The effect of second-generation antipsychotics on hippocampal volume in first episode of psychosis: longitudinal study
BJPSYCH OPEN
Authors: Bodnar, Michael; Malla, Ashok K.; Makowski, Carolina; Chakravarty, M. Mallar; Joober, Ridha; Lepage, Martin
Abstract
Background Current neuroscience literature has related treatment with aripiprazole to improved memory performance and subcellular changes in the hippocampus. Aims To explore the volumetric changes in hippocampal grey matter in people with a first episode of psychosis (FEP) treated with second-generation antipsychotics. Method Baseline and 1-year follow-up magnetic resonance images were obtained. Hippocampal volumes were estimated by using FreeSurfer and MAGeT-Brain. Subgroups included: aripiprazole (n= 13), olanzapine (n= 12), risperidone/paliperidone (n= 24), refused-antipsychotics (n= 13) and controls (n= 44). Results Aripiprazole subgroup displayed significant increases in bilateral hippocampal volume compared with all other subgroups (FreeSurfer: all P's< 0.012; MAGeT-Brain: all P's< 0.040). Conclusions Aripiprazole is a first-line, second-generation treatment option that may provide an added benefit of pro-hippocampal growth. The biological underpinnings of these changes should be the focus of future investigations and may be key towards achieving a better clinical outcome for more individuals. Copyright and usage (C) The Royal College of Psychiatrists 2016.
Differential control of dopamine ascending pathways by serotonin(2B) receptor antagonists: New opportunities for the treatment of schizophrenia
NEUROPHARMACOLOGY
Authors: Devroye, Celine; Cathala, Adeline; Haddjeri, Nasser; Rovera, Renaud; Vallee, Monique; Drago, Filippo; Piazza, Pier Vincenzo; Spampinato, Umberto
Abstract
Recent studies suggest that the central serotonin(2B) receptor (5-HT2BR) could be an interesting pharmacological target for treating neuropsychiatric disorders related to dopamine (DA) dysfunction, such as schizophrenia. Thus, the present study was aimed at characterizing the role of 5-HT(2B)Rs in the control of ascending DA pathway activity. Using neurochemical, electrophysiological and behavioral approaches, we assessed the effects of two selective 5-HT2BR antagonists, RS 127445 and LY 266097, on in vivo DA outflow in DA-innervated regions, on mesencephalic DA neuronal firing, as well as in behavioral tests predictive of antipsychotic efficacy and tolerability, such as phencyclidine (PCP)-induced deficit in novel object recognition (NOR) test, PCP -induced hyperlocomotion and catalepsy. Both RS 127445 (0.16 mg/kg, i.p.) and LY 266097 (0.63 mg/kg, i.p.) increased DA outflow in the medial prefrontal cortex (mPFC). RS 127445, devoid of effect in the striatum, decreased DA outflow in the nucleus accumbens, and potentiated haloperidol (0.1 mg/kg, s.c.)-induced increase in mPFC DA outflow. Also, RS 127445 decreased the firing rate of DA neurons in the ventral tegmental area, but had no effect in the substantia nigra pars compacta. Finally, both RS 127445 and LY 266097 reversed PCP -induced deficit in NOR test, and reduced PCP -induced hyperlocomotion, without inducing catalepsy. These results demonstrate that 5-HT(2B)Rs exert a differential control on DA pathway activity, and suggest that 5-HT2BR antagonists could represent a new class of drugs for improved treatment of schizophrenia, with an ideal profile of effects expected to alleviate cognitive and positive symptoms, without eliciting extrapyramidal symptoms. (C) 2016 Elsevier Ltd. All rights reserved.