COMPENSATORY PROCESSES MAINTAINING
FUNCTION AFTER GENE DELETION OF DA RECEPTOR SUBTYPES INDICATE NOVEL DRUG TARGETS
John L. Waddington, Royal College of
Surgeons in Ireland
Novel therapeutic targets for
schizophrenia and bipolar disorder would emerge, ideally, from increased
understanding of their pathobiology, but an alternative strategy is through
novel sites which operate in association with known therapeutic targets or
impact on other neuronal processes of putative relevance to these
conditions. In mice with targeted gene deletion [‘knockout’] of the D2
dopamine receptor, responsivity to challenge with a selective D2-like
agonist is eliminated, as expected, in the manner of an animal given a large
dose of a D2-like antagonist antipsychotic such as haloperidol; yet,
in the absence of D2-like agonist challenge, the ethogram of their
spontaneous behaviour is little altered. This suggests the operation of
compensatory non-dopaminergic processes consequent to the developmental absence
of D2 receptors which are able to regulate topographical function
under tonic, naturalistic conditions. Thus, resolution and direct
manipulation of such processes might indicate a novel, non-dopaminergic
therapeutic target. In R6/1 mice transgenic for the Huntington
gene, progressive emergence of neurologic phenotype was prevented or materially
diminished by continuous administration of essential fatty acids from
conception, without alteration in underlying pathology. This illustrates
that the functional consequences of a neuroprogressive process can be
ameliorated by an early and sustained intervention. The concept may be
relevant also for schizophrenia and bipolar disorder.