2011
DOI: 10.1124/jpet.111.183780
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Antagonist Functional Selectivity: 5-HT2A Serotonin Receptor Antagonists Differentially Regulate 5-HT2A Receptor Protein Level In Vivo

Abstract: Dysregulation of the 5-HT 2A receptor is implicated in both the etiology and treatment of schizophrenia. Although the essential role of 5-HT 2A receptors in atypical antipsychotic drug actions is widely accepted, the contribution of 5-HT 2A down-regulation to their efficacy is not known. We hypothesized that down-regulation of cortical 5-HT 2A receptors contributes to the therapeutic action of atypical antipsychotic drugs. To test this hypothesis, we assessed the effect of chronically administered antipsychoti… Show more

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Cited by 78 publications
(64 citation statements)
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“…Moreover, no significant interaction between the two factors was detected in these brain regions (Table 1). which contributes to the therapeutic efficacy of these SGAs (Kusumi et al, 2000, Tarazi et al, 2002, Huang et al, 2006a, Kuroki et al, 2008, Yadav et al, 2011. Consistent with these reports, this study found that olanzapine only treatment decreased 5-HT 2A R bindings in brain regions involved in antipsychotic therapeutics including the PFC, Cg, NAcC and NAcS (Tarazi et al, 2002, Cohen et al, 2003, Stahl, 2003, Yadav et al, 2011.…”
Section: Examples Of [³H]paroxetine Binding To 5-htt Are Presented Insupporting
confidence: 79%
“…Moreover, no significant interaction between the two factors was detected in these brain regions (Table 1). which contributes to the therapeutic efficacy of these SGAs (Kusumi et al, 2000, Tarazi et al, 2002, Huang et al, 2006a, Kuroki et al, 2008, Yadav et al, 2011. Consistent with these reports, this study found that olanzapine only treatment decreased 5-HT 2A R bindings in brain regions involved in antipsychotic therapeutics including the PFC, Cg, NAcC and NAcS (Tarazi et al, 2002, Cohen et al, 2003, Stahl, 2003, Yadav et al, 2011.…”
Section: Examples Of [³H]paroxetine Binding To 5-htt Are Presented Insupporting
confidence: 79%
“…The bias plot highlights the differences in potency and efficacy values for each ligand in both G protein and arrestin pathways. For example, we have identified 5-HT 2A inverse agonists which can induce receptor internalization and downregulation in vitro and in vivo without activating either G protein signaling or arrestin translocation (Bhatnagar et al, 2001;Xia et al, 2003;Yadav et al, 2011). In future studies, it will be useful to combine in vivo behavioral studies and a global study of intracellular signaling with functionally selective ligands, to fully understand which signaling cascades contribute to the various behavioral effects of KOR agonism.…”
Section: Discussionmentioning
confidence: 99%
“…One thing that is unclear, however, is the degree of inverse agonism required for therapeutic efficacy in psychosis and related disorders (76), and future studies examining drugs with a range of antagonist functional selectivity and inverse agonism will be needed to address this point. Finally, additional extensive research is needed to establish the range of disorders in which 5-HT 2A inverse agonists can substitute for or augment subeffective doses of APDs.…”
Section: Discussionmentioning
confidence: 99%