, H. K.: Neural interaction in the eye and the intergration of receptor activity. Ann. N. Y. Acad. Sci. 74, 210–222 (1958)

    Google Scholar 

  • Roberts, E.: Disinhibition as a organising principle in the nervous system — the role of the GABA system. Application to neurologic and psychiatric disorders. In: GABA in nervous system function. E. Roberts, T. N. Chase, and D. B. Tower, eds., pp. 515–539. New York: Raven 1976

    Google Scholar 

  • Seeman, P., Lee, T., Chow-Wong, M., Wong, K.: Antipsychotic drug doses and neuroleptic/dopamine receptors. Nature 261, 717–719 (1976)

    Google Scholar 

  • Shallice, T.: Dual function of consciousness. Psychol. Rev. 79, 383–393 (1972)

    Google Scholar 

  • Snyder, S. H., Banerjee, S. P., Yamamura, H. I., Greenberg, D.: Drugs, neurotransmitters and schizophrenia. Science 184, 1243–1253 (1974)

    Google Scholar 

  • Stadler, H., Lloyd, K. G., Gadea Ciria, M., Bartholini, G.: Enhanced striatal acetylcholine release by chlorpromazine and its reversal by apomorphine. Brain Res. 55, 476–480 (1973)

    Google Scholar 

  • Stevens, J. R.: An anatomy of schizophrenia? Arch. Gen. Psychiatry 29, 177–189 (1973)

    Google Scholar 

  • Turvey, M. T.: Constructive theory, perceptual systems and tacit knowledge. In: Cognition and the symbolic processes, W. B. Weimer and D. L. Paletmo, eds. Hillsdale, N. J.: Erlbaum 1974

    Google Scholar 

  • Tye, N. C., Everitt, B. J., Iversen, S. D.: 5-Hydroxytryptamine and punishment. Nature 268, 741–743 (1977)

    Google Scholar 

  • Ungerstedt, U., Ljungberg, T.: Central dopamine neurones and sensory processing. J. Psychiatr. Res. 11, 149–150 (1974)

    Google Scholar 

  • van Praag, H. M.: The significance of dopamine for the mode of action of neuroleptics and the pathogenesis of schizophrenia. Br. J. Psychiatry 130, 463–474 (1977)

    Google Scholar 

  • von Bekesy, G.: Sensory inhibition. Princeton: Princeton University Press 1967

    Google Scholar 

  • Waddington, J. L., Cross, A. J.: Neurochemical changes following kainic acid lesions of the nucleus accumbens: implications for a GABAergic accumbal-ventral tegmental pathway. Life Sci. 22, 1101–1104 (1978)

    Google Scholar 

  • Walley, R. E., Weiden, T. D.: Lateral inhibition and cognitive masking: a neuropsychological theory of attention. Psychol. Rev. 80, 284–302 (1973)

    Google Scholar 

  • Wing, J. K., Cooper, J. E., Sartorius, N.: The description and classification of psychiatric symptoms. An instruction manual for the PSE and Catego system. London: Cambridge 1974

    Google Scholar 

  • Wode-Helgodt, B., Fyro, B., Gullberg, B., Sedvall, G.: Effect of chlorpromazine treatment on monoamine metabolite levels in cerebrospinal fluid of psychotic patients. Acta Psychiat. Scand. 56, 129–142 (1977)

    Google Scholar 

  • Wolf, P., Olpe, H. R., Avrith, D., Haas, H.: GABAergic inhibition of neurons in the ventral tegmental area. Experientia 34, 73–74 (1978)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Joseph, M.H., Frith, C.D. & Waddington, J.L. Dopaminergic mechanisms and cognitive deficit in schizophrenia. Psychopharmacology 63, 273–280 (1979). https://doi.org/10.1007/BF00433561

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00433561

Key words

Navigation