Schizophrenia is a severe neuropsychiatric
disorder that deteriorates
perception, affection, and cognitive mental functions. The current
treatments are mainly focused on the dopamine system, but the so-named
dopamine hypothesis of schizophrenia fails to explain all the symptoms.
Previous studies have shown that there is a reciprocal relationship
between muscarinic acetylcholine receptors and dopamine receptor function.
Some muscarinic ligands show antidopaminergic activity, and therefore,
they should have some antipsychotic efficacy. In this work, conceptual
density functional theory is employed to analyze the properties of
acetylcholine’s agonists, partial agonists, or antagonists.
The aim is to establish a classification of the antipsychotic-like
or pro-psychotic activities of these molecules based on the electron-donor
and electron-acceptor properties. Most of the agonists and antagonists
are better electron donors and worse electron acceptors than partial
agonists. We found that acetylcholine antagonists that clinically
promote psychotic symptoms are good electron-donor molecules, and
acetylcholine agonists that clinically relieve symptoms of psychosis
are good electron donors. These results represent a further advance
on the road to understanding the charge-transfer properties of drugs
used as possible treatments for schizophrenia.