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Schizophrenia Bulletin 1998 24(2):189-202;
© 1998 by Oxford University Press and the Maryland Psychiatric Research Center (MPRC)
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© Oxford University Press

Schizophrenia, Sensory Gating, and Nicotinic Receptors

Lawrence E. Adler, M.D., Ann Olincy, M.D., Merilyne Waldo, Ph.D., Josette G. Harris, Ph.D., Jay Griffith, M.D., Karen Stevens, Ph.D., Karen Flach, Ph.D., Herbert Nagamoto, M.D., Paula Bickford, Ph.D., Sherry Leonard, Ph.D. and Robert Freedman, M.D.
Assistant Professor of Psychiatry; University of Colorado Health Sciences Center and the Denver Veterans Medical Center Denver, CO
Professor; University of Colorado Health Sciences Center and the Denver Veterans Medical Center Denver, CO
Assistant Professor; University of Colorado Health Sciences Center and the Denver Veterans Medical Center Denver, CO
Assistant Professor; University of Colorado Health Sciences Center and the Denver Veterans Medical Center Denver, CO
currently at Aurora Mental Health Center Aurora, Co
Assistant Professor; University of Colorado Health Sciences Center and the Denver Veterans Medical Center Denver, CO
Research Associate; University of Colorado Health Sciences Center and the Denver Veterans Medical Center Denver, CO
Assistant Professor; University of Colorado Health Sciences Center and the Denver Veterans Medical Center Denver, CO
Associate Professor; University of Colorado Health Sciences Center and the Denver Veterans Medical Center Denver, CO
Assistant Professor; University of Colorado Health Sciences Center and the Denver Veterans Medical Center Denver, CO
Professor, University of Colorado Health Sciences Center and the Denver Veterans Medical Center Denver, CO

Reprint requests should be sent to Dr. R. Freedman, Dept. of Psychiatry, C-268-71, University of Colorado Health Science Center, 4200 East Ninth Ave., Denver, CO 80262

A series of human and animal investigations has suggested that altered expression and function of the {alpha}7-nicotinic cholinergic receptor may be responsible for the auditory sensory gating deficit characterized in schizophrenia patients and their relatives as diminished suppression of an auditory-evoked response (P50) to repeated stimuli. This finding, in conjunction with evidence for familial transmission of this sensory gating deficit, suggests a pathogenic role of the gene for the {alpha}7-nicotinic receptor in schizophrenia. This article considers the possible effects of this dysfunction in a broader context. Not only is this dysfunction consistent with difficulties in sensory gating, but it might also pre dispose patients to problems with learning efficiency and accuracy. Such learning problems could underlie schizophrenia patients' delusional thinking, hallucinations, and social dysfunction. In addition, heavy smoking in many schizophrenia patients is consistent with the high concentration of nicotine necessary to activate the receptor and with the receptor's extremely rapid desensitization. Finally, the receptor's possible role in cell growth and differentiation should be considered in connection with developmental deficits and other cellular abnormalities in schizophrenia.

Keywords: Acetylcholine / hippocampus / habituation / interneurons


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