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Biomedical subjects

K L Davis

Publications and source records attributed to K L Davis.

At least 289 records · Page 16Linked to original sources

Acute and chronic effects of neuroleptic drugs on plasma and brain homovanillic acid in the rat.

In the rat, the acute administration of the neuroleptic drug, haloperidol, produces a parallel increase in brain and plasma concentrations of the dopamine metabolite, homovanillic acid (HVA). The effect of other neuroleptic drugs, which may differ from haloperidol in their central and peripheral actions, on brain and plasma HVA has not been systematically investigated. Therefore, in this report we examine the acute effects of six different neuroleptic drugs, representing most major chemical classes of these drugs, on plasma and brain concentrations of HVA. Metoclopramide, fluphenazine, loxapine, and molindone produce parallel increases in brain and plasma HVA which closely resemble those produced by haloperidol. Compared to these neuroleptics, chlorpromazine produces a much greater increase in plasma HVA but a similar effect on brain HVA. The large chlorpromazine-induced increase in plasma HVA suggests that this drug alters peripheral production or clearance of HVA, perhaps via blockade of peripheral alpha-receptors. Of the available neuroleptics, sulpiride is one of the most specific and potent at blocking the dopamine vascular receptor. Administration of high doses of sulpiride produces only modest increases in both plasma and brain HVA, suggesting that blockade of peripheral dopamine receptors does not substantially alter peripheral clearance of HVA. After chronic administration of haloperidol for up to 21 days, plasma HVA continued to reflect the brain HVA response to drug administration.

Animals↗

Seasonal variations of human lumbar CSF neurotransmitter metabolite concentrations.

While circadian rhythms of many biological processes have been well characterized in humans, variations throughout the year have been little studied. Lumbar cerebrospinal fluid (CSF) neurotransmitter metabolite levels for homovanillic acid (HVA), 5-hydroxyindoleacetic acid (5-HIAA), and 3-methoxy-4-hydroxyphenyl glycol (MHPG) were determined in patients with schizophrenia and Alzheimer's disease. Samples from both groups taken during October through March had significantly higher levels of HVA and 5-HIAA, but not MHPG, than samples from April through September.

Adult↗

A new rating scale for Alzheimer's disease.

A new rating instrument, the Alzheimer's Disease Assessment Scale, was designed specifically to evaluate the severity of cognitive and noncognitive behavioral dysfunctions characteristic of persons with Alzheimer's disease. Item descriptions, administration procedures, and scoring are outlined. Twenty-seven subjects with Alzheimer's disease and 28 normal elderly subjects were rated on 40 items. Twenty-one items with significant intraclass correlation coefficients for interrater reliability (range, .650-.989) and significant Spearman rank-order correlation coefficients for test-retest reliability (range, .514-1) constitute the final scale. Subjects with Alzheimer's disease had significantly more cognitive and noncognitive dysfunction than the normal elderly subjects.

Aged↗

A family history study of schizophrenia-related personality disorders.

This study examined whether the family history method can be used to detect cases of schizophrenia-related personality disorder in the families of schizophrenic patients. After proposing specific family history criteria for this diagnosis, the authors applied these criteria in a blind family history study and found that schizophrenia-related personality disorders were significantly more common in the first-degree relatives of schizophrenic patients than in the relatives of medically ill controls.

Adult↗

Age and the dexamethasone suppression test in depression.

The authors examined the effects of age on plasma cortisol concentrations of 81 depressed men after dexamethasone administration. Dexamethasone nonsuppression was significantly more frequent in patients older than age 55 than those younger. Similarly, older patients had significantly higher postdexamethasone cortisol concentrations than younger patients at all time points sampled. These differences could not be attributed to severity or to the prevalence of psychosis in older and younger depressed patients.

Adolescent↗

Possible clinical applications of laboratory tests in depression.

The diagnosis of depression has traditionally been based on clinical history and behavioral observations. While objective laboratory tests will further our understanding of the pathophysiology and perhaps aid in the management of depression, a critical examination of the application of these techniques in clinical psychiatry is warranted by their increasing use. The utility for clinicians of the dexamethasone suppression test (DST), urinary MHPG assay, and tricyclic antidepressant plasma level assay is reviewed.

Adolescent↗

A study of the reliability of reported premorbid adjustment in schizophrenic patients.

A study was conducted to determine the interrater reliability and the inter-informant reliability of two rating scales commonly used with schizophrenic patients. Both scales were completed by two informants for each of 45 schizophrenics. The Levels of Functioning Scale, which measures current social functioning, gave consistent results both between raters and between informants. The Premorbid Asocial Adjustment Scale, which measures social functioning during childhood and adolescence, produced very high reliability between raters but very poor reliability between informants. This suggests that much of the data collected about premorbid adjustment of schizophrenic patients are not accurate and that attempts to correlate reported premorbid adjustment with biological measures may be invalid. Ways of increasing the reliability and validity of premorbid adjustment measures are discussed.

Adult↗

Chronic administration of three neuroleptics: effects of behavioral supersensitivity mediated by two different brain regions in the rat.

This investigation assessed the relative abilities of three neuroleptics to supersensitize behaviors mediated by the nigrostriatal and mesolimbic dopamine (DA) systems. Rats were treated with either haloperidol, thioridazine, fluotracen or vehicle for 21 days. Stereotypy, in response to DA injection to the striatum, or locomotor activity, in response to DA injection to the nucleus accumbens, were measured after the termination of drug treatment. Pre-treatment with haloperidol enhanced both behavioral responses to central DA injection, while pre-treatment with thioridazine did not enhance either behavior. Pre-treatment with fluotracen enhanced the locomotor response to DA injection to the nucleus accumbens, but did not alter stereotypy after DA injection to the striatum. Neuroleptics differ in their ability to supersensitize the same DA-related behavior, and act selectively to supersensitize behaviors mediated by different DA systems.

Animals↗

The effects of diet and physical activity on plasma homovanillic acid in normal human subjects.

This study examines the effect of diet and moderate physical activity on plasma levels of the dopamine metabolite homovanillic acid (HVA) in healthy young males. At weekly intervals, subjects were fed four isocaloric meals: polycose (pure carbohydrate), sustecal, low monoamine, and high monoamine. Moderate physical activity consisted of 30 minutes of exercise on a bicycle ergometer. The effect of diet on plasma HVA (pHVA) was highly significant. Compared to the polycose meal, the high monoamine meal significantly increased pHVA. Moderate physical activity also significantly increased pHVA. Future clinical studies using pHVA in man as an index of brain dopamine function should control for the effects of both diet and physical activity.

Adult↗

Gamma-hydroxybutyrate in the treatment of schizophrenia.

Gamma-Hydroxybutyrate (GHB) inhibits firing of dopaminergic neurons and is thus potentially useful in the treatment of schizophrenia. GHB was administered to 10 schizophrenics concurrently with low-dose fluphenazine in a 6-week double-blind crossover study. No antipsychotic efficacy of GHB was noted. GHB had little if any effect on plasma prolactin levels after a single administration and caused few side effects. Trials with higher doses of GHB may be warranted.

Adult↗

DST in depression is unaffected by altering the clock time of its administration.

Circadian oscillators in major depressive illness may be phase advanced by several hours. We attempted to determine whether phase advance of the oscillator responsible for hypothalamic-pituitary-adrenal (HPA) function in depressives might influence the outcome of the overnight dexamethasone suppression test (DST). Six major depressives underwent DST with dexamethasone doses administered in a randomized fashion at 1900h and 2300h on separate evenings. Twenty-four hour cortisol secretory patterns basally and postdexamethasone were obtained for each subject. Postdexamethasone cortisol responses were similar for both the 1900h and 2300h dosage schedules in suppressors, nonsuppressors, and an early escape responder. We conclude that failure of the HPA axis to suppress normally with DST in major-depressive illness is a primary feature of neuroendocrine regulatory mechanisms rather than secondary to a posited phase advance of the related circadian oscillator.

Aged↗

Effects of propantheline bromide on basal growth hormone, cortisol and prolactin levels.

Propantheline bromide, a peripheral anticholinergic drug with muscarinic and nicotinic blocking properties, was given by mouth to normal young men. Propantheline (45 mg) significantly lowered basal growth hormone concentrations at 0800 hr, 12 hr after administration. Propantheline (30 mg) tended (p = 0.08) to lower growth hormone concentrations at 1200 hr, 16 hr after administration. Cortisol and prolactin levels were not changed 12, 16 and 20 hr after propantheline (30 mg) nor 12 hr after propantheline (45 mg).

Adult↗

Neurotransmitter deficits in Alzheimer's disease: criteria for significance.

A series of histopathologic, morphologic, and pharmacologic criteria are proposed to establish the significance of neurochemical deficits in Alzheimer's disease. The underlying pathogenic biochemistry of a better understood neurotransmitter-deficiency syndrome, Parkinson's disease, validates these criteria. The major neurotransmitter systems are evaluated against these guidelines. Only the cholinergic system fulfills all the criteria. Noradrenergic mechanisms are also implicated. Subsequent neurochemical abnormalities found in the brains of patients with Alzheimer's disease can be evaluated against these criteria.

Adult↗

Schizophrenia: a review of diagnostic and biological issues. I. Diagnosis and prognosis.

Schizophrenia, a term that encompasses a diverse and seemingly unrelated class of psychopathologic conditions, has been the object of extensive research. This two-part paper reviews developments in specific areas of schizophrenia research. In Part I the authors discuss research into diagnosis and prognosis. They outline the studies that have been done on the major diagnostic systems including the first-rank symptoms, the flexible system, the New Haven Schizophrenia Index, the Feighner criteria, the Research Diagnostic Criteria, and the Diagnostic and Statistical Manual of Mental Disorders, third edition. They also report on the studies that have compared the utility and reliability of these diagnostic approaches. In Part II, to be published in the May issue, the authors cover the neuropathological studies of the disorder, the genetic research, and the various biological hypotheses of the etiology of schizophrenia.

Diagnosis, Differential↗

Schizophrenia: a review of diagnostic and biological issues. II. Biological issues.

Over the years schizophrenia has been the object of an extensive amount of research. In Part I of this paper, published in the April H&CP, the authors discussed research into diagnosis and prognosis. In particular, they outlined the studies that have been done on the major diagnostic systems, including the first-rank symptoms, the flexible system, the New Haven Schizophrenia Index, the Feighner criteria, the Research Diagnostic Criteria, and the Diagnostic and Statistical Manual of Mental Disorders, third edition. In part II they describe the literature on biological issues in schizophrenia. Included in their survey are the studies on neuropathological issues and on genetic and biological hypotheses of etiology and pathogenesis. In particular they discuss the possible roles of dopamine, endorphins and neuropeptides, endogenous psychotomimetics, and viruses in schizophrenia.

Adoption↗