realistic expectations of prepulse inhibition in translational ......review realistic expectations...

58
REVIEW Realistic expectations of prepulse inhibition in translational models for schizophrenia research Neal R. Swerdlow & Martin Weber & Ying Qu & Gregory A. Light & David L. Braff Received: 17 September 2007 / Accepted: 3 January 2008 / Published online: 21 June 2008 # Springer-Verlag 2008 Abstract Introduction Under specific conditions, a weak lead stim- ulus, or prepulse, can inhibit the startling effects of a subsequent intense abrupt stimulus. This startle-inhibiting effect of the prepulse, termed prepulse inhibition(PPI), is widely used in translational models to understand the biology of brain based inhibitory mechanisms and their deficiency in neuropsychiatric disorders. In 1981, four published reports with prepulse inhibitionas an index term were listed on Medline; over the past 5 years, new published Medline reports with prepulse inhibitionas an index term have appeared at a rate exceeding once every 2.7 days (n =678). Most of these reports focus on the use of PPI in translational models of impaired sensorimotor gating in schizophrenia. This rapid expansion and broad applica- tion of PPI as a tool for understanding schizophrenia has, at times, outpaced critical thinking and falsifiable hypotheses about the relative strengths vs. limitations of this measure. Objectives This review enumerates the realistic expect- ations for PPI in translational models for schizophrenia research, and provides cautionary notes for the future applications of this important research tool. Conclusion In humans, PPI is not diagnostic; levels of PPI do not predict clinical course, specific symptoms, or individual medication responses. In preclinical studies, PPI is valuable for evaluating models or model organisms relevant to schizophrenia, mappingneural substrates of deficient PPI in schizophrenia, and advancing the discovery and development of novel therapeutics. Across species, PPI is a reliable, robust quantitative phenotype that is useful for probing the neurobiology and genetics of gating deficits in schizophrenia. Keywords Animal models . Antipsychotic . Dopamine . Prepulse inhibition . Schizophrenia . Sensorimotor gating . Startle Introduction Among the paths to understanding the neurobiology of schizophrenia, one heavily traveled, has been the study through preclinical and clinical models of sensorimotor gating and its neural and genetic substrates. A laboratory paradigm frequently used to operationally measure senso- rimotor gating is prepulse inhibition of the startle reflex (PPI). Medline lists over 1400 published reports utilizing the key word prepulse inhibitionand over 580 that also include the key word schizophrenia. Research using PPI to probe the neural and genetic bases of schizophrenia has crossed every level of the top downand bottom upinvestigations of this disorder from studies of the psychological implications of PPI to those assessing the control of PPI by signal transduction pathways and the genes that regulate them. Arising implicitly and explicitly from such a broad application of the PPI paradigm have been assumptions and expectations that we hope to examine critically in this review. In so doing, we hope to offer some perspectives on both potentially productive directions of this work, and the degree to Psychopharmacology (2008) 199:331388 DOI 10.1007/s00213-008-1072-4 Neal R. Swerdlow and Martin Weber contributed equally to this work. N. R. Swerdlow : M. Weber : Y. Qu : G. A. Light : D. L. Braff Department of Psychiatry, UCSD School of Medicine, La Jolla, CA 92093-0804, USA N. R. Swerdlow (*) Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093, USA e-mail: [email protected]

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  • REVIEW

    Realistic expectations of prepulse inhibition in translationalmodels for schizophrenia research

    Neal R. Swerdlow & Martin Weber & Ying Qu &Gregory A. Light & David L. Braff

    Received: 17 September 2007 /Accepted: 3 January 2008 / Published online: 21 June 2008# Springer-Verlag 2008

    AbstractIntroduction Under specific conditions, a weak lead stim-ulus, or “prepulse”, can inhibit the startling effects of asubsequent intense abrupt stimulus. This startle-inhibitingeffect of the prepulse, termed “prepulse inhibition” (PPI), iswidely used in translational models to understand thebiology of brain based inhibitory mechanisms and theirdeficiency in neuropsychiatric disorders. In 1981, fourpublished reports with “prepulse inhibition” as an indexterm were listed on Medline; over the past 5 years, newpublished Medline reports with “prepulse inhibition” as anindex term have appeared at a rate exceeding once every2.7 days (n=678). Most of these reports focus on the use ofPPI in translational models of impaired sensorimotor gatingin schizophrenia. This rapid expansion and broad applica-tion of PPI as a tool for understanding schizophrenia has, attimes, outpaced critical thinking and falsifiable hypothesesabout the relative strengths vs. limitations of this measure.Objectives This review enumerates the realistic expect-ations for PPI in translational models for schizophreniaresearch, and provides cautionary notes for the futureapplications of this important research tool.Conclusion In humans, PPI is not “diagnostic”; levels ofPPI do not predict clinical course, specific symptoms, orindividual medication responses. In preclinical studies, PPI

    is valuable for evaluating models or model organismsrelevant to schizophrenia, “mapping” neural substrates ofdeficient PPI in schizophrenia, and advancing the discoveryand development of novel therapeutics. Across species, PPIis a reliable, robust quantitative phenotype that is useful forprobing the neurobiology and genetics of gating deficits inschizophrenia.

    Keywords Animal models . Antipsychotic . Dopamine .

    Prepulse inhibition . Schizophrenia . Sensorimotor gating .

    Startle

    Introduction

    Among the paths to understanding the neurobiology ofschizophrenia, one heavily traveled, has been the studythrough preclinical and clinical models of sensorimotorgating and its neural and genetic substrates. A laboratoryparadigm frequently used to operationally measure senso-rimotor gating is prepulse inhibition of the startle reflex(PPI). Medline lists over 1400 published reports utilizingthe key word “prepulse inhibition” and over 580 that alsoinclude the key word “schizophrenia”. Research using PPIto probe the neural and genetic bases of schizophrenia hascrossed every level of the “top down” and “bottom up”investigations of this disorder—from studies of thepsychological implications of PPI to those assessingthe control of PPI by signal transduction pathways andthe genes that regulate them. Arising implicitly andexplicitly from such a broad application of the PPIparadigm have been assumptions and expectations thatwe hope to examine critically in this review. In so doing,we hope to offer some perspectives on both potentiallyproductive directions of this work, and the degree to

    Psychopharmacology (2008) 199:331–388DOI 10.1007/s00213-008-1072-4

    Neal R. Swerdlow and Martin Weber contributed equally to this work.

    N. R. Swerdlow :M. Weber :Y. Qu :G. A. Light :D. L. BraffDepartment of Psychiatry, UCSD School of Medicine,La Jolla, CA 92093-0804, USA

    N. R. Swerdlow (*)Department of Psychiatry, University of California, San Diego,9500 Gilman Drive,La Jolla, CA 92093, USAe-mail: [email protected]

  • which some assumptions and expectations may, or maynot, be reasonable.

    Historical overview

    The popularity of PPI as an experimental paradigm for under-standing schizophrenia comes from its conceptual linkage toclinical observations that schizophrenia patients are unable tooptimally filter or “gate” irrelevant, intrusive sensory stimuli(Bleuler 1911; Kraepelin and Robertson 1919; McGhie andChapman 1961; Venables 1964). These clinical observationsled to the formulation of a construct—“gating deficits” inschizophrenia—that has been extended to refer to deficientinhibition of both sensory and cognitive information. The PPIparadigm was developed as a measure of automatic or pre-conscious inhibition in normal comparison subjects, as onevariant of numerous paired-pulse paradigms in which thepresentation of a lead stimulus led to the reduced perceptualor motor response to a second stimulus (Peak 1939; Graham1975) (Fig. 1). Braff et al. (1978) first merged the constructand its operational measurement by identifying PPI deficitsin schizophrenia patients, a finding that has since beenreplicated by many independent groups and [as reviewedpreviously (Braff et al. 2001b) and below], has becomeamong the most influential paradigms in the field ofschizophrenia psychophysiology. A comprehensive reviewthrough the year 2000 of all reports linking PPI deficits toschizophrenia in clinical populations is found in Braff et al.(2001b); reports subsequent to this date are listed in Table 1.Animal studies first linked this finding to a neurochemical(DA) and anatomical (ventral striatum) substrate (Sorensonand Swerdlow 1982; Swerdlow et al. 1986), and subsequentreports centered these substrates within an extended forebrainand pontine circuit that regulates PPI in rodents (Koch andSchnitzler 1997; Swerdlow et al. 1992, 2000a; see Table 4).Animal studies have identified developmental (Geyer et al.1993; Lipska et al. 1995; see Table 3) and genetic (Carter etal. 1999; Ralph et al. 1999; Geyer et al. 2002; see Table 3)influences on PPI and have led to predictive models forantipsychotic development (Swerdlow et al. 1994) that havebeen modified and widely applied towards antipsychoticdiscovery. A comprehensive review through theyear 2000 of all reports using PPI in models predictingantipsychotic properties is found in Geyer et al. (2001);reports subsequent to this date are listed in Table 2.

    This quantitative physiological abnormality in schizo-phrenia patients, conceptually linked to an intuitive clinicalconstruct and neurochemical, anatomical, developmental,and genetic substrates, has provided a powerful focus forscientific developments. With the rapid expansion andbroad application of variations of PPI measures, newexpectations for its use to inform us about the biology of

    schizophrenia have at times outpaced critical thinking andfalsifiable hypotheses about the relative strengths vslimitations of these complex studies. Here, we hope toenumerate some of these expectations and the futurepromises and potential limitations of PPI studies.

    Human studies: What can our field realistically expectto learn about schizophrenia based on studies of PPIin humans?

    Diagnosis

    As an isolated measure, PPI is not a “diagnostic instru-ment”. There is substantial variability and significantoverlap in PPI distributions among normal and disorderedpopulations. In addition, there are many different disorders

    Fig. 1 Schematic representation, adapted from Swerdlow et al.(1994), of stimuli used to elicit PPI in laboratory measures (a). bshows superimposed tracings of electromyography of the rightorbicularis oculi in an adult male subject, from sequential trials thatincluded either a prepulse [20 ms noise burst 4 dB over a 70-dB(A)background] followed 100 ms later by a 118-dB(A) 40 ms startle noisepulse (solid black area), or the startle pulse alone (open area).Tracings in (b) begin at pulse onset. The amount of inhibitiongenerated by the prepulse can be appreciated visually by subtractingthe solid area from the open area

    332 Psychopharmacology (2008) 199:331–388

  • Tab

    le1

    Studies

    ofPPIin

    schizoph

    reniapatientsandrelatedgrou

    ps,ca.20

    01–2

    007a

    I.Studies

    repo

    rtingPPIdeficitsin

    schizoph

    reniapatients

    II.Studies

    repo

    rtingPPIdeficitsin

    subg

    roup

    sof

    schizoph

    reniapatients

    III.Studies

    repo

    rtingPPIdeficitsin

    schizoph

    reniapatientsun

    derspecific

    experimentalcond

    ition

    sIV.Studies

    repo

    rtingPPIdeficitsin

    schizoph

    reniapatients

    V.Studies

    repo

    rtingPPIdeficitsin

    popu

    latio

    nsconceptually

    linkedto

    schizoph

    renia

    Reference

    Sex,medications,n,

    othercharacteristics

    PPIdeficitscompared

    tono

    rmal

    comparison

    subjects(N

    CS)?

    Other

    measuresor

    factorsexam

    ined

    inrelatio

    nto

    PPIb

    Eye

    side

    Backg

    roun

    dDBc

    Startle

    stim

    uli

    Prepu

    lsestim

    uli

    Prepu

    lse

    interval

    (ms)

    I.StudiesreportingPPIdeficitsin

    schizop

    hrenia

    patients

    Braffet

    al.20

    05F,

    MED

    (n=25

    )Yes

    R70

    40ms115dB

    WN

    20ms78and86

    dBWN

    30,12

    0Cadenhead

    etal.20

    02M/F

    10/11,

    MED

    (n=4),UNMED

    (n=17

    )33

    %of

    PTS<1SD

    ofPPIof

    NCS

    Medication,

    clinical

    characteristics,

    P50

    ,AS

    R,L

    7040

    ms115dB

    WN

    20ms86

    dBWN

    30,12

    0

    Dun

    canet

    al.20

    03a

    M,MED

    (n=27

    ),UNMED

    (n=14

    )Yes

    Medication

    R70

    40ms116dB

    1KHz

    20ms85

    dB1KHz

    30–1

    20

    Dun

    canet

    al.20

    03b

    M,stud

    y1:

    pre-

    and

    post-m

    edication(n=16

    );stud

    y2:

    MED

    (n=43

    ),UNMED

    (n=21

    )

    Yes,independ

    ent

    ofmedicationstatus

    Medication

    R70

    40ms116dB

    1KHz

    20msdB

    1KHz

    30–1

    20

    Heresco-Levyetal.2

    007

    M/F

    18/12,

    MED

    Yes

    Clin

    ical

    characteristics,

    serum

    glycineand

    glutam

    atelevels

    R70

    40ms115dB

    1KHz

    20ms84

    dB1KHz

    30–1

    20

    Hon

    get

    al.20

    07M/F

    46/13,

    MED

    Yes

    Medication,

    P50

    R70

    40ms116dB

    WN

    20ms80

    dBWN

    30–5

    00Kum

    ariet

    al.20

    03a

    M,MED

    (n=7).

    Trend

    towards

    lower

    PPI

    fMRI

    RNon

    e40

    msairpuff30

    psi

    20msairpuff10

    psi

    100

    Kum

    ariet

    al.20

    05a

    M,MED

    (n=23

    )Yes

    Medication,

    violence

    ratin

    gs,clinical

    characteristics,

    illness

    duratio

    n

    R70

    40ms115dB

    WN

    20ms85

    dBWN

    30–1

    50

    Kum

    ariet

    al.20

    05b

    Study

    1:M,MED

    (n=35–3

    9);stud

    y2:

    M/F

    23/12,

    MED

    Yes

    Medication,

    clinical

    characteristics,AS

    R70

    40ms115dB

    WN

    20ms85

    dBWN

    30–1

    20

    Kum

    ariet

    al.20

    07B

    M/F

    17/3,UNMED

    Yes

    R,L

    7040

    ms115dB

    WN

    20ms85

    dBWN

    30–1

    20Lud

    ewig

    and

    Vollenw

    eider20

    02M/F

    49/18,

    MED

    Yes

    Medication,

    clinical

    characteristics

    R70

    40ms115dB

    WN

    20ms86

    dBWN

    30–2

    000

    Lud

    ewig

    etal.20

    02M/F

    15/4,MED

    Yes

    R70

    40ms115dB

    20ms86

    dB30–2

    000

    Lud

    ewig

    etal.20

    03M,UNMED

    (n=24

    )Yes

    Clin

    ical

    characteristics

    R70

    40ms115dB

    WN

    20ms86

    dBWN

    30–2

    000

    Mackepranget

    al.20

    02M/F

    14/6,MED

    Yes

    independ

    entof

    medicationstatus

    Medication

    R70

    40ms116dB

    85dB

    30–1

    20

    Perry

    etal.20

    02M

    andF(n=41

    );M/F

    25/16,

    MED

    (n=20

    ),UNMED

    (n=21

    )

    Yes

    Medication

    R70

    40ms115dB

    WN

    20ms95

    dBWN

    30–1

    20

    Psychopharmacology (2008) 199:331–388 333

  • Tab

    le1

    (con

    tinued)

    Reference

    Sex,medications,n,

    othercharacteristics

    PPIdeficitscompared

    tono

    rmal

    comparison

    subjects(N

    CS)?

    Other

    measuresor

    factorsexam

    ined

    inrelatio

    nto

    PPIb

    Eye

    side

    Backg

    roun

    dDBc

    Startle

    stim

    uli

    Prepu

    lsestim

    uli

    Prepu

    lse

    interval

    (ms)

    Perry

    etal.20

    04M/F

    8/6,

    MED

    Yes

    Sex

    R70

    40ms115dB

    WN

    20ms85

    dBWN

    30–1

    20Swerdlow

    etal.

    2006

    fM/F

    72/31,

    MED

    (n=94

    ),UNMED

    (n=9)

    Yes

    Medication,

    sex,

    clinical

    characteristics,

    neurocog

    nitiv

    eand

    functio

    nal

    measures,

    smok

    ing

    R,L

    7040

    ms115dB

    WN

    20ms85

    dBWN

    20–1

    20

    II.StudiesreportingPPIdeficitsin

    subgrou

    psof

    schizop

    hrenia

    patients

    Kum

    ariet

    al.20

    04M/F

    27/15,

    MED

    Yes

    inmen,bu

    tno

    tin

    wom

    enMedication,

    sex,

    clinical

    characteristics,PPF

    R70

    40ms115dB

    WN

    20ms78

    or85

    dBWN

    30–1

    50

    Leumannet

    al.20

    02M/F

    25/8,MED

    Yes

    with

    typicalbu

    tno

    tatyp

    ical

    APs

    Medication,

    LI

    R70

    40ms115dB

    20ms86

    dB30–2

    000

    Meincke

    etal.20

    04M/F

    22/14,

    MED

    Yes

    during

    acute,

    butno

    tremitted

    clinical

    state

    Clin

    ical

    characteristics,

    psycho

    patholog

    ical

    symptom

    s

    R65

    20ms115dB

    WN

    20ms73

    dBWN

    30,10

    0

    Minassian

    etal.20

    07M/F

    16/7,admission

    :MED

    (n=15

    ),UNMED

    (n=8),

    2weeks

    later:MED

    (n=23

    ),UNMED

    (n=1)

    Yes

    atho

    spitaladmission

    ,bu

    tno

    t2weeks

    later

    Medication,

    clinical

    characteristics

    R70

    40ms115dB

    WN

    20ms85

    dBWN

    30–1

    20

    Oranjeet

    al.20

    02M/F

    31/13,

    MED

    Yes

    inPTSwith

    typical

    butno

    twith

    atyp

    ical

    APs

    Medication

    RNS

    30ms115dB

    1KHz

    30ms80

    dB1.5KHz

    120

    Quedn

    owet

    al.20

    06M/F

    19/9,pre-stud

    y:MED

    (n=9),UNMED

    (n=16

    ),po

    st-rando

    mization:

    typicalAPs(n=12

    ),atyp

    ical

    APs(n=16

    )

    Yes

    during

    baselin

    esession

    infirstweekof

    treatm

    ent,

    butno

    tafterprolon

    ged

    treatm

    ent

    Num

    berof

    previous

    episod

    es,clinical

    characteristics,

    therapeutic

    success

    R70

    40ms116dB

    20ms86

    dB12

    0

    III.StudiesreportingPPIdeficitsin

    schizop

    hrenia

    patients

    under

    specific

    experim

    entalconditions

    Georgeet

    al.20

    06M/F

    9/6,

    smok

    ers,MED

    Smok

    ingabstinence:

    ↓PPI;sm

    oking

    reinstatem

    ent:↑P

    PI

    Smok

    ing

    NS

    7040

    ms115dB

    WN

    20ms85

    dBWN

    30–1

    20

    Hazlettet

    al.20

    03M/F

    14/4,UNMED

    PTS

    with

    schizotypical

    person

    ality

    disorder

    Greater

    PPIduring

    attended

    vs.ignored

    prepulsesin

    NCS,

    butnotinPT

    S

    PPF

    R45

    40ms10

    4dB

    WN

    5or

    8s70

    dB0.8

    or1KHz

    120,

    240

    Kedzior

    and

    Martin

    -Iverson

    2007

    M/F

    7/1,

    MED

    deficitsin

    “attend

    ”cond

    ition

    only

    Smok

    ing

    Ld

    6050

    ms10

    0dB

    WN

    20ms70

    dB5KHz

    20–2

    00

    Kum

    ariet

    al.20

    02M,MED

    (n=30

    )Yes

    inPTStreatedwith

    typicalAPsbu

    tno

    twith

    RIS

    Medication,

    clinical

    characteristics,

    duratio

    nof

    illness

    R70

    40ms115dB

    WN

    20ms85

    dBWN

    30–1

    20

    334 Psychopharmacology (2008) 199:331–388

  • Tab

    le1

    (con

    tinued)

    Reference

    Sex,medications,n,

    othercharacteristics

    PPIdeficitscompared

    tono

    rmal

    comparison

    subjects(N

    CS)?

    Other

    measuresor

    factorsexam

    ined

    inrelatio

    nto

    PPIb

    Eye

    side

    Backg

    roun

    dDBc

    Startle

    stim

    uli

    Prepu

    lsestim

    uli

    Prepu

    lse

    interval

    (ms)

    Kum

    ariet

    al.20

    03b

    M/F

    7/4,

    MED

    (n=11)

    ↓PPIin

    respon

    seto

    procyclid

    ine

    R70

    40ms115dB

    WN

    20ms78

    or85

    dBWN

    30–120

    Wyn

    net

    al.20

    04PTS:M/F

    74/2,MED

    (typ

    ical

    APs(n=22

    ),atyp

    ical

    APs(n=43

    ),mixed

    orun

    know

    n(n=11),un

    affected

    siblings:M/F

    17/19

    NoPPIdeficitsin

    PTSor

    unaffected

    siblings

    Medication,

    PPF,

    sex,

    clinical

    characteristics

    LNon

    e50

    ms10

    5dB

    WN

    20ms75

    dBWN

    120

    IV.StudiesreportingnoPPIdeficitsin

    schizop

    hrenia

    patients

    Dun

    canet

    al.20

    06a

    M,MED

    (n=52

    ),UNMED

    (n=21

    )No

    Medication,

    clinical

    characteristics

    R70

    40ms116dB

    1KHz

    20ms85

    dB1KHz

    30–120

    Postm

    aet

    al.20

    06M,MED

    (n=9)

    No.

    Smok

    ingenhanced

    PPIin

    PTSandNCS

    fMRI

    RNon

    e40

    msairpuff30

    psi

    20msairairpuff

    10psi

    30–120

    Volzet

    al.20

    03M/F

    23/26,

    MED

    (n=42

    ),UNMED

    (n=7)

    No

    LNS

    50ms10

    0dB

    WN

    Picturespresented

    for6s

    150–

    3,80

    0

    V.StudiesreportingPPIdeficitsin

    pop

    ulation

    sconceptually

    linked

    toschizop

    hrenia

    Kum

    ariet

    al.20

    05d

    M/F

    4/15

    ,un

    affected

    siblings

    ofSZPTS

    Reduced

    PPIin

    siblings

    ofSZPTSwith

    binaural

    stim

    ulus

    presentatio

    n

    Schizotyp

    yratin

    gsR

    7040

    ms115dB

    WN

    20ms85

    dBWN

    30–120

    Sob

    inet

    al.20

    05a

    M/F

    11/14,

    child

    ren

    with

    22q11DS

    Yes

    Sex,age,

    clinical

    characteristics,

    latency

    redu

    ction,

    attention

    networktest,

    reactio

    ntim

    e

    R50

    50ms10

    4dB

    WN

    40ms70

    dBWN

    100

    Sob

    inet

    al.20

    05b

    M/F

    13/12,

    child

    ren

    with

    22q11DS

    Yes

    Sex,age,

    clinical

    characteristics,

    symptom

    severity,

    subsyn

    drom

    alsymptom

    sof

    other

    disorders

    R56

    50ms10

    4dB

    WN

    30ms70

    dBWN

    100

    Weike

    etal.20

    01Ss“believe

    inextraordinary

    phenom

    ena”

    (n=16

    ,M/F=5/11)or

    not

    (n=16

    ,M/F=10

    /6)

    PPIno

    tdifferentbetween

    believers

    and

    non-believers

    Sex,age,

    schizotypal

    person

    ality,magical

    ideatio

    n/perceptual

    aberratio

    nscales

    LNS

    50ms10

    5dB

    WN

    20ms10

    00Hz

    30–480

    APsAntipsychotics,ASanti-saccademeasures,Ffemale,fM

    RIfunctio

    nalmagnetic

    resonanceim

    aging,

    Lleft,L

    Ilatent

    inhibitio

    n,M

    male,MED

    medicated,N

    CSno

    rmalcomparisonsubjects,N

    Sno

    tspecified,

    P50

    P50

    event-relatedpo

    tentialsupp

    ression,

    PPFprepulse

    facilitation,

    PPIprepulse

    inhibitio

    n,PTSpatients,

    Rrigh

    t,RIS

    risperidon

    e,Ss

    subjects,SZ

    schizoph

    renia,

    UNMED

    unmedicated,WNwhite

    noise,

    ↓redu

    ced,

    ↑increased

    aAlltables

    arepreceded

    byou

    tlinesdescribing

    theirorganizatio

    nalstructure.

    Indistillingthissubstantialliteratureinto

    tabu

    larform

    ,asubstantialam

    ount

    ofinform

    ationislost.The

    abbreviated

    descriptions

    herein

    cann

    otdo

    justiceto

    thewealth

    ofdata

    andinterpretatio

    nsfoun

    din

    theoriginal

    repo

    rts.Referencesareprov

    ided

    togu

    idereadersto

    thesource

    material.

    bDem

    ograph

    icsrepo

    rted

    asindepend

    entmeasuresin

    moststud

    ies

    cAlldB

    Ascaleun

    less

    notspecifiedin

    text;stim

    ulidescribedin

    KHzarepu

    retones.

    dRight

    eye,

    n=1

    Psychopharmacology (2008) 199:331–388 335

  • in which affected individuals are characterized by reducedPPI, on average, compared to a normal comparisonpopulation (cf. Braff et al. 2001b). The reason for the“non-pathognomonic” nature of PPI deficits is simple: theamount of PPI exhibited by any organism at any givenmoment reflects activity at many different levels ofintegrated cortico–striato–pallido–thalamic (CSPT) circuit-ry and its output via the pontine tegmentum. Low levels ofPPI can result from normal variations at several levels ofthis circuitry; alternatively, disease processes can impactdifferent levels of this circuit, with synergistic effects onpontine activity that mediates PPI. Conceivably, diseaseprocesses might even impact this circuitry in such a way asto bias it towards elevated levels of PPI, and compensatoryor allostatic changes within feedback or downstreamelements of the circuitry might offset the effects ofotherwise PPI-disruptive disease processes. Thus, absolutelevels of PPI—either low or high—are neither diagnosti-cally nor neurophysiologically specific.

    A corollary of this fact—that PPI is not “diagnostic”—isthat no simple qualitative value of “normal” or “deficient”can accurately be applied to any particular level of PPI,particularly among clinically normal individuals. It iscommon in the literature (including our own reports) todescribe relatively low levels of PPI as “deficient”,“impaired”, or “poor”. In fact, we know of no clearadaptive or functional advantage of higher vs. lower levelsof PPI among clinically normal individuals. Perhaps, thisidea is most easily conveyed in the comparison betweenclinically normal men and women: on average, underspecific stimulus conditions (e.g., 20 ms white noiseprepulses, 10 dB over a 70-dB(A) white nose background,100 ms before a 115-dB(A) 40 white noise pulse), menexhibit more PPI than do women (Swerdlow et al. 1993b,2006f; Kumari et al. 2004; Aasen et al. 2005). Furthermore,there is some evidence that among normal women, PPIshifts across the menstrual cycle (Swerdlow et al. 1997;Jovanovic et al. 2004). Clearly, there is no basis fordescribing PPI in women vs. men as “deficient”, nor fordescribing luteal- vs. follicular-phase PPI as “impaired”.Similarly, drugs that increase PPI in normals cannot beaccurately claimed to “improve” PPI.

    At a more basic level, at any given moment in time,individuals are not characterized by a single “PPI” value, inthe same manner in which they might be characterized byother quantitative traits such as height, Q–T interval, orfasting glucose level. One of PPI’s strengths as anexperimental measure is its exquisite sensitivity to stimulusparameters and test conditions [as described for the startlereflex by Davis 1984]. The inhibition generated byprepulses under different stimulus conditions likely reflectsdifferent underlying physiological substrates. Thus, under avariety of test/stimulus conditions, the same clinical

    population might conceivably exhibit PPI levels that arereduced, equal to, or elevated, compared to normalcomparison subjects. An instructive example from preclin-ical studies of PPI is found in the report that inbred BrownNorway (BN) rats exhibit “deficient” PPI compared tooutbred Sprague Dawley (SD) rats, based on measurementswith 100 ms prepulse intervals (Palmer et al. 2000).Subsequent studies reproduced this finding, but alsodemonstrated that at shorter prepulse intervals, the oppositerelationship existed: BN rats exhibited significantly morePPI compared to SD rats (Swerdlow et al. 2006a, 2008).Thus, depending on the stimulus parameters, populationscan exhibit either relatively reduced or excessive PPI.

    PPI is also highly sensitive to state variables andinfluences, such as medications (Table 1), cigarette smok-ing (Table 1), fatigue (van der Linden et al. 2006), stress(Grillon et al. 1998), and hormonal status (Swerdlow et al.1997; Jovanovic et al. 2004). While some of these variablesand influences can be controlled under experimentalconditions, the notion of using such a sensitive measurein isolation as a diagnostic tool is not realistic. This beingsaid, one potentially valuable strategy in the characteriza-tion of clinical populations is the use of PPI in combinationwith multiple other measures of forebrain inhibitoryfunction, such as P50 event-related potential (ERP) sup-pression (“P50 gating”; Adler et al. 1982) and antisaccadedeficits (Radant et al. 2007), to identify multiple measuresand patterns of normal vs. deficient function (Cadenhead etal. 2002; Braff et al. 2008; Sugar et al. 2007). PPI and P50gating are both deficient but correlate weakly, if at all, inschizophrenia patients (Braff et al. 2007b); similarly, PPIand antisaccade performance are both deficient but do notcorrelate significantly in schizophrenia patients (Kumari etal. 2005b). Thus, these measures apparently assess fore-brain inhibitory processes that are dissociable and nonre-dundant. More importantly, there are patients who exhibitnormal levels of some but not other gating measures (andpresumably normal function within brain circuitry regulat-ing some but not other measures), and subpopulations ofpatients who exhibit different profiles in these deficits(Kumari et al. 2005b; Swerdlow et al. 2006f; Braff et al.2007b). These subpopulations may reflect different patternsof brain dysfunction and conceivably distinct geneticsubstrates and treatment sensitivities (Braff et al. 2007a).

    Symptoms, course, and outcome

    Can we predict the clinical course or even clinical features ofschizophrenia based on PPI levels? There is no compellingdata to suggest that among schizophrenia patients, levels ofPPI predict clinical course, nor are there consistent robustrelationships between lower levels of PPI and higher levelsof specific symptoms of schizophrenia, or cumulative

    336 Psychopharmacology (2008) 199:331–388

  • Tab

    le2

    Examples

    ofstud

    iesusingPPIto

    assess

    orpredictantip

    sychotic

    prop

    erties,ca.20

    01–2

    007

    I.Anti-dopaminergics

    VII.Cannabino

    idmechanism

    A.D2/mixed

    receptor

    antago

    nists

    A.CB1-antago

    nists

    B.D3-preferentialantago

    nists

    B.End

    ocannabino

    idtransportinhibitor

    C.D4-preferentialantago

    nists

    C.Cannabidiol

    II.Glutamatergicmechanism

    sVII.Neuropeptidemechanism

    sA.mGLUR

    A.Neurotensin

    agon

    ists

    B.NMDA

    B.Opioids

    C.GLY

    C.CCK

    III.Seroton

    ergicmechanism

    sIX

    .Adeno

    sine

    mechanism

    sIV.Noradrenergic

    mechanism

    sX.GABA

    agonists

    V.Cho

    linergicmechanism

    sXI.GABA

    agon

    ists

    A.Nicotinic

    agon

    ists

    XII.Hormon

    esB.Muscarinicagon

    ists

    XIII.Secon

    d-messeng

    erinhibitors

    C.AChE

    inhibitors

    A.Nitric

    oxidesynthase

    inhibitors

    VI.Histaminergicmechanism

    sB.Guany

    late

    cyclase+

    NOSinhibitors

    C.PDE-inh

    ibito

    rsXIV.Miscellaneou

    s

    References

    Species,strain,sex

    PPIdeficitindu

    cedby

    Primaryd

    rug/mechanism

    tested

    Effects

    Other

    drug

    typestested

    I.Anti-dop

    aminergics

    A.D2/mixed

    receptoran

    tago

    nists

    Rats

    Bastet

    al.20

    01WI,M

    Intra-VHPC

    NMDA

    infusion

    HALD2family

    antago

    nist

    ∅NMDA

    CLO

    (∅NMDA)

    Ciliaet

    al.20

    07SD,M

    KET

    HAL

    ∅KET,

    notpo

    tentiatedby

    mGLUR5antago

    nist

    MPEP

    CLO,RIS,lamotrigine,SB-271

    046-A

    (allsimilareffectsto

    HAL)

    Con

    tiet

    al.20

    05WKY,M;BN,M

    ICV

    CRFinfusion

    HAL

    ↓CRFin

    WKY

    rats,∅CRF

    inBN

    rats

    CLO

    (↓CRFin

    WKY

    rats,

    overcompensationof

    PPI-deficit

    inBN

    rats)

    vandenBuu

    seandGog

    os20

    07SD,M

    8OHDPA

    THAL

    ↓8OHDPA

    T(at10

    0msPP

    interval)

    RAC,ARI,BUS(all↓8-O

    HDPA

    T),

    CLO,OLA,RIS,AMI,

    MDL73

    ,005

    EF(partial

    5-HT1Aagon

    ist)(all∅8-OHDPA

    T)

    allat

    100msPPinterval

    Rats+mice

    Metzger

    etal.20

    07Mice,

    C57

    ;Rats,

    SD,M

    AMPor

    APO

    HAL(implantedHAL

    polymer,or

    acuteHAL)

    HALim

    plants:↓A

    MPin

    mice,

    ↓APO

    inratsAcute

    HAL:↓A

    PO

    inrats

    Mice

    Russiget

    al.20

    04C57

    ,M

    APO

    HAL

    ↓APO

    CLO

    (∅APO)

    Psychopharmacology (2008) 199:331–388 337

  • Tab

    le2

    (con

    tinued)

    References

    Species,strain,sex

    PPIdeficitindu

    cedby

    Primaryd

    rug/mechanism

    tested

    Effects

    Other

    drug

    typestested

    Human

    subgrou

    ps(+rats)

    Vollenw

    eideretal.2

    006

    Hum

    ans(“low

    vs.

    high

    gaters”)

    Basal

    PPI,differencesbetween

    subg

    roup

    sCLO

    D1<4/5-H

    T2/α

    1/

    muscarinicantago

    nist

    ↑PPIin

    “low

    gaters”(atsho

    rtPPintervals),∅PPIin

    “highgaters”

    Swerdlow

    etal.

    2006

    aHum

    ans(“low

    vs.

    high

    gaters”),

    M;rats,SD,

    M;rats,BN,M

    Basal

    PPI,differencesbetween

    human

    subgroupsor

    ratstrains

    QuetiapineD1<2/5-HT2/α1/H1/

    muscarinicantagonist

    ↑PPIin

    human

    low

    gaters

    andSD

    rats(atshortPP

    intervals),↑P

    PIin

    BN

    rats

    CLO

    (↑PPIat

    shortPPintervals),

    HAL(∅

    PPI)in

    SD

    rats

    Primates

    Linnet

    al.20

    03Capuchinmon

    keys,F

    PCP

    CLO

    ↓PCP

    HAL(∅

    PCP)

    Rats

    Erhardt

    etal.20

    04SD,M

    ↑End

    ogenou

    sKYNA

    byky

    nurine

    orPNU

    1565

    61A

    CLO

    ↓KYNA

    HAL(↓KYNA)

    LePenandMoreau2002

    SD,M

    nHPClesion

    CLO

    ↑PPI

    OLA

    (↑PPI),R

    IS(↑PPI),HAL(∅

    PPI)

    Depoortereet

    al.2007b

    SD,M

    APO

    F15

    063D2/D

    3-A

    ntagon

    ist,

    D4-partialagon

    ist,

    5-HT1A-ago

    nist

    ↓APO

    Depoortere

    etal.2

    007a

    SD,M

    Basal

    PPI

    F15

    063

    ∅PPI

    Barret

    al.20

    06SD,M

    IRvs.indu

    ctionof

    PPIdeficitsby

    APO,PCP,

    orCIR

    inSRrats

    Ilop

    eridon

    eDA/5-H

    AT/

    NA

    antago

    nist

    ∅PPIin

    IRrats,bu

    t↓A

    PO,

    ↓PCP,

    ↓CIR

    inSRrats

    Ellenb

    roek

    etal.20

    01WI,M

    Basal

    PPI,APO,or

    AMP

    JL13

    Predo

    minantD1/5-H

    T2

    bind

    ing

    ↑PPI(basal),↓A

    PO,↓A

    MP

    HAL,CLO

    (both,

    ∅PPI(basal),

    ↓APO,↓A

    MP)

    Ojim

    aet

    al.20

    04SD,M

    Basal

    PPI

    Perospiron

    eD2/5-H

    T2A/

    5-HT1Aantago

    nist

    ↑PPI

    HAL(∅

    PPI),RIS

    (↑PPI

    (relativeto

    HAL))

    Rueteret

    al.20

    04SD,M

    nVHPC

    lesion

    Risperidon

    eD2/5-H

    T2/α

    antago

    nist(chron

    iclow-dosetreatm

    ent)

    ↑PPI

    CLO

    (↑PPI)

    Bub

    enikov

    aet

    al.20

    05WI,M

    DIZ

    ZotepineD1/D

    2/D3/5-H

    T2A/

    5-HT2C5-HT6/5-H

    T7/α

    1/H

    1/

    NET-affinity

    ∅DIZ

    RIS

    (∅DIZ),CLO,OLA

    (both

    ↓DIZ,bu

    t↓P

    PIrelativ

    eto

    vehicle(noDIZ))

    Mice

    Fejginet

    al.20

    07NMRI,M

    Basal

    PPIor

    PCP

    Aripiprazole

    partialagon

    ist

    atD2/5-H

    T1Aandantago

    nist

    at5-HT2A

    ↑PPI(basal),↓P

    CP

    CLO

    (↑PPI(trend

    ),∅PCP),OLA,

    (∅PPI,∅PCP),HAL(↑PPI,∅PCP)

    Breaet

    al.20

    06Swiss,M

    APO

    orDOI

    QF20

    04BD1<4/5-H

    T1A,2A,2C/

    α1,2/M

    1,2/H

    1-binding

    ↓APO,↓D

    OI

    CLO,HAL(both↓A

    PO,↓D

    OI)

    Flood

    etal.20

    08DBA/2NCrl,

    DBA/2J,2N

    Hsd,

    2NTac1,

    2NTac2,

    C57

    BL/6Tac,

    129S

    6/SvE

    vTac

    Basal

    PPI

    OlanzapineD1/D

    2/5-H

    T2/α

    1/

    muscarinic/H1antago

    nist

    ReversalofPP

    Ideficit(tested

    onlyinDBA/2NCrlmice)

    ARI(reversalof

    PPIdeficit),

    β-CD(reversalofP

    PIdeficitcompared

    toH2O

    )in

    DBA/2NCrlmice;both

    drugswerenottested

    inotherstrains

    338 Psychopharmacology (2008) 199:331–388

  • Tab

    le2

    (con

    tinued)

    References

    Species,strain,sex

    PPIdeficitindu

    cedby

    Primarydrug

    /mechanism

    tested

    Effects

    Other

    drug

    typestested

    B.D3-preferential

    antago

    nists Rats

    Zhang

    etal.20

    07b

    WI,M

    PD12

    8907

    (D3agon

    ist),or

    APO

    A-691

    990

    ↓PD12

    8907

    ,∅APO

    HAL(∅

    PD12

    8907

    ,↓A

    PO),RAC

    (∅PD12

    8907

    ),CLO,RIS

    (both:

    ↓PD12

    8907

    ,↓A

    PO),SB

    2770

    11(↓PD12

    8907

    ,∅APO)

    Mice

    Zhang

    etal.20

    06DBA,M

    Basal

    PPIor

    nVHPClesion

    A-437

    203

    ↑PPIin

    unlesion

    edanim

    als,

    but∅PPIafternV

    HPC

    lesion

    )

    Intact

    mice:

    HAL(↑PPI),RIS

    (↑PPI),SB27

    7011

    (D3antago

    nist,

    ↑PPI),AVE59

    97(D

    3antago

    nist,

    ∅PPI);nV

    HPC

    lesion

    :HAL(↑PPI),

    AVE59

    97(∅

    PPI);BP89

    7(preferentialD3/D2antago

    nist,

    ↑PPIin

    lesion

    edandintact

    mice)

    Parket

    al.20

    05ICR,M

    APO

    KKHA76

    1↓A

    PO

    C.D4-preferential

    antago

    nists

    Boeckleret

    al.20

    04Rats,WI,M

    FAUC

    213

    ↓APO

    II.Glutamatergicmechan

    isms

    A.mGLUR

    Rats

    Kinneyet

    al.20

    05SD,M

    AMP

    CDPPB

    MetabotropicGLU

    5allosteric

    potentiator

    ↓AMP

    Mice

    Galiciet

    al.20

    05C57

    ,M

    AMPor

    PCP

    LY48

    7379

    Metabotropic

    GLU

    2allosteric

    potentiator

    ↓AMP,

    ∅PCP

    LY37

    9268

    (GLU

    2/3agon

    ist;

    ∅AMP,

    ∅PCP)

    B.NMDA

    Rats

    Zajaczkow

    skietal.2003

    WI,M

    DIZ

    CGP40

    116Com

    petitive

    NMDA

    antago

    nist

    ↓DIZ

    C.GLY

    Rats

    LePen

    etal.20

    03SD,M

    nVHPC

    lesion

    Glycine

    ↑PPI

    ORG

    2459

    8(G

    LYT1inhibitor,↑P

    PI)

    Mice

    Adage

    etal.20

    07C57

    ,M

    PCP

    AS05

    7278

    DAAO

    inhibitor;

    DAAO

    istheenzymewhich

    oxidizes

    D<serine

    (→see

    below)

    ↓PCP

    CLO

    (↓PCP)

    Depoo

    rtereet

    al.20

    05DBA,M

    Basal

    PPI

    SSR55

    0473

    4GLY

    Tantago

    nist

    ↑PPI

    Kinneyet

    al.20

    03DBA,M

    Basal

    PPI

    NFPSGLY

    T1antago

    nist

    ↑PPI

    CLO

    (↑PPI)

    Lipinaet

    al.20

    05C57

    ,M

    Basal

    PPIor

    DIZ

    D-Serinemod

    ulator

    ofthe

    GLY

    site

    oftheNMDA

    receptor

    ↑PPI(basal

    PPI),∅DIZ

    L-Serine(∅

    PPI),ALX

    5407

    (GLY

    T1

    inhibitor,↓P

    PI,↓D

    IZ),CLO

    (↑PPI,

    ↓DIZ)

    Psychopharmacology (2008) 199:331–388 339

  • Tab

    le2

    (con

    tinued)

    References

    Species,strain,sex

    PPIdeficitindu

    cedby

    Primarydrug

    /mechanism

    tested

    Effects

    Other

    drug

    typestested

    III.Seroton

    ergicmechan

    isms

    5<HT1

    Rats

    Auclairet

    al.20

    06SD,M

    APO

    SSR18

    1507

    5-HT1A

    agon

    ist,

    partialD2agon

    ist

    ∅APO

    ↓APO

    (when

    co-adm

    inisteredwith

    WAY10

    0635

    )

    SLV313(similartoSS

    R81507),

    sarizotan

    (∅APO

    ),bifeprunox,H

    AL,

    ARI,RIS,O

    LA,Q

    UE,Z

    IP(all↓A

    PO)

    Auclairet

    al.20

    07SD,M

    Basal

    PPI

    SSR18

    1507

    ↓PPI(reversedby

    WAY10

    0,63

    5)Sarizotan,bifeprun

    ox,8-OHDPA

    T,(all↓P

    PI),HAL,ARI,RIS,OLA,

    QUE,ZIP

    (all∅PPI)

    Krebs-Tho

    mson

    etal.20

    065-MeO

    -DMT(hallucino

    gen)

    Way

    100,63

    55-HT1A

    antago

    nist

    ↓5MeO

    -DMT

    M10

    0907

    (5-H

    T2Aantago

    nist,

    ∅5-MeO

    -DMT),SER-082

    (5-H

    T2Cantago

    nist↓5

    -MeO

    -DMT)

    Mice

    Sakaueet

    al.20

    03dd

    Y,M

    IR,APO

    orDIZ

    MC-242

    5-HT1Aagon

    ist

    ↑PPI(inIR

    mice,antago

    nized

    byWay10

    0,63

    5),∅

    APO

    (inSRmice),∅

    DIZ

    (inSRmice)

    RIS

    (↑PPIin

    IRmice,

    ↓APO

    inSR

    mice)

    5<HT2

    Rats

    Vanov

    eret

    al.20

    06SD,M

    DOI

    ACP-103

    5-HT2Ainverse

    agon

    ist

    ↓DOI

    Siuciak

    etal.20

    07WI,M

    APO

    CP-809

    ,101

    5-HT2Cagon

    ist

    ↓APO

    HAL(↓APO)

    Ouagazzaletal.2001a,b

    SD,M

    LSD

    (hallucino

    gen)

    M10

    0907

    ↓LSD

    SB

    2420

    84(5-H

    T2Cantago

    nist),

    SDZSER08

    2(5-H

    T2b/ 2C

    antago

    nist),RO

    04-679

    0(5-H

    T6

    antago

    nist),HAL(all∅LSD)

    Mice

    Barret

    al.20

    04DAT-KO,M

    Basal

    PPI

    M10

    0907

    5-HT2Aantago

    nist

    ↑PPI

    Marqu

    iset

    al.20

    07DBA/2N,M

    Basal

    PPI,DIZ,or

    DOI

    WAY

    1639

    095-HT2Cagon

    ist

    ↑PPI,↓D

    IZ,↓D

    OI,↑A

    MP

    5-HT6

    Pou

    zetet

    al.20

    02a

    Rats,WI,M

    AMPor

    PCP

    SB-271

    0465-HT6antago

    nist

    ↓AMP,

    ∅PCP

    CLO

    (↓AMP,

    ∅PCP)

    5-HT7

    Rats(+

    mice)

    Pou

    zetet

    al.20

    02b

    WI,M

    AMPor

    PCP

    SB-258

    7415-HT7antago

    nist

    ∅AMP,

    ↓PCP

    RIS

    (↓AMP,

    ↓PCP)

    Rats+mice

    Sem

    enov

    aet

    al.20

    085-HT7K

    O,M;

    Mice,

    C57

    ,M;

    Rats,SD,M

    APO,AMP,

    orPCP

    SB-269

    9705-HT7antago

    nist

    NoSB-269

    970:

    ↓PCPin

    KO

    vs.WTmice;

    ↓APO

    and↓A

    MPin

    both

    KO

    and

    WT.

    SB-269

    970:

    ∅PCPin

    C57

    miceandSD

    rats

    340 Psychopharmacology (2008) 199:331–388

  • Tab

    le2

    (con

    tinued)

    References

    Species,strain,sex

    PPIdeficitindu

    cedby

    Primarydrug

    /mechanism

    tested

    Effects

    Other

    drug

    typestested

    IV.Norad

    renergicmechan

    isms Rats

    Ballm

    aier

    etal.2001a

    SD,M

    Coapp

    licationof

    Idazox

    anα2

    antago

    nist)+RAC

    (D2/D3

    antago

    nist)

    ↓APO,bu

    tno

    additio

    nal

    impact

    ofidazox

    anov

    erRAC

    Sallin

    enet

    al.20

    07SD,M;WI,M

    PCP

    JP-130

    2α2Cantago

    nist

    ↓PCPin

    both

    strains

    Atip

    amezole(α

    2antago

    nist,∅PCP)

    V.Cholinergicmechan

    isms

    A.Nicotinic

    agon

    ists

    Rats

    Ciliaet

    al.20

    05LH,M

    IRCom

    pou

    ndA

    α7-agon

    ist

    ↑PPI

    Suemaruet

    al.20

    04WI,M

    APO

    orPCP

    Nicotine

    ∅PPI,↓A

    PO

    (elim

    inated

    bymecam

    ylam

    ine,

    butno

    thexametho

    nium

    ),∅PCP

    Methy

    llycaconitin

    e(α

    7antago

    nist),

    dihy

    dro-beta-ertho

    idine(α

    4β2

    antago

    nist),bo

    th∅PPI,HAL

    (↓APO,∅PCP),CLO

    (↓PCP)

    Mice

    And

    reasen

    etal.20

    06BALB,M;

    NMRI,M

    PCP

    Nicotine

    ↓PCPin

    BALBmice,

    ∅PCPin

    NMRImice

    CLO

    (sim

    ilarpattern

    than

    nicotin

    e),

    RIS

    (∅PCPin

    either

    strain)

    Spielew

    oyand

    Marko

    u20

    04DBA,C3H

    ,C57BL

    or129,

    allM

    PCP

    Nicotine

    ∅PPIin

    allstrains,↓P

    CP

    inDBA

    andC3H

    (trend

    ),∅PCPin

    C57

    and12

    9mice

    B.Muscarinic

    agon

    ists

    Rats

    Joneset

    al.20

    05SD,M

    APO

    orSCO

    Xan

    omelineM1/M4

    muscarinicagon

    ist

    ↓APO,↓S

    CO

    BuT

    AC(M

    2/4-preferring

    agon

    ist,

    ↓APO),ox

    otremorine,

    RS86

    ,pilocarpine,milameline,sabcom

    eline

    (allmuscarinicagon

    ists,all↓A

    PO),

    HAL(↓APO,↓

    SCO),OLA(↓APO),

    SCH23

    390(∅

    CLO)

    Stanh

    opeet

    al.20

    01SD,M

    APO

    Xan

    omeline

    ∅PPI,↓A

    PO

    HAL(∅

    PPI,↓A

    PO),pilocarpine

    (↓PPI,∅APO),MUS(↓PPI),SCO

    (↓PPI),methy

    oscopo

    lamine(∅

    PPI)

    C.AChE-inhibitors

    Rats

    Hoh

    nadelet

    al.20

    07WI,M

    APO,DIZ,or

    SCO

    Don

    epezil

    ↓APO,∅DIZ,↓S

    CO

    Galantamine(↓APO,↓D

    IZ,↓S

    CO)

    Ballm

    aier

    etal.20

    02SD,M

    Immun

    olesioning

    ofcholinergic

    neuron

    sin

    nucleusbasalis

    Rivastigm

    ine

    ↑PPI

    VI.Histaminergicmechan

    isms

    Roegg

    eet

    al.20

    07Rats,SD,M

    DIZ

    Pyrila

    mineH1antago

    nist

    ↓DIZ

    Mice

    Fox

    etal.20

    05DBA,M

    Basal

    PPI

    ABT-239

    H3receptor

    antago

    nist

    ↑PPI

    RIS

    (↑PPI)

    Psychopharmacology (2008) 199:331–388 341

  • Tab

    le2

    (con

    tinued)

    References

    Species,strain,sex

    PPIdeficitindu

    cedby

    Primaryd

    rug/mechanism

    tested

    Effects

    Other

    drug

    typestested

    Ligneau

    etal.20

    07Swiss,M

    APO

    BF2.64

    9H3receptor

    antago

    nist/in

    verseagon

    ist

    ↓APO

    Browman

    etal.20

    04DBA,M;C57

    ,M

    Basal

    PPIa,(b)

    Thioperam

    ideH3receptor

    antago

    nist/in

    verseagon

    ist

    ↑PPIin

    DBA,∅PPIin

    C57

    mice

    Ciproxifan(↑PPIin

    DBA

    andC57

    (trend

    ),RIS

    (↑PPIin

    both

    strains)

    VII.Can

    nab

    inoidmechan

    isms

    A.CB1an

    tago

    nists

    Rats

    Ballm

    aier

    etal.20

    07SD,M

    PCP,

    DIZ,APO

    AM25

    1↓P

    CP,

    ↓DIZ,↓A

    PO

    Rim

    onabant(↓APO,↓DIZ,

    ↓PCP),CLO

    (↓PCP)

    Mice

    Malon

    eet

    al.20

    04Swiss,M

    APO

    SR

    1417

    16↓A

    PO

    Nagai

    etal.20

    06dd

    Y,M

    Δ9-THC

    SR

    1417

    16↓T

    HC

    HAL(↓THC),RIS

    (↓THC)

    B.Endocan

    nab

    inoidtran

    sportinhibitor

    Bortolato

    etal.20

    06Rats,SD,M

    Basal

    PPI

    AM40

    4∅PPI

    Win55

    ,212

    (∅PPI),APO

    (↓PPI),

    DIZ

    (↓PPI)

    C.Can

    nab

    idiol

    Lon

    get

    al.20

    06Mice,

    Swiss,M

    DIZ

    Non

    -psychoa

    ctive

    constituentof

    theCan

    nab

    issativa

    plant,agon

    istof

    the

    TRPreceptor

    VAN1,

    inhibitorof

    anandamide-

    uptake

    ↓DIZ,∅DIZ

    (ifpretreated

    with

    TRPagon

    ist

    capsazepine)

    CLO

    (↓DIZ)

    VIII.Neuropeptidemechan

    isms

    A.Neurotensinag

    onists

    Rats

    Shilling

    etal.20

    04SD,M

    DOIor

    CIR

    NT69

    L↓D

    OI,↓C

    IRPD14

    9163

    (NTantago

    nist,↓C

    IR)

    Shilling

    etal.20

    03SD,M

    AMPor

    DIZ

    NT69

    L↑P

    PI,↓A

    MP,

    ↓DIZ

    B.Opioids

    Bortolato

    etal.20

    05Rats,SD,M

    U50

    488kapp

    a-op

    ioid

    agon

    ist

    Nor-BNIKappa-opioid

    antago

    nist

    ↓U50

    488,

    but∅APO,∅DIZ

    CLO

    (↓U50

    488),HAL(∅

    U50

    488)

    UkaiandOku

    da20

    03Mice,

    ddY,M

    APO

    Endom

    orphin-1

    End

    ogenou

    smuop

    ioid

    agon

    ist(ICV-infusion)

    ∅PPI,↓A

    PO

    (antagon

    ized

    bythemu1

    antago

    nist

    naloxo

    nazine,bu

    tno

    tby

    ICV-infusion

    ofthemuantago

    nist

    β-fun

    altrexam

    ine)

    Nalox

    onazine(∅

    APO)

    C.CCK

    Shilling

    andFeifel20

    02Rats,SD,M

    AMP,

    DIZ

    orDOI

    SR14

    6131

    CCKAantago

    nist

    ∅AMP,

    ↓DIZ,↓D

    OI

    342 Psychopharmacology (2008) 199:331–388

  • Tab

    le2

    (con

    tinued)

    References

    Species,strain,sex

    PPIdeficitindu

    cedby

    Primaryd

    rug/mechanism

    tested

    Effects

    Other

    drug

    typestested

    IX.Adenosine

    Wardaset

    al.20

    03Rats,WI,M

    PCP

    CGS21

    680Adeno

    sine

    A2

    agon

    ist

    ↓PCP

    X.GABA

    agon

    ists

    Bortolato

    etal.20

    04Rats,SD,M

    PPI,APO

    orDIZ

    Baclofen

    ∅PPI,∅APO,↓DIZ,

    (prevented

    bySCH50

    911)

    Bortolato

    etal.20

    07Juvenile

    mice:

    DBA,M;C57

    ,M

    Basal

    PPIin

    DBA

    (and

    C57

    )Baclofen

    ↑PPI(prevented

    bySCH50

    911)

    inDBA,∅PPI

    inC57

    mice

    CLO

    (↑PPIin

    DBA,∅PPIin

    C57

    ),HAL(∅

    PPIin

    both

    strains)

    XI.Anticonvu

    lsan

    ts/m

    oodstab

    ilizers

    Rats

    Frauet

    al.20

    07SD,M

    Basal

    PPI,APO

    orDIZ

    Top

    iram

    ateGABAAagon

    ist,

    voltage

  • Tab

    le2

    (con

    tinued)

    References

    Species,strain,sex

    PPIdeficitindu

    cedby

    Primarydrug

    /mechanism

    tested

    Effects

    Other

    drug

    typestested

    B61

    29SF2

    (ctrl),M

    Klamer

    etal.20

    04b

    NMRI,M

    PCP

    N-propyl-arginine

    ↓PCP

    B.Guan

    ylatecyclase+nos

    inhibitors

    Klamer

    etal.20

    04a

    Mice,

    NMRI,M

    PCP

    Methyleneblue

    ↓PCP

    C.PDE-inhibitors

    Kanes

    etal.20

    07Mice,

    C57

    ,M

    PPIor

    AMP

    Rolipram

    Pho

    spho

    diesterase

    (PDE)4

    inhibitor

    ↑PPI,↓A

    MP

    HAL(↑PPI)

    XIV.Miscella

    neous

    Rats

    Wanget

    al.20

    03a

    SD,

    Perinatal

    PCP(3

    applications)

    M40

    403Sup

    erox

    ide

    Dismustase

    Mim

    etic

    ↓PCP(bybo

    thshortand

    long

    -term

    treatm

    ent

    with

    M40

    403)

    Mice

    Palsson

    etal.20

    07NMRI,M

    PCP

    L-Lysine(sub

    chronic;

    L-artininetransportinhibitor)

    ↓PCP

    Zhang

    etal.20

    07a

    Std:ddy,M

    DIZ

    Minocyclin

    eSecon

    dgeneratio

    nantib

    iotic

    ↓DIZ

    AChE

    acetylcholinesterase,AMPam

    phetam

    ine,APO

    apom

    orph

    ine,ARIaripipazole,BNBrownNorway,B

    RO

    brom

    ocriptine,CBcann

    abinoidreceptor,β

    -CD

    (2-hdrox

    ypropy

    l)-beta-cyclod

    extrin,

    CIR

    cirazolin

    e,CLO

    clozapine,

    CORTcorticosterone,DAAO

    D-aminoacidox

    idase,

    DAdo

    pamine,

    DATdo

    paminetransporter,DIZ

    dizocilpine,

    Ffemale,

    GLU

    glutam

    ate,

    GLY

    glycine,

    GLY

    Tglycinetransporter,HALhaloperido

    l,ICVintracerebroventricular,IR

    isolationrearing,

    KETketamine,KYNAky

    nuricacid,L

    ELon

    gEvans,L

    HListerho

    oded,L

    SDlysergicacid

    dyethy

    lamide,M

    male,MPEP2-methy

    l-t-(pheny

    lethny

    l)-pyridine,MUSmuscarine,N

    Eno

    repineph

    rine,NETno

    repineph

    rine

    transporter,nH

    PCneon

    atalhipp

    ocam

    pus,NOSnitric

    oxyd

    esynthase,NTneurotensin,

    OLAolanzapine,O

    VXov

    ariectom

    ized,p

    pmpartspermillion,

    PNDpo

    stnatald

    ay,P

    Pprepulse,Q

    UEqu

    etiapine,Q

    UIqu

    inpirole,R

    ACraclop

    ride,R

    ISrisperidon

    e,Rxtreatm

    ent,SC

    Oscop

    olam

    ine,

    SDSprague

    Daw

    ley,

    SRsocial

    rearing,

    THC

    tetrahyd

    racann

    abinol,TRP

    transientreceptor

    potentialchannel,V

    ventral,VA

    Nvanillo

    id,WIWistar,WKYsWistarKyo

    to,WTwild

    type,ZIP

    ziprasidon

    e,↓X

    YZredu

    ctionof

    effect

    XYZ,↑X

    YZenhancem

    entof

    effect

    XYZ,∅XYZno

    change

    ofeffect

    XYZ

    344 Psychopharmacology (2008) 199:331–388

  • Tab

    le3

    Mod

    elorganism

    s,ca.20

    01–2

    007

    I.Low

    andhigh

    baselin

    ePPIlevels

    II.Sub

    -strains

    selected

    bydrug

    sensitivity

    IV.Develop

    mentalmod

    els

    III.Genetically

    engineered

    organism

    s,basedon

    genes

    A.Isolation/Deprivatio

    n/Stress-related

    relatedto:

    1.Isolationrearing

    A.Vulnerabilityforschizoph

    renia

    2.Maternaldeprivation

    B.Dop

    amine

    3.Develop

    mentalstressors

    C.Glutamate

    4.Im

    mun

    e-related

    D.Noradrenalin

    eB.Develop

    mentaldrug

    expo

    sure

    E.Histamine

    C.Develop

    mentalhy

    poxia

    F.Catecho

    lamines

    (general)

    D.Develop

    mentalnu

    trition

    aldeprivation

    G.Acetylcho

    line

    E.Neonatallesion

    sH.GABA

    V.Drug-relatedmod

    els

    I.Secon

    dMesseng

    erSystems

    A.Drugwith

    draw

    alJ.Neuropeptides

    B.Tox

    inexpo

    sure

    K.Other

    VI.Other

    L.Mod

    elsforspecific

    disorders

    Superscriptdesign

    ates

    stud

    y-specificfin

    ding

    s

    References

    Species,Strain,

    Sex

    Mod

    eldescription/

    backgrou

    nd/rationale

    Basal

    PPI

    Effectsof

    drug

    stypically

    used

    toindu

    cePPIdeficits

    Effectsof

    (presumed)

    antip

    sychotics/other

    treatm

    ents

    I.Low

    andhighbaselinePPIlevels Human

    sBitsioset

    al.20

    051;

    Swerdlow

    etal.20

    06a2;

    Vollenw

    eideret

    al.20

    063

    MBasal

    PPIdifferences

    betweensubg

    roup

    s(“low

    vs.high

    gaters”)

    ∅PER,∅AMA1in

    low

    gaters

    ↓PER1,↓A

    MA1in

    high

    gaters

    QUE(↑PPI2),CLO

    (↑PPI3),

    both

    atshortPPintervalsand

    inlow

    gaters;∅PPI3

    inhigh

    gaters

    Rats

    FeifelandPriebe20

    011;

    Feifelet

    al.20

    042

    BB,M

    Basal

    PPIdeficits

    ↓PPI1,2

    CLO

    andPD

    14916

    3(a

    neurotensinmim

    etic;

    both

    ↑PPI),bu

    tHAL

    (∅PPI)1,2;subchron

    icHAL(↑PPI)1

    Fergu

    sonandCada20

    041;

    vandenBuu

    se20

    042

    SHRvs.SD

    and

    WKY,M,F

    SHRratsdisplay

    behavioral

    abno

    rmalities

    thou

    ghtto

    mod

    elclinical

    symptom

    s

    ↓PA1,2,↓P

    PIrelativ

    eto

    SD

    andWKY1;↓P

    PI

    relativ

    eto

    SD

    (trend

    only)2,bu

    t∅PPI

    relativ

    eto

    WKY

    rats2

    AMP(↓PPIin

    SHRandWKY,

    but∅PPIin

    SD

    rats)2;APO

    (↓PPIin

    SD,bu

    t∅PPIin

    SHR

    andWKY

    rats)2;DIZ

    ,8-

    OHDPA

    T(both↓P

    PIin

    SHR,

    WKY,andSD)2

    Freud

    enberg

    etal.20

    07Former

    WI,M

    Selectiv

    ebreeding

    ofrats

    with

    high

    vs.low

    PPI

    Fujiwaraet

    al.20

    06LECandWI,M

    Apu

    tativ

    eanim

    almod

    elof

    WD

    ↓PPIin

    LECrats

    CU

    (↓PPIin

    both

    LEC

    andWIrats)

    Psychopharmacology (2008) 199:331–388 345

  • Tab

    le3

    (con

    tinued)

    References

    Species,Strain,

    Sex

    Mod

    eldescription/

    backgrou

    nd/rationale

    Basal

    PPI

    Effectsof

    drug

    stypically

    used

    toindu

    cePPIdeficits

    Effectsof

    (presumed)

    antip

    sychotics/other

    treatm

    ents

    II.Sub-strainsselected

    bydrugsensitivity

    Rats

    APO

    Susceptibility

    Son

    taget

    al.20

    031;

    vanderElstet

    al.

    2006

    2,20

    073

    APO-SUSand

    APO-U

    NSUS,M

    APO-SUSandAPO-U

    NSUS

    ratswereselectivelybred

    toachievehigh

    (SUS)vs.low

    APO

    (UNSUS)susceptib

    ility

    ↓PPIin

    APO-SUSvs.

    APO-U

    NSUSrats1,3

    (not

    apparent

    in2)

    Sensitiv

    ityto

    thePPI-disrup

    tive

    effectsof

    COC2or

    AMP3

    (APO-SUS>APO-

    UNSUS)2,3

    Rem

    oval

    ofisolationstress:

    ↑PPIin

    APO-SUS,bu

    t↓P

    PI

    inAPO-U

    NSUSrats1;R

    EMO

    (↓AMPin

    APO-SUS,

    but∅AMPin

    APO

    -UNSU

    S)3 ;

    aMpT

    (depletedcytosolic

    DA,

    ∅PP

    Iin

    both

    strains,∅AMP

    inAPO

    -SUS,

    ↓AMPin

    APO

    -UNSU

    S)3 ,RES(∅

    PPI

    inboth

    strains,∅AMPin

    both

    strains)3 ;Testsin

    APO

    SUSonly:REMO

    (∅PP

    I,↓C

    OC)2,PR

    AZ(↑PP

    I,↓C

    OC)2,KETS(↑PP

    I,∅COC)2,aM

    pT+RES

    (↓AMP)

    3

    Alcoh

    olpreference

    Bellet

    al.20

    031;

    Ehlerset

    al.20

    072

    F,M

    Selectiv

    ebreeding

    offemale

    ratsor

    selectionof

    malerats

    with

    high

    (P)vs.low

    (NP)

    alcoho

    lpreference

    ∅PPIafterselective

    breeding

    ;↑PPIinP

    rats2;

    ↓PPIin

    Pratsho

    used

    inisolation2

    Adu

    ltrats:AMP(↓PPIin

    P,bu

    t↑P

    PIin

    NPrats);

    Ado

    lescentrats:AMP(↓PPI

    inP,

    but∅PPIin

    NPrats)

    III.Genetically

    engineeredorga

    nisms,based

    ongenes

    relatedto:

    A.Vulnerab

    ility

    forschizop

    hreniaMice

    Clapcoteet

    al.20

    07Missensemutations

    inexon

    2of

    the

    DISC1gene

    DISC1isaprop

    osed

    schizoph

    renia

    susceptib

    ility

    gene

    ↓PPIin

    micewith

    missensemutationat

    residu

    es31

    Lor

    100P

    CLO,HAL,BUP,

    Rolipram

    (PDE4inhibitor;all↑P

    PI;

    reversalof

    PPIwas

    depend

    ent

    onthespecific

    type

    ofmissensemutation)

    Barret

    al.20

    07KO

    forreelin

    receptorsVLDLR

    orAPOER2,

    M,F

    Reelin

    isrepo

    rtedly

    redu

    ced

    inbrains

    ofschizoph

    renia

    patients

    ∅acou

    stic

    PPIin

    both

    KO,↓crossm

    odal

    PPI

    inVLDLRmice,

    ↑crossmod

    alPPIin

    APOER2mice

    PPI-disrup

    tiveeffectsof

    PCP:KO>WT

    Pod

    hornaandDidriksen

    2004

    Heterozyg

    ous,

    reeler

    mutants,M,F

    Reelermicehave

    amutation

    inthegene

    forreelin

    and

    have

    been

    sugg

    estedas

    ananim

    almod

    elfor

    schizoph

    renia

    ↓PPIon

    lyin

    fully

    adult

    F(trend

    only)

    346 Psychopharmacology (2008) 199:331–388

  • Tab

    le3

    (con

    tinued)

    References

    Species,Strain,

    Sex

    Mod

    eldescription/

    backgrou

    nd/rationale

    Basal

    PPI

    Effectsof

    drug

    stypically

    used

    toindu

    cePPIdeficits

    Effectsof

    (presumed)

    antip

    sychotics/other

    treatm

    ents

    Bou

    cher

    etal.20

    07Heterozyg

    ous

    NRG1KO,M

    NRG1isaprop

    osed

    schizoph

    renia

    susceptib

    ility

    gene

    ∅PPI

    PPI-disrup

    tiveeffectsof

    THC:KO>WT

    Muk

    aiet

    al.20

    04ZDHH8-KO,M,F

    ZDHH8isaprop

    osed

    schizoph

    renia

    susceptib

    ility

    gene

    ↓PPIin

    F,bu

    t∅PPIin

    M

    B.Dop

    amine

    DA

    receptors

    Mice

    Ralph

    -Williamset

    al.20

    02D1-KO,o

    rD2-KO,M

    ,F∅PPIin

    D1-KO,but

    ↓PPI

    inD2-KO

    APO,S

    KF82

    958(both∅PPIin

    D1-KO,bu

    t↓P

    PIin

    WT;

    ↓PPIin

    D2-KO

    andWT);

    AMP(↓PPIin

    D1-KO

    and

    WT,

    ∅PPIin

    D2-KO,bu

    t↓P

    PIin

    WT);DIZ

    (↓PPIin

    D1-KO,D2-KO,andWT)

    Holmes

    etal.20

    01DA

    D5nu

    llmutants,

    M,F

    ∅PPI

    SKF81

    297(∅

    PPIin

    mutants,

    but↓P

    PIin

    WT)

    DAT

    Mice

    Barret

    al.20

    041;

    Yam

    ashita

    etal.20

    062

    DAT-KO,M

    Increase

    dopamineactiv

    ityhasbeen

    prop

    osed

    inschizoph

    renia

    ↓PPI1,2

    COC,M

    ETP(both↑P

    PIin

    KO,

    but↓P

    PIin

    WT)2

    M10

    0907

    (5-H

    T2Aantago

    nist,

    ↑PPIin

    KO,bu

    t∅PPIin

    WT)1;FLX,NSX

    (aNET

    inhibitor,bo

    th↑P

    PIin

    KO,

    but∅PPIin

    WT)2,CIT

    (∅PPIin

    KO

    andWT)2

    Ralph

    -Williamset

    al.20

    03b

    DAT-kn

    ock-do

    wns,M

    ,F∅PPI

    Other

    Dop

    aminerelated

    Eellset

    al.20

    06Mice,

    nuclearreceptor

    Nurr1

    nullmutants

    Nurr1

    isim

    portantfor

    developm

    entof

    DA

    neuron

    s;earlypo

    stnatalisolation

    ↓PPIafterpo

    stnatal

    isolationin

    Nurr1

    +/−

    mice

    C.Glutamate

    NR1

    Rats

    Inadaet

    al.20

    03WI,M

    Antisense

    knock-do

    wnof

    HPC

    NR1by

    HPJ-lip

    osom

    evector

    ↓PPI

    Mice

    Bickelet

    al.20

    081;Dun

    can

    etal.20

    042,20

    06a3;

    Moy

    etal.20

    064

    TG

    with

    redu

    ced

    expression

    ofNR1,

    M,F

    NMDA

    receptor

    sign

    alingmay

    beredu

    cedin

    schizoph

    renia.

    Microtubu

    lestabilizatio

    nin

    neuron

    sdepend

    son

    STOP

    ↑PA1,2,3,4,↓P

    PI1,2,3,4

    Sensitiv

    ityto

    PPI-disrup

    tive

    effectsof

    AMP:TG>WT4

    HAL,CLO,RIS

    (all↑P

    PIin

    both

    TG

    andcontrols)3

    Fradley

    etal.20

    05TG

    with

    redu

    ced

    expression

    ofNR1

    orSTOP-K

    O,M,F

    ↓PPI(inbo

    thmou

    setypes)

    CLO

    (∅PPIin

    both

    mou

    setypes)

    Psychopharmacology (2008) 199:331–388 347

  • Tab

    le3

    (con

    tinued)

    References

    Species,Strain,

    Sex

    Mod

    eldescription/

    backgrou

    nd/rationale

    Basal

    PPI

    Effectsof

    drug

    stypically

    used

    toindu

    cePPIdeficits

    Effectsof

    (presumed)

    antip

    sychotics/other

    treatm

    ents

    NR2

    Mice

    Boy

    ce-RustayandHolmes

    2006

    1;Sp

    oorenetal.2

    0042

    NR2A

    -KO,M,F

    ∅PPI1,2

    Ro63

    -190

    8(a

    selective

    NR2B

    receptor

    antago

    nist,↓PPI)2

    Takeuchiet

    al.20

    01NR2A

    ,NR2B

    ,N2C

    ,N2D

    ,or

    GLURδ2

    mutants

    NR2A

    -Darekn

    ownsubu

    nits

    oftheNMDA

    receptor

    channel.GLURδ2

    isa

    relativ

    elyno

    velGLU

    receptor

    subu

    nit

    ↑PA

    inNR2A

    ,B,Cand

    Dmutants,∅PA

    inGLURδ2

    ,↑P

    PIin

    NR2B

    andGLURδ2,

    ∅PPIin

    NR2A

    ,Cand

    DNR3

    Brody

    etal.20

    05MiceNR3A

    -KO

    orTG

    NR3A

    overexpressors,M,F

    ↑PPIat

    3–4weeks

    old

    M,bu

    t∅PPIin

    FKO;

    ∅PPIin

    TG

    AMPA

    Wiedh

    olzet

    al.20

    08Mice,

    AMPA

    GLUR1-

    KO,M,F

    The

    gene

    encoding

    GLUR1

    lieswith

    inachromosom

    alregion

    that

    isassociated

    with

    schizoph

    renia

    ↓PPI

    mGLU

    Mice

    Brody

    etal.20

    03a,

    bmGLU1-KO,M

    Reduced

    glutam

    atefunctio

    nhasbeen

    prop

    osed

    inschizoph

    renia

    ↓PPI1,2,3

    PCP(↓PPIin

    KO

    andWT)

    RAC(∅

    PPIin

    KO

    andWT),

    LAM

    (↑PPIin

    KO

    andWT)

    Brody

    andGeyer

    2004

    b1;

    Brody

    etal.20

    04a2;

    Lipinaet

    al.20

    073

    mGLU5-KO,M,F

    ↓PPI

    PPIdeficitof

    KO

    micecould

    notbe

    mim

    ickedin

    WTmice

    with

    themGLU5antago

    nist

    MPEP1,no

    furtherdisrup

    tion

    ofPPIby

    DIZ

    inKO3

    RAC,CLO,LAM

    (all∅PPI)2,

    CX54

    6andARIR

    (positive

    mod

    ulatorsof

    AMPA

    ,bo

    th↑P

    PI(lesspron

    ounced

    with

    ARIR))3

    Other

    glutamaterelated

    Mice

    Szumlin

    skiet

    al.20

    05Hom

    er1-KO

    orHom

    er2-KO,M,F

    Hom

    erproteins

    interact

    with

    mGLU,andmod

    ifythe

    morph

    olog

    yof

    GLU

    synapses.A

    SNPin

    Hom

    er1

    was

    associated

    with

    schizoph

    renia

    ↓PPIin

    Hom

    er1-KO,

    but∅PPIin

    Hom

    er2-

    KO

    HAL(↑PPIin

    Hom

    er1-KO)

    Tsaiet

    al.20

    04Heterozyg

    ous

    GLY

    T-KO,M

    GLY

    isaco-ago

    nistat

    the

    NMDA-receptorwith

    presum

    edsub-saturatin

    gconcentrations

    atthereceptor

    ∅PPI

    Sensitiv

    ityto

    thePPI-

    disrup

    tingeffectsof

    AMP

    (KO

    <WT)or

    DIZ

    (KO

    >WT)

    348 Psychopharmacology (2008) 199:331–388

  • Tab

    le3

    (con

    tinued)

    References

    Species,Strain,

    Sex

    Mod

    eldescription/

    backgrou

    nd/rationale

    Basal

    PPI

    Effectsof

    drug

    stypically

    used

    toindu

    cePPIdeficits

    Effectsof

    (presumed)

    antip

    sychotics/other

    treatm

    ents

    Wolfet

    al.20

    07CPB-K

    vs.Balb,

    MCPB-K

    micedisplaylow

    levelsof

    NMDA

    receptors

    ↑PA,↓P

    PIrelativ

    eto

    BalbC

    mice

    Acute

    orsubchron

    icCLO

    (∅PPI)

    D.Norad

    renaline

    Lahdesm

    akiet

    al.20

    04Mice,

    adrenergic

    α2A-

    KO,M,F

    Adrenergicα2Areceptors

    mod

    ulatetransm

    itter

    release

    ofDA

    and5-HTneuron

    s

    ↑PPI

    AMP(↓PPIin

    KO,andWT;

    greatersensitivity

    toAMPin

    KO),DEXM

    (anα2agon

    ist,

    ∅PPI,↓A

    MPin

    KO,bu

    tno

    tWT)

    ATI(anα2antago

    nist,∅PPI,

    ∅AMP)

    E.Histamine

    Dai

    etal.20

    05Mice,

    H1-KO,M

    Histaminic

    abno

    rmalities

    have

    been

    implicated

    inthe

    pathop

    hysiolog

    yof

    schizoph

    renia

    ↓PPIin

    WT,

    but∅PPI

    inKO

    afterIR

    Sensitizationto

    METH

    enhanced

    effectsof

    IRon

    PPI

    inWT,

    butno

    tin

    KO

    mice

    F.Cathecholam

    ines

    (General)

    Klejbor

    etal.20

    06Mice,

    FGFR1-TG,M,F

    FGFR1-TG

    expressa

    dominant-negativ

    emutant

    from

    thecatecholam

    inergic,

    neuron

    -specificTH

    prom

    oter

    ↑PA,↓P

    PI

    FLUP(a

    DA

    antago

    nist,↑P

    PI)

    G.Acethylcholine(A

    Ch)

    Nicotinic

    Mice

    Bow

    erset

    al.20

    05Nicotinic

    α7-KO,M

    Evidencesugg

    estsredu

    cedα7

    expression

    inschizoph

    renia

    patients

    ∅PPI

    PPI-disrup

    tiveeffectsof

    EtOH:KO=WT

    Cui

    etal.20

    03Nicotinic

    β3-KO,M,F

    β3-subu

    nitof

    thenA

    CH

    ishigh

    lyexpressedin

    DA

    neuron

    sof

    theSN

    andVTA

    ↓PPI

    Muscarinic

    Tho

    msenet

    al.20

    07Mice,

    M5-KO,M,F

    The

    M5muscarinicACh

    receptor

    hasbeen

    implicated

    insusceptib

    ility

    toschizoph

    renia

    ↓PPI

    AMP(↓PPIin

    KO

    andWT)

    CLO(↑PP

    Iin

    KO,but

    ∅PP

    Iin

    WT;∅

    AMPin

    both

    KOand

    WT),HAL(↑PP

    Iin

    KOand

    WT;↓

    APO

    inboth

    KOand

    WT)

    H.GABA

    GABAA

    Mice

    Hauseret

    al.20

    05GABAAα5mutants,

    M,F

    The

    α5subu

    nitof

    theGABAA

    channelisstrong

    lyexpressed

    intheHPC

    ↓PPI

    Yee

    etal.20

    05GABAAα3-KO,M,F

    The

    α3-GABAAreceptor

    isthemainreceptor

    subtyp

    eexpressedby

    GABA-ergic

    neuron

    sinvo

    lved

    incontrolling

    monoaminergic

    neuron

    s

    ↓PPI

    HAL(↑PPI)

    Psychopharmacology (2008) 199:331–388 349

  • Tab

    le3

    (con

    tinued)

    References

    Species,Strain,

    Sex

    Mod

    eldescription/

    backgrou

    nd/rationale

    Basal

    PPI

    Effectsof

    drug

    stypically

    used

    toindu

    cePPIdeficits

    Effectsof

    (presumed)

    antip

    sychotics/other

    treatm

    ents

    Other

    GABA

    related

    Mice

    Chiuet

    al.20

    05GAT1-KO,M,F

    GAT1-KOsdisplaybehavioral

    abno

    rmalities

    prop

    osed

    tomod

    elsomeaspectsof

    psycho

    patholog

    y

    ↓PPI

    Heldt

    etal.20

    04GAD65

    -KO,M,F

    GAD65

    isaGABA

    synthesizing

    enzyme

    ↓PPI

    CLO

    reversed

    thePPIdeficit

    ofKO

    I.Secon

    dmessengersystem

    sMice

    Gou

    ldet

    al.20

    041;

    Kelly

    etal.20

    072

    TGwith

    aconstituitiv

    ely

    activ

    eGsα

    orTG

    with

    R(A

    B),or

    Gsα

    xPKA

    doub

    leTG

    mice,

    M,F

    R(A

    B)TG

    expressaPKA

    type

    inhibitor.G-protein

    sign

    aling

    relatedto

    thecA

    MP/PKA

    pathway

    may

    beabno

    rmal

    inschizoph

    renia

    ↓PPIin

    Gsα

    TG,bu

    t∅PPIin

    PKATG1,2

    andGsα

    xR(A

    B)

    doub

    leTG2

    HAL(↑PPIin

    Gsα

    TG,bu

    t∅PPIin

    R(A

    B)TG),ROL

    (↑PPIin

    Gsα

    TG)2

    Harrisonet

    al.20

    03LAP1,

    M,F

    LAP1isaG-protein

    coup

    led

    receptor

    with

    developm

    ental

    expression

    sugg

    estin

    garole

    inpsycho

    patholog

    y

    ↓PPI

    Koh

    etal.20

    08PLCβ1-KO,M,F

    PLCβ1may

    bealteredin

    brains

    ofschizoph

    renia

    patients

    ↓PPI

    HAL(↑PPIin

    KO,bu

    t∅PPI

    inWT)

    Shu

    met

    al.20

    05CaM

    KIV-K

    O,M

    CaM

    KIV

    isthou

    ghtto

    beinvo

    lved

    inneurop

    lasticity

    andaspectsem

    otional

    behavior

    ↓PPI(and

    ↓PA)

    vandenBuu

    seet

    al.20

    05a

    Gzα-K

    O,M

    Gzα

    isaG-protein

    oftheGi

    type

    andassociated

    with

    DA

    D2-receptors

    ∅PPI

    Sensitiv

    ityto

    thePPIdisrup

    tive

    effectsof

    AMP,

    APO

    (both:

    KO>WT)or

    DIZ

    (KO=WT)

    J.Neuropeptides

    Neurotensin

    Rats

    Cacedaet

    al.20

    05M

    Virally

    mediatedov

    erexpression

    ofNT1in

    the

    NAC

    ∅PPI

    ↓AMP,

    ↓DIZ

    Mice

    Kinkead

    etal.20

    05NTnu

    llmutants,M,F

    NTisprop

    osed

    tohave

    “end

    ogenou

    santip

    sychotic”

    prop

    erties

    ↑PA,↓P

    PI

    AMP(∅

    PPIin

    mutants,

    but↓P

    PIin

    WT)

    HAL,QUET(both∅PPIin

    mutants,bu

    t↑P

    PIin

    WT),

    CLO

    (↑PPIin

    mutantsand

    WT),OLA

    (∅PPIin

    mutants

    amdWT)

    350 Psychopharmacology (2008) 199:331–388

  • Tab

    le3

    (con

    tinued)

    References

    Species,Strain,

    Sex

    Mod

    eldescription/

    backgrou

    nd/rationale

    Basal

    PPI

    Effectsof

    drug

    stypically

    used

    toindu

    cePPIdeficits

    Effectsof

    (presumed)

    antip

    sychotics/other

    treatm

    ents

    CRF

    Mice

    Dirks

    etal.20

    021,20

    032;

    Groeninket

    al.20

    083

    TG

    CRF1

    overexpressors,M

    CRFabno

    rmalities

    may

    play

    arole

    inpsycho

    patholog

    y↓P

    PI1,2,3

    CRF1antago

    nists(↑PPIin

    TG,

    but∅PPIin

    WT),GR

    antago

    nists(∅

    PPIin

    TG

    and

    WT),adrenelectom

    y(∅

    PPIin

    TG

    andWT)3;HAL,CLO,

    RIS,bu

    tno

    tCDPallredu

    cePPIdeficitof

    TG

    relativ

    eto

    WT

    Risbrou

    ghet

    al.20

    04CRF1-KO,M

    ∅PPI

    CRF(↑PPIin

    KO,bu

    t↓P

    PI

    (and

    ↑PA)in

    WT)

    ArginineVasop

    ressin

    Egashiraet

    al.20

    05Mice,

    V1b

    -KO,M

    V1b

    playsarole

    inregu

    latio

    nof

    theph

    ysiological

    respon

    seto

    stress

    ↑PA,↓P

    PI

    CLO,RIS

    (both↑P

    PI),bu

    tHAL(∅

    PPI)

    Gastrin

    vandenBuu

    seet

    al.20

    05b

    Gastrin-K

    O,M

    Gastrin

    isapeptideho

    rmon

    e.Itisalso

    prod

    uced

    inthe

    brainandbind

    sto

    theCCK

    receptor.CCK

    interacts

    with

    DA

    inthebrain

    ∅PPI

    Sensitiv

    ityto

    thePPI-disrup

    tive

    effectsof

    AMP(K

    O<WT),

    butforAPO,D

    IZ,8-OHDPA

    T(allKO=WT)

    Neurexin

    Beglopo

    ulos

    etal.20

    05Mice,

    Nxp

    h3-K

    O,M

    Nxp

    h3isalig

    andof

    synaptic

    α-neurexins

    ↑PA,↓P

    PI

    PACAP

    Tanakaet

    al.20

    06Mice,

    Adcyap1

    -mutants

    Adcyap1

    mutantslack

    the

    gene

    encoding

    forPA

    CAP

    anddisplaymarked

    behavioral

    abno

    rmalities

    includ

    inghy

    perlocom

    otion

    andjumping

    behavior

    ↓PPI

    AMP(↑PPI)

    HAL(∅

    PPI)

    K.Other

    Wanget

    al.20

    03a,

    bMice,

    adenosine

    A2-K

    O,M

    Adeno

    sine

    may

    influence

    PPIby

    interactingwith

    the

    DA

    system

    ofthebrain

    ↓PA,↓P

    PI

    AMP(∅

    PPIin

    KO

    andWT

    (slig

    httrendtowards

    ↓PPIin

    KO,bu

    t↑P

    PIin

    WT);DIZ

    (↓PPIin

    KO

    andsomew

    hat

    morepron

    ounced

    inWT)

    Wolinskyet

    al.20

    07Mice,

    TA1-KO,M

    Trace

    amines

    have

    been

    implicated

    inschizoph

    renia

    ↓PPI

    Mice

    Gog

    oset

    al.20

    061;

    vandenBuu

    seet

    al.20

    032

    Aro-K

    O,M,M

    (castrated),F

    Genderdifferencesin

    psychiatricdisease;

    arom

    ataseconv

    erts

    testosterone

    into

    estrog

    en

    ∅PPIin

    M,castrated

    M,

    andF1;age-depend

    ent

    ↓PPIin

    M,bu

    t∅PPI

    inF(slig

    httrends

    only)2

    PPI-disrup

    tiveeffect

    of8-

    OHDPA

    T(F

    K0=FWT;

    MKO>M

    WT;enhanced

    incastratedM

    WT,

    but

    notin

    KO)1

    Psychopharmacology (2008) 199:331–388 351

  • Tab

    le3

    (con

    tinued)

    References

    Species,Strain,

    Sex

    Mod

    eldescription/

    backgrou

    nd/rationale

    Basal

    PPI

    Effectsof

    drug

    stypically

    used

    toindu

    cePPIdeficits

    Effectsof

    (presumed)

    antip

    sychotics/other

    treatm

    ents

    Weilet

    al.20

    06MT1-KO,M,F

    Melaton

    inhasbeen

    implicated

    inpsychiatricdisease

    ↓PPI

    Mice

    Petittoet

    al.20

    02a

    Dou

    bledeletio

    nof

    IL2/IL15

    Rβ-dou

    ble-

    KO,M,F

    IL2andIL15

    arecytokinesthat

    shareacommon

    β-receptor

    subu

    nit,which

    isessential

    forintracellularsign

    aling.

    Exp

    ressionlevelsarehigh

    inHPCandlim

    bicregion

    s

    ↓PA,↓P

    PI

    Petittoet

    al.20

    02b

    MRL-lpr

    substrain,

    MMRL-lpr

    micedeveloplupus-

    likeautoim

    munedisease,but

    also

    reducedIL2production.

    Schizophreniamay

    involve

    immuneprocessesof

    theCNS

    ∅PPIin

    pre-disease

    MRL-lpr,bu

    t↓P

    PI

    with

    evidence

    ofautoim

    mun

    edisease

    Mice

    Irintchevet

    al.20

    04L1or

    CHL1,

    M,F

    The

    cell-adhesion

    moleculeL1

    andits

    closeho

    molog

    ueCHL1may

    belin

    kedto

    schizoph

    renia

    ↓PPI

    Jaworskiet

    al.20

    05TIM

    P-2-K

    Oor

    knock-

    down,

    M,F

    TIM

    Pinfluenceextracellular

    matrixmolecules

    andmay

    beinvo

    lved

    inbrain

    plasticity

    andpo

    ssibly

    braindevelopm

    ent

    ↓PPIin

    KO

    when

    comparedto

    heterozygous,butnot

    knock-downorW

    Tanimals

    Pillai-N

    airet

    al.20

    05NCAM-TG,M,F

    NCAM

    iselevated

    inbrains

    from

    schizoph

    reniapatients

    ↓PPI

    CLO

    (↑PPI),HAL(∅

    PPI)

    Mice

    Brunskillet

    al.20

    051;

    Erbel-Sieleret

    al.20

    042

    Npas1-K

    O,Npas3-

    KO,M,F

    Npasisatranscriptionfactor

    high

    lyexpressedin

    developing

    neuroepithelium

    ↓PPIin

    Npas1

    2and

    Npas3

    1,2-K

    O

    Burne

    etal.20

    05Vitamin

    Dreceptor

    KO,M,F

    Vitamin

    Dcontribu

    testo

    norm

    albraindevelopm

    ent.

    ↓PPIat

    long

    PP

    intervals

    Cao

    andLi20

    02Emx1

    mutants,M,F

    Emx1

    isim

    plicated

    inforebrain

    developm

    entandbehavioral

    processes.

    (↓PPI;trendon

    ly)

    McD

    onaldet

    al.20

    01FGFR3-nu

    llmutants,

    M,F

    FGFR

    may

    contribu

    teto

    neuron

    algrow

    th,

    angiog

    enesis,mitagenesisand

    skeletal

    developm

    ent

    ↓PPI

    352 Psychopharmacology (2008) 199:331–388

  • Tab

    le3

    (con

    tinued)

    References

    Species,Strain,

    Sex

    Mod

    eldescription/

    backgrou

    nd/rationale

    Basal

    PPI

    Effectsof

    drug

    stypically

    used

    toindu

    cePPIdeficits

    Effectsof

    (presumed)

    antip

    sychotics/other

    treatm

    ents

    Miyakaw

    aet

    al.20

    03CN-m

    utants,M

    CN

    isinvo

    lved

    inneurite

    extensionandneuron

    alplasticity.C

    N-m

    utantsdisplay

    behavioral

    abno

    rmalities

    ↓PPI

    Parket

    al.20

    02CDFmutantsand

    Catna2-TG

    (of

    CDFmutants)

    CDF-m

    utantsshow

    morph

    olog

    ical

    abno

    rmalities

    intheHPCandcerebellu

    mas

    wellas

    behavioral

    abno

    rmalities.Catna2-TG

    have

    partially

    restored

    CDF

    region

    sandno

    rmal

    HPCand

    cerebellu

    mmorph

    olog

    y

    ↓PPIin

    CDF-m

    utants;

    ∅PPIin

    Catna2-TG

    Porras-Garciaet

    al.20

    05Heterozyg

    ousLurcher

    mutants,M

    Lurcher

    mutantsdisplaya

    prog

    ressiveloss

    ofPurkinje

    neuron

    s

    ↓PPI

    Yuk

    awaet

    al.20

    05STA

    T6-deficient,M

    STA

    T6isexpressedin

    the

    CTX,HPC,striatum

    (develop

    ingbrain),andbasal

    forebrain(adu

    lts).STA

    Tare

    sign

    alingmolecules

    that

    mediate

    cytokine-related

    mechanism

    s

    ↓PPI

    L.Mod

    elsforspecific

    disorders

    Fragile

    X-syn

    drome

    Human

    s+mice

    Frank

    land

    etal.20

    041;

    Spencer

    etal.20

    062

    Hum

    anchild

    renwith

    FXS,Fmr1-K

    O,

    Fmr2,or

    Fmr1+2

    doub

    leKO

    mice,

    M

    Fmr-KO

    micearepu

    tativ

    eanim

    almod

    elsof

    FXS

    ↓PPIin

    child

    renwith

    FXS1andin

    Fmr1-K

    O1,

    but∅PPIin

    Fmr1-K

    O2

    andFMR1+

    2do

    uble

    KO2

    Bon

    teko

    eet

    al.20

    02FXR2-KO,M

    FXR2isaho

    molog

    ofthe

    FMRPprotein,

    which

    islackingor

    mutated

    inFXS.

    ↓PPI

    ChenandToth20

    01FMR1-KO,M

    FMR1-gene

    encodestheFMRP

    protein,

    which

    islackingor

    mutated

    inFXS.

    ↑PPI

    Nasu-H

    asu-H

    ikaladisease

    Kaifu

    etal.20

    03Mice,

    DAP12

    -deficient,

    M,F

    DAP12

    deletio

    nslead

    tothe

    Nasu-Hikaladisease

    ↓PA,↓P

    PI

    22q11

    deletionsyndrome

    Payloret

    al.20

    06Mice,with

    chromosom

    aldeletio

    nsDf1,2,

    3,4

    or5,

    ormutations

    ofgenesTbx

    1,Gnb

    1l,

    orCdcrel1,M,F

    Chrom

    osom

    alDf1

    deletio

    nsare

    apu

    tativ

    eanim

    almod

    elof

    22q11deletio

    nsynd

    rome,

    which

    islin

    kedto

    high

    schizoph

    reniarates.Df1

    ↓PPIin

    micewith

    deletio

    nsof

    Df1,Df2,

    Df3

    andmutations

    ofTbX

    1,Gnb

    1l.∅PPIin

    micewith

    deletio

    nsof

    Psychopharmacology (2008) 199:331–388 353

  • Tab

    le3

    (con

    tinued)

    References

    Species,Strain,

    Sex

    Mod

    eldescription/

    backgrou

    nd/rationale

    Basal

    PPI

    Effectsof

    drug

    stypically

    used

    toindu

    cePPIdeficits

    Effectsof

    (presumed)

    antip

    sychotics/other

    treatm

    ents

    deletio

    nswere“behaviorally

    mapped”

    tomutations

    ofsing

    legenesviaPPI

    Df4

    orDf5,and

    mutations

    ofCdcrel1

    Huntington

    ’sdisease

    Van

    Raamsdon

    ket

    al.20

    05Mice,

    YAC12

    8HD

    patientshave

    motor-,

    cogn

    itive-andpsychiatric

    disturbances.YAC12

    8mice

    expressmutanth

    untin

    gtin

    and

    areapresum

    edanim

    almod

    elforHD

    ↓PPIin

    oldermice

    Alzheimer’s

    disease

    Mice

    Ewerset

    al.20

    06APP&PS1do

    uble-K

    O,

    M,F

    AD

    invo

    lves

    neurop

    atho

    logical

    changesin

    theHIP

    ∅PPI,bu

    tcorrelation

    betweenPPIdeficits

    andneurop

    atho

    logical

    changes

    McC

    oolet

    al.20

    03CRND8-TG,M

    CRND8-TG

    show

    over

    expression

    ofSwedish/

    Indianafamilial

    mutations

    ofAPPandan

    agedepend

    ent

    increase

    ofam

    yloid

    prod

    uctio

    n

    ↓PPI(smalleffects)

    Taniguchi

    etal.20

    05WILD

    andN27

    9Kmutants,M,F

    TAU

    mutations

    may

    play

    acausal

    role

    inform

    sof

    dementia

    andPD.N

    279K

    and

    WILD

    mutantscontaina

    mutationof

    thehu

    man

    TAU

    gene

    ↓PPIin

    N27

    9Kmutants,

    ∅PPIin

    WILD

    mutants

    IV.Develop

    mentalmod

    els

    A.Isolation/depriva

    tion

    /stress-related

    1.IsolationRearing

    Rats

    Barret

    al.20

    061;Ciliaet

    al.

    2005

    2;Day-W

    ilson

    etal.

    2006

    3;Harte

    etal.20

    074;

    Pow

    ellet

    al.20

    025,20

    036;

    Rosaet

    al.20

    057

    SD,FLH,M;

    LE,M;WI,M

    IR↓P

    PIin

    MandF,

    andall

    strains1,2,3,4,5,6,7

    Water

    deprivation(∅

    PPI)5

    Ilop

    eridon

    e(broad

    spectrum

    DA/5-H

    T/NEantago

    nist,

    maternaldep3.

    ∅PPI)1;

    compo

    undA

    (α7agon

    ist,

    ↑PPI2);DA-depletio

    nwith

    6-OHDA

    (↑PPI)6;hand

    ling

    (↑PPI)7

    Nun

    esMam

    edeRosa

    etal.20

    05WI,M

    Post-weaning

    isolation

    for10

    days

    ↑PPI(not

    reversed

    byresocialization)

    354 Psychopharmacology (2008) 199:331–388

  • Tab

    le3

    (con

    tinued)

    References

    Species,Strain,

    Sex

    Mod

    eldescription/

    backgrou

    nd/rationale

    Basal

    PPI

    Effectsof

    drug

    stypically

    used

    toindu

    cePPIdeficits

    Effectsof

    (presumed)

    antip

    sychotics/other

    treatm

    ents

    Mice

    Dai

    etal.20

    041,20

    052;

    Sakaueet

    al.20

    033;

    Varty

    etal.20

    064

    C57

    ,dd

    Y,12

    9andH1-

    KO,allM

    IR↓P

    PIin

    WTmice1,2,3;

    ↓PPI

    (C57and129micein

    atleastoneofthetwotest

    sessions)4∅PP

    Iin

    H1-

    KO2

    Sensitizationto

    AMPenhanced

    effectsof

    IRon

    PPI

    inWT1,2

    butnotin

    H1-KO2,RIS

    and

    MKC-242

    (a5H

    T1a

    agonist,

    both

    ↑PPI)3

    2.Maternal

    depriva

    tion

    Rats

    Cho

    yandvandenBuu

    se20

    07Early

    stress:MD.Later

    stress:

    implantatio

    nof

    CORTpellets

    ↓PPI(trend

    only

    inMD

    rats)

    APO

    (↓PPIin

    CTRandrats

    treatedwith

    either

    MD

    orCORT,

    but∅PPIin

    rats

    expo

    sedto

    MD

    andCORT);

    AMP(↓PPIin

    CTR,bu

    t∅PPIin

    ratse