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PubMed Schizophrenia

Neuroanatomy of neurodevelopment psychiatric disoders

The dopamine pathways
The dopamine hypothesis of schizophrenia proposed that schizophrenia is associated with an increase in dopamine transmission between the substantia nigra to the caudate nucleus-putamen (neostriatum) compared with normal, while in the other major dopaminergic pathways to the mesolimbic forebrain and the tubero-infundibular system ­ dopamine transmission is reduced.

[The nigrostriatal and mesolimbic dopamine tracts. In: Basic concepts in Neuroscience, international edition. Slaughter M. London, McGraw-Hill Medical Publishing Division 2002,187–208 ]

The glutamate pathways
Hypoactive glutamate pathways are believed to be associated with psychosis and confusion in schizophrenia. These pathways include: cortico-cortical pathways, thalamic-cortical, extrapyramidal pathways (cortical-striatum), and projections exist between the cortex, substantia nigra, subthalmic nucleus and pallidum.

[Brain structures and neuronal projections. Institute of Chemistry, Pharmacology and Biomedical Sciences. University of Sunderland. http://abdellab.sunderland.ac.uk/lectures/Brain/glu1.html. Accessed on 21 March 2003]


The serotonergic pathway
Up-regulation of the two serotonergic pathways: the dorsal raphe nuclei project into the substantia nigra and
the projections from the rostral raphe nuclei ascending into the cerebral cortex, limbic regions and basal ganglia
--> leads to hypofunction of the dopaminergic system, and this effect may be responsible for the negative symptoms of schizophrenia.

[The role or serotonin in schizophrenia. The American college of neuropsychopharmacology. www.acnp.org/g4/GN401000117/CH115.html. Accessed on 21 March 2003. ]

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