1984
DOI: 10.1002/ddr.430040202
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Cholinomimetic and anticholinergic drugs used to investigate an acetylcholine hypothesis of affective disorders and stress

Abstract: The cholinomimetic agents, physostigmine, neostigmine, and arecoline, and the anticholinergic agents, atropine, scopolamine, and methscopolamine, have been used to explore an acetylcholine hypothesis of affect disorders and stress. Cholinomimetic drugs cause many of the same effects as do naturally occurring stressors. These include increases in negative affect, the induction of affective disorders, increases in stress neuroendocrines including ACThH, cortisol, beta‐endorphin, growth hormone, prolactin, epinep… Show more

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Cited by 126 publications
(45 citation statements)
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“…As initially proposed by Janowsky and colleagues in the early 1970s [31], dysfunction of cholinergic transmission (hyperactivity/ hypersensitivity) is likely involved in the pathophysiology of depression. In most animal models, treatment with centrally acting cholinomimetics consistently produces behavioral inhibitory effects including lethargy and hypoactivity, HPA axis activation, decreases in selfstimulation [31,32,33], increases in behavioral despair in the forced swim test, and anhedonia [67]. Treatment with anticholinergic drugs generally reverses these induced phenomena.…”
Section: Discussionmentioning
confidence: 99%
“…As initially proposed by Janowsky and colleagues in the early 1970s [31], dysfunction of cholinergic transmission (hyperactivity/ hypersensitivity) is likely involved in the pathophysiology of depression. In most animal models, treatment with centrally acting cholinomimetics consistently produces behavioral inhibitory effects including lethargy and hypoactivity, HPA axis activation, decreases in selfstimulation [31,32,33], increases in behavioral despair in the forced swim test, and anhedonia [67]. Treatment with anticholinergic drugs generally reverses these induced phenomena.…”
Section: Discussionmentioning
confidence: 99%
“…When physostigmine was administered to patients with affective disorders, the symptoms of negative affect were more pronounced and longer lasting. 31,34 Depression-like symptoms have also been observed in normal subjects receiving i.v. physostigmine or arecoline, 35,36 and physostigmine was reported to induce depression in a majority of euthymic bipolar patients maintained on lithium.…”
Section: The Cholinergic-adrenergic Theory Of Depressionmentioning
confidence: 97%
“…For example, central acetylcholine turnover is increased following stress 30 and ACh facilitates the release of several stress-sensitive neurohormones and peptides including corticosterone, ACTH, and CRF. 31 The cholinergic-adrenergic theory of depression hypothesizes a balance between cholinergic and adrenergic systems, suggesting that overactivity of the cholinergic system over the adrenergic system could lead to depressive symptoms. 32 Consistent with this hypothesis, strong evidence supports the presence of exaggerated responses (behavioral, neurochemical, sleep) to cholinergic agents in affective disorder patients relative to controls.…”
Section: The Cholinergic-adrenergic Theory Of Depressionmentioning
confidence: 99%
“…Thus, there is a discrepancy between animal models of depression and clinical observations in Alzheimer's disease. However, as noted above, the animal models are concordant with clinical observations of increased cholinergic function in depression (Janowsky and Risch, 1984). In fact, recent evidence suggests that cholinergic function may be higher in depressed than in non-depressed Alzheimer's patients (Zubenko et al, 1990).…”
Section: Animal Models and Depression In Old Agementioning
confidence: 70%