Cognitive impairment in schizophrenia: aetiology, pathophysiology, and treatment

RA McCutcheon, RSE Keefe, PK McGuire - Molecular psychiatry, 2023 - nature.com
Cognitive deficits are a core feature of schizophrenia, account for much of the impaired
functioning associated with the disorder and are not responsive to existing treatments. In this …

Schizophrenia: from neurochemistry to circuits, symptoms and treatments

OD Howes, BR Bukala, K Beck - Nature Reviews Neurology, 2024 - nature.com
Schizophrenia is a leading cause of global disability. Current pharmacotherapy for the
disease predominantly uses one mechanism—dopamine D2 receptor blockade—but often …

Efficacy and safety of the muscarinic receptor agonist KarXT (xanomeline–trospium) in schizophrenia (EMERGENT-2) in the USA: results from a randomised, double …

I Kaul, S Sawchak, CU Correll, R Kakar, A Breier… - The Lancet, 2024 - thelancet.com
Background New treatments with new mechanisms are urgently needed for people with
schizophrenia. Xanomeline is a dual M 1 and M 4-preferring muscarinic receptor agonist …

Emraclidine, a novel positive allosteric modulator of cholinergic M4 receptors, for the treatment of schizophrenia: a two-part, randomised, double-blind, placebo …

JH Krystal, JM Kane, CU Correll, DP Walling, M Leoni… - The Lancet, 2022 - thelancet.com
Background Emraclidine is a novel, brain-penetrant, highly selective M4 receptor positive
allosteric modulator in development for the treatment of schizophrenia. We aimed to …

Dopamine and glutamate in schizophrenia: biology, symptoms and treatment

RA McCutcheon, JH Krystal, OD Howes - World Psychiatry, 2020 - Wiley Online Library
Glutamate and dopamine systems play distinct roles in terms of neuronal signalling, yet both
have been proposed to contribute significantly to the pathophysiology of schizophrenia. In …

Economics and mental health: the current scenario

M Knapp, G Wong - World Psychiatry, 2020 - Wiley Online Library
Economics and mental health are intertwined. Apart from the accumulating evidence of the
huge economic impacts of mental ill‐health, and the growing recognition of the effects that …

[HTML][HTML] Schizophrenia, dopamine and the striatum: from biology to symptoms

RA McCutcheon, A Abi-Dargham, OD Howes - Trends in neurosciences, 2019 - cell.com
The mesolimbic hypothesis has been a central dogma of schizophrenia for decades,
positing that aberrant functioning of midbrain dopamine projections to limbic regions causes …

Muscarinic cholinergic receptor agonist and peripheral antagonist for schizophrenia

SK Brannan, S Sawchak, AC Miller… - … England Journal of …, 2021 - Mass Medical Soc
Background The muscarinic receptor agonist xanomeline has antipsychotic properties and
is devoid of dopamine receptor–blocking activity but causes cholinergic adverse events …

Effectiveness of KarXT (xanomeline-trospium) for cognitive impairment in schizophrenia: post hoc analyses from a randomised, double-blind, placebo-controlled …

C Sauder, LA Allen, E Baker, AC Miller, SM Paul… - Translational …, 2022 - nature.com
The muscarinic receptor agonist xanomeline improved cognition in phase 2 trials in
Alzheimer's disease and schizophrenia. We present data on the effect of KarXT (xanomeline …

Antipsychotics: mechanisms underlying clinical response and side-effects and novel treatment approaches based on pathophysiology

SJ Kaar, S Natesan, R Mccutcheon, OD Howes - Neuropharmacology, 2020 - Elsevier
Antipsychotic drugs are central to the treatment of schizophrenia and other psychotic
disorders but are ineffective for some patients and associated with side-effects and …