Page last updated: 2024-10-30

kynurenic acid and Schizophrenia

kynurenic acid has been researched along with Schizophrenia in 90 studies

Kynurenic Acid: A broad-spectrum excitatory amino acid antagonist used as a research tool.
kynurenic acid : A quinolinemonocarboxylic acid that is quinoline-2-carboxylic acid substituted by a hydroxy group at C-4.

Schizophrenia: A severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, HALLUCINATIONS, emotional disharmony, and regressive behavior.

Research Excerpts

ExcerptRelevanceReference
"The tryptophan catabolite (TRYCAT) pathway is implicated in the pathophysiology of schizophrenia (SCZ) since the rate-limiting enzyme indoleamine-dioxygenase (IDO) may be induced by inflammatory and oxidative stress mediators."9.22The tryptophan catabolite or kynurenine pathway in schizophrenia: meta-analysis reveals dissociations between central, serum, and plasma compartments. ( Al-Hakeim, HK; Almulla, AF; Maes, M; Solmi, M; Tunvirachaisakul, C; Vasupanrajit, A; Verkerk, R, 2022)
"The kynurenine (KYN) pathway is postulated to play various roles in immune system dysregulation of schizophrenia (SCZ)."9.12Dysregulation of kynurenine pathway and potential dynamic changes of kynurenine in schizophrenia: A systematic review and meta-analysis. ( Cao, B; Chen, Y; McIntyre, RS; Pan, Z; Ren, Z; Wang, D, 2021)
"The kynurenine pathway (KP) has been proposed as indirect link between systemic immune responses and clinical symptom development in schizophrenia spectrum disorders (SSD)."9.05Blood-based kynurenine pathway alterations in schizophrenia spectrum disorders: A meta-analysis. ( Coppens, V; De Picker, L; Kampen, JK; Morrens, M, 2020)
"The tryptophan-kynurenine pathway is of major interest in psychiatry and is altered in patients with depression, schizophrenia and panic disorder."8.12The immune-kynurenine pathway in social anxiety disorder. ( Butler, MI; Clarke, G; Cryan, JF; Dinan, TG; Long-Smith, C; Moloney, GM; Morkl, S; O'Mahony, SM, 2022)
"A number of tryptophan metabolites known to be neuroactive have been examined for their potential associations with cognitive deficits in schizophrenia."8.02Effects of neuroactive metabolites of the tryptophan pathway on working memory and cortical thickness in schizophrenia. ( Chiappelli, J; Cui, Y; Hong, LE; Huang, J; Kochunov, P; Tan, S; Tan, Y; Tian, B; Tian, L; Tong, J; Wang, Z; Yang, F; Zhang, P; Zhou, Y, 2021)
"There is evidence suggesting that tryptophan (TRP)-kynurenine (KYN) pathway dysregulation is involved in the pathophysiology of schizophrenia and is regulated by inflammatory cytokines."8.02Association of the kynurenine pathway metabolites with clinical, cognitive features and IL-1β levels in patients with schizophrenia spectrum disorder and their siblings. ( Alptekin, K; Atbaşoğlu, C; Erdağ, E; Gülöksüz, S; Hakan, MT; Küçükhüseyin, Ö; Noyan, H; Rutten, BPF; Saka, MC; Tüzün, E; Üçok, A; van Os, J; Yaylım, İ, 2021)
" The KP metabolite kynurenic acid (KYNA) is increased in the brains of people with schizophrenia."7.96Dysregulation of kynurenine metabolism is related to proinflammatory cytokines, attention, and prefrontal cortex volume in schizophrenia. ( Balzan, R; Boerrigter, D; Bruggemann, J; Galletly, C; Guillemin, GJ; Jacobs, KR; Kindler, J; Lenroot, R; Lim, CK; Liu, D; O'Donnell, M; Weickert, CS; Weickert, TW, 2020)
"Abnormalities in the kynurenine pathway (KP) of tryptophan degradation, leading to the dysfunction of neuroactive KP metabolites in the brain, have been implicated in the pathophysiology of schizophrenia (SZ)."7.88Influence of plasma cytokines on kynurenine and kynurenic acid in schizophrenia. ( Chiappelli, J; Hong, LE; Notarangelo, FM; Pocivavsek, A; Rowland, LM; Schwarcz, R; Thomas, MAR, 2018)
" Levels of kynurenic acid (KYNA) in saliva increase in response to psychological stress, and this stress-induced effect may be abnormal in people with schizophrenia."7.88Salivary kynurenic acid response to psychological stress: inverse relationship to cortical glutamate in schizophrenia. ( Chiappelli, J; Hong, LE; Jones, A; Kochunov, P; Notarangelo, FM; Pocivavsek, A; Rowland, LM; Schwarcz, R; Thomas, MAR; Wijtenburg, SA; Wisner, K, 2018)
"Deficit schizophrenia is accompanied by mucosa-associated activation of the tryptophan catabolite (TRYCAT) pathway, as indicated by increased IgA responses to noxious (NOX) TRYCATs, but not regulatory or protective (PRO) TRYCATs, suggesting increased neurotoxic, excitotoxic, inflammatory, and oxidative potential."7.88Deficit Schizophrenia Is Characterized by Defects in IgM-Mediated Responses to Tryptophan Catabolites (TRYCATs): a Paradigm Shift Towards Defects in Natural Self-Regulatory Immune Responses Coupled with Mucosa-Derived TRYCAT Pathway Activation. ( Anderson, G; Carvalho, AF; Geffard, M; Kanchanatawan, B; Maes, M; Ruxrungtham, K; Sirivichayakul, S, 2018)
"Aim & Objective: To delineate the associations between executive impairments and changes in tryptophan catabolite (TRYCAT) patterning, negative symptoms and deficit schizophrenia."7.88The Effects of Tryptophan Catabolites on Negative Symptoms and Deficit Schizophrenia are Partly Mediated by Executive Impairments: Results of Partial Least Squares Path Modeling. ( Kanchanatawan, B; Maes, M, 2018)
"Several studies suggest a pathophysiologically relevant association between increased brain levels of the neuroinhibitory tryptophan metabolite kynurenic acid and cognitive dysfunctions in people with schizophrenia."7.88Maternal genotype determines kynurenic acid levels in the fetal brain: Implications for the pathophysiology of schizophrenia. ( Beggiato, S; Giorgini, F; Notarangelo, FM; Sathyasaikumar, KV; Schwarcz, R, 2018)
"The aim of the present study was to compare blood serum kynurenic acid (KYNA) concentrations measured before ECT and after 1, 6 and 12 electroconvulsive treatment (ECT) sessions in patients with diagnoses of recurrent depressive disorder (RDD), depression in bipolar disorder (DBD) and schizoaffective disorder (SAD)."7.85Blood serum concentrations of kynurenic acid in patients diagnosed with recurrent depressive disorder, depression in bipolar disorder, and schizoaffective disorder treated with electroconvulsive therapy. ( Olajossy, B; Olajossy, M; Potembska, E; Urbańska, E; Wnuk, S, 2017)
"Several lines of evidence suggest that up-regulation of immune response and alterations of kynurenine pathway function are involved in pathogenesis of schizophrenia."7.85Correlations of Kynurenic Acid, 3-Hydroxykynurenine, sIL-2R, IFN-α, and IL-4 with Clinical Symptoms During Acute Relapse of Schizophrenia. ( Flis, M; Kandefer-Szerszeń, M; Karakuła-Juchnowicz, H; Kocki, T; Rosa, W; Szymona, K; Urbańska, EM; Zdzisińska, B, 2017)
"The levels of kynurenic acid (KYNA), an endogenous negative modulator of alpha7 nicotinic acetylcholine receptors (α7nAChRs), are elevated in the brains of patients with schizophrenia (SZ)."7.81Elevated levels of kynurenic acid during gestation produce neurochemical, morphological, and cognitive deficits in adulthood: implications for schizophrenia. ( Bortz, DM; Bruno, JP; Fredericks, PJ; Jørgensen, CV; Leuner, B; Pershing, ML; Pocivavsek, A; Schwarcz, R; Vunck, SA, 2015)
"Several lines of evidence have linked the endogenous neuromodulator kynurenic acid (KYNA) to schizophrenia."7.80Stress-induced increase in kynurenic acid as a potential biomarker for patients with schizophrenia and distress intolerance. ( Chiappelli, J; Hong, LE; Kochunov, P; Notarangelo, FM; Nugent, KL; Pocivavsek, A; Rowland, LM; Schwarcz, R, 2014)
"The formation of KYNA is determined by the availability of substrate, and hence, we analyzed KYNA and its precursors, kynurenine (KYN) and TRP, in the cerebrospinal fluid (CSF) of patients with schizophrenia."7.78Increased levels of kynurenine and kynurenic acid in the CSF of patients with schizophrenia. ( Dahl, ML; Engberg, G; Erhardt, S; Holtze, M; Linderholm, KR; Olsson, SK; Samuelsson, M; Skogh, E, 2012)
"Patients with schizophrenia show increased brain and cerebrospinal fluid (CSF) concentrations of the endogenous N-methyl-D-aspartate receptor antagonist kynurenic acid (KYNA)."7.78Kynurenine 3-monooxygenase polymorphisms: relevance for kynurenic acid synthesis in patients with schizophrenia and healthy controls. ( Agartz, I; Andreassen, OA; Engberg, G; Erhardt, S; Hall, H; Holtze, M; Jönsson, EG; Saetre, P; Schalling, M; Schwieler, L; Terenius, L; Werge, T, 2012)
"Kynurenic acid (KYNA) is an endogenous compound implicated in the pathophysiology of schizophrenia."7.75Elevated levels of kynurenic acid change the dopaminergic response to amphetamine: implications for schizophrenia. ( Andersson, AS; Engberg, G; Erhardt, S; Holtze, M; Larsson, K; Linderholm, KR; Nilsson-Todd, LK; Olsson, E; Olsson, SK; Schwieler, L, 2009)
"Previous studies have shown that endogenous brain levels of kynurenic acid (KYNA), a glutamate receptor antagonist, are elevated in patients with schizophrenia."7.73Elevated levels of kynurenic acid in the cerebrospinal fluid of male patients with schizophrenia. ( Blennow, K; Engberg, G; Erhardt, S; Karanti, A; Linderholm, KR; Lindström, LH; Nilsson, LK; Nordin, C; Paulson, L; Persson, P, 2005)
"Schizophrenia is a chronic psychotic disease burdened by cognitive deficits which hamper daily functioning causing disability and costs for society."7.01Importance of the dysregulation of the kynurenine pathway on cognition in schizophrenia: a systematic review of clinical studies. ( Bosia, M; Comai, S; Guillemin, GJ; Sapienza, J; Spangaro, M, 2023)
"Schizophrenia is a neuropsychiatric disorder characterized by various symptoms including autonomic imbalance."6.72A Potential Interface between the Kynurenine Pathway and Autonomic Imbalance in Schizophrenia. ( Büki, A; Horvath, G; Kekesi, G; Vécsei, L, 2021)
"Kynurenic acid (KYNA) is an endogenous antagonist of N-methyl-D-aspartate and α7 nicotinic acetylcholine receptors that is derived from astrocytes as part of the kynurenine pathway of tryptophan degradation."6.55Kynurenic Acid in Schizophrenia: A Systematic Review and Meta-analysis. ( Caravaggio, F; Chakravarty, MM; Chung, JK; Gerretsen, P; Graff-Guerrero, A; Iwata, Y; Kim, J; Nakajima, S; Plitman, E; Remington, G; Takeuchi, H, 2017)
"Kynurenic acid (KYNA) is a neuroactive metabolite of tryptophan formed in the brain and in the periphery, known to block ionotropic glutamate receptors and α7 nicotinic receptors, and to act as a ligand of G protein-coupled GPR35 receptors and human aryl hydrocarbon (AHR) receptors."6.53[The kynurenic acid hypothesis - a new look at etiopathogenesis and treatment of schizophrenia]. ( Flis, M; Kandefer-Szerszeń, M; Karakuła-Juchnowicz, H; Krukow, P; Morylowska-Topolska, J; Szymona, K; Urbańska, A; Urbańska, EM; Zdzisińska, B, 2016)
"Kynurenic acid (KYNA) is a metabolite of tryptophan (TRP)."5.72Increased plasma level of kynurenic acid in drug-free patients with first-episode schizophrenia compared to patients with chronic schizophrenia and healthy controls: preliminary data. ( Ding, W; Li, H; Ning, Y; Wang, R; Wu, F; Zhou, S, 2022)
"Patients with treatment-resistant schizophrenia (TRS) suffer severe, long-term psychotic symptoms and chronic stress."5.72Elevated salivary kynurenic acid levels related to enlarged choroid plexus and severity of clinical phenotypes in treatment-resistant schizophrenia. ( Chiappelli, J; Hong, LE; Huang, J; Kochunov, P; Li, Y; Tan, S; Tan, Y; Tian, B; Tian, L; Tong, J; Wang, Z; Yang, F; Zhang, P; Zhou, Y, 2022)
"The kynurenine pathway (KP) has been linked to alterations in glutamatergic and monoaminergic neurotransmission and to SZ symptomatology through the production of the metabolites quinolinic acid (QA) and kynurenic acid (KYNA)."5.62Kynurenine pathway in post-mortem prefrontal cortex and cerebellum in schizophrenia: relationship with monoamines and symptomatology. ( Afia, AB; Artuch, R; Garcia-Bueno, B; Haro, JM; Leza, JC; MacDowell, KS; Ormazabal, A; Ramos, B; Vila, È, 2021)
"Kynurenic acid is an endogenous glutamate antagonist with a preferential action at the glycine-site of the N-methyl-D-aspartate-receptor."5.34The kynurenic acid hypothesis of schizophrenia. ( Engberg, G; Erhardt, S; Linderholm, K; Nilsson, L; Schwieler, L, 2007)
"Kynurenic acid (KYNA) is an endogenous glutamate antagonist with a preferential action at the glycinesite of the N-methyl D-aspartate (NMDA)-receptor."5.32Kynurenic acid and schizophrenia. ( Engberg, G; Erhardt, S; Schwieler, L, 2003)
"Kynurenic acid is an endogenous glutamate antagonist with a preferential action at the glycine-site of the N-methyl D-aspartate-receptor."5.31Kynurenic acid levels are elevated in the cerebrospinal fluid of patients with schizophrenia. ( Blennow, K; Engberg, G; Erhardt, S; Lindström, LH; Nordin, C; Skogh, E, 2001)
"The tryptophan catabolite (TRYCAT) pathway is implicated in the pathophysiology of schizophrenia (SCZ) since the rate-limiting enzyme indoleamine-dioxygenase (IDO) may be induced by inflammatory and oxidative stress mediators."5.22The tryptophan catabolite or kynurenine pathway in schizophrenia: meta-analysis reveals dissociations between central, serum, and plasma compartments. ( Al-Hakeim, HK; Almulla, AF; Maes, M; Solmi, M; Tunvirachaisakul, C; Vasupanrajit, A; Verkerk, R, 2022)
"The kynurenine (KYN) pathway is postulated to play various roles in immune system dysregulation of schizophrenia (SCZ)."5.12Dysregulation of kynurenine pathway and potential dynamic changes of kynurenine in schizophrenia: A systematic review and meta-analysis. ( Cao, B; Chen, Y; McIntyre, RS; Pan, Z; Ren, Z; Wang, D, 2021)
"The kynurenine pathway (KP) has been proposed as indirect link between systemic immune responses and clinical symptom development in schizophrenia spectrum disorders (SSD)."5.05Blood-based kynurenine pathway alterations in schizophrenia spectrum disorders: A meta-analysis. ( Coppens, V; De Picker, L; Kampen, JK; Morrens, M, 2020)
"In schizophrenia and depression, opposite patterns of type-1 - type-2 immune response seem to be associated with differences in the activation of the enzyme indoleamine 2,3-dioxygenase (IDO) and in the tryptophan - kynurenine metabolism resulting in increased production of kynurenic acid in schizophrenia and decreased production of kynurenic acid in depression."4.84COX-2 inhibition in schizophrenia and major depression. ( Müller, N; Schwarz, MJ, 2008)
"The tryptophan-kynurenine pathway is of major interest in psychiatry and is altered in patients with depression, schizophrenia and panic disorder."4.12The immune-kynurenine pathway in social anxiety disorder. ( Butler, MI; Clarke, G; Cryan, JF; Dinan, TG; Long-Smith, C; Moloney, GM; Morkl, S; O'Mahony, SM, 2022)
"There is evidence suggesting that tryptophan (TRP)-kynurenine (KYN) pathway dysregulation is involved in the pathophysiology of schizophrenia and is regulated by inflammatory cytokines."4.02Association of the kynurenine pathway metabolites with clinical, cognitive features and IL-1β levels in patients with schizophrenia spectrum disorder and their siblings. ( Alptekin, K; Atbaşoğlu, C; Erdağ, E; Gülöksüz, S; Hakan, MT; Küçükhüseyin, Ö; Noyan, H; Rutten, BPF; Saka, MC; Tüzün, E; Üçok, A; van Os, J; Yaylım, İ, 2021)
"A number of tryptophan metabolites known to be neuroactive have been examined for their potential associations with cognitive deficits in schizophrenia."4.02Effects of neuroactive metabolites of the tryptophan pathway on working memory and cortical thickness in schizophrenia. ( Chiappelli, J; Cui, Y; Hong, LE; Huang, J; Kochunov, P; Tan, S; Tan, Y; Tian, B; Tian, L; Tong, J; Wang, Z; Yang, F; Zhang, P; Zhou, Y, 2021)
"Risks of autoimmune processes causing schizophrenia are associated with several factors: an impaired functioning of dopaminergic and glutamatergic systems in the brain, kynurenine pathway disorder with overproduction of quinolinic, anthranilic, and kynurenic acids (possibly altering both neurons and T-regulators), increased intestinal permeability, as well as food antigens' effects, stress and infections with various pathogens at different stages of ontogenesis."4.02Autoimmune Concept of Schizophrenia: Historical Roots and Current Facets. ( Butoma, BG; Churilov, LP; Gilburd, B; Mayorova, MA; Petrova, NN; Shoenfeld, Y, 2021)
" The KP metabolite kynurenic acid (KYNA) is increased in the brains of people with schizophrenia."3.96Dysregulation of kynurenine metabolism is related to proinflammatory cytokines, attention, and prefrontal cortex volume in schizophrenia. ( Balzan, R; Boerrigter, D; Bruggemann, J; Galletly, C; Guillemin, GJ; Jacobs, KR; Kindler, J; Lenroot, R; Lim, CK; Liu, D; O'Donnell, M; Weickert, CS; Weickert, TW, 2020)
"Several studies suggest a pathophysiologically relevant association between increased brain levels of the neuroinhibitory tryptophan metabolite kynurenic acid and cognitive dysfunctions in people with schizophrenia."3.88Maternal genotype determines kynurenic acid levels in the fetal brain: Implications for the pathophysiology of schizophrenia. ( Beggiato, S; Giorgini, F; Notarangelo, FM; Sathyasaikumar, KV; Schwarcz, R, 2018)
"Deficit schizophrenia is accompanied by mucosa-associated activation of the tryptophan catabolite (TRYCAT) pathway, as indicated by increased IgA responses to noxious (NOX) TRYCATs, but not regulatory or protective (PRO) TRYCATs, suggesting increased neurotoxic, excitotoxic, inflammatory, and oxidative potential."3.88Deficit Schizophrenia Is Characterized by Defects in IgM-Mediated Responses to Tryptophan Catabolites (TRYCATs): a Paradigm Shift Towards Defects in Natural Self-Regulatory Immune Responses Coupled with Mucosa-Derived TRYCAT Pathway Activation. ( Anderson, G; Carvalho, AF; Geffard, M; Kanchanatawan, B; Maes, M; Ruxrungtham, K; Sirivichayakul, S, 2018)
"Aim & Objective: To delineate the associations between executive impairments and changes in tryptophan catabolite (TRYCAT) patterning, negative symptoms and deficit schizophrenia."3.88The Effects of Tryptophan Catabolites on Negative Symptoms and Deficit Schizophrenia are Partly Mediated by Executive Impairments: Results of Partial Least Squares Path Modeling. ( Kanchanatawan, B; Maes, M, 2018)
" Levels of kynurenic acid (KYNA) in saliva increase in response to psychological stress, and this stress-induced effect may be abnormal in people with schizophrenia."3.88Salivary kynurenic acid response to psychological stress: inverse relationship to cortical glutamate in schizophrenia. ( Chiappelli, J; Hong, LE; Jones, A; Kochunov, P; Notarangelo, FM; Pocivavsek, A; Rowland, LM; Schwarcz, R; Thomas, MAR; Wijtenburg, SA; Wisner, K, 2018)
"Abnormalities in the kynurenine pathway (KP) of tryptophan degradation, leading to the dysfunction of neuroactive KP metabolites in the brain, have been implicated in the pathophysiology of schizophrenia (SZ)."3.88Influence of plasma cytokines on kynurenine and kynurenic acid in schizophrenia. ( Chiappelli, J; Hong, LE; Notarangelo, FM; Pocivavsek, A; Rowland, LM; Schwarcz, R; Thomas, MAR, 2018)
"A subgroup of individuals with mood and psychotic disorders shows evidence of inflammation that leads to activation of the kynurenine pathway and the increased production of neuroactive kynurenine metabolites."3.85Serum kynurenic acid is reduced in affective psychosis. ( Bliss, SA; Dantzer, R; Drevets, WC; Ford, BN; McMillin, JR; Morris, HM; Savitz, JB; Suzuki, H; Teague, TK; Wurfel, BE, 2017)
"Increased cytokines and kynurenic acid (KYNA) levels in cerebrospinal fluid (CSF) have been reported in patients with schizophrenia and bipolar disorder."3.85Kynurenic acid and psychotic symptoms and personality traits in twins with psychiatric morbidity. ( Bhat, M; Cannon, TD; Engberg, G; Erhardt, S; Hultman, CM; Johansson, V; Kegel, ME; Landén, M; Schuppe-Koistinen, I; Schwieler, L; Wetterberg, L, 2017)
"Several lines of evidence suggest that up-regulation of immune response and alterations of kynurenine pathway function are involved in pathogenesis of schizophrenia."3.85Correlations of Kynurenic Acid, 3-Hydroxykynurenine, sIL-2R, IFN-α, and IL-4 with Clinical Symptoms During Acute Relapse of Schizophrenia. ( Flis, M; Kandefer-Szerszeń, M; Karakuła-Juchnowicz, H; Kocki, T; Rosa, W; Szymona, K; Urbańska, EM; Zdzisińska, B, 2017)
"The aim of the present study was to compare blood serum kynurenic acid (KYNA) concentrations measured before ECT and after 1, 6 and 12 electroconvulsive treatment (ECT) sessions in patients with diagnoses of recurrent depressive disorder (RDD), depression in bipolar disorder (DBD) and schizoaffective disorder (SAD)."3.85Blood serum concentrations of kynurenic acid in patients diagnosed with recurrent depressive disorder, depression in bipolar disorder, and schizoaffective disorder treated with electroconvulsive therapy. ( Olajossy, B; Olajossy, M; Potembska, E; Urbańska, E; Wnuk, S, 2017)
"Levels of kynurenic acid (KYNA), an endogenous negative modulator of alpha 7 nicotinic acetylcholine receptors (α7nAChRs) and antagonist at glutamatergic N-methyl-D-aspartate receptors (NMDARs), are elevated in the brain of patients with schizophrenia (SZ)."3.83Prenatal kynurenine exposure in rats: age-dependent changes in NMDA receptor expression and conditioned fear responding. ( Bruno, JP; Lindquist, DH; Pershing, ML; Phenis, D; Pocivavsek, A; Schwarcz, R; Valentini, V, 2016)
"The levels of kynurenic acid (KYNA), an endogenous negative modulator of alpha7 nicotinic acetylcholine receptors (α7nAChRs), are elevated in the brains of patients with schizophrenia (SZ)."3.81Elevated levels of kynurenic acid during gestation produce neurochemical, morphological, and cognitive deficits in adulthood: implications for schizophrenia. ( Bortz, DM; Bruno, JP; Fredericks, PJ; Jørgensen, CV; Leuner, B; Pershing, ML; Pocivavsek, A; Schwarcz, R; Vunck, SA, 2015)
"Several lines of evidence have linked the endogenous neuromodulator kynurenic acid (KYNA) to schizophrenia."3.80Stress-induced increase in kynurenic acid as a potential biomarker for patients with schizophrenia and distress intolerance. ( Chiappelli, J; Hong, LE; Kochunov, P; Notarangelo, FM; Nugent, KL; Pocivavsek, A; Rowland, LM; Schwarcz, R, 2014)
"The kynurenine pathway metabolite kynurenic acid (KYNA), modulating glutamatergic and cholinergic neurotransmission, is increased in cerebrospinal fluid (CSF) of patients with schizophrenia or bipolar disorder type 1 with psychotic features."3.80The KMO allele encoding Arg452 is associated with psychotic features in bipolar disorder type 1, and with increased CSF KYNA level and reduced KMO expression. ( Backlund, L; Cichon, S; Engberg, G; Erhardt, S; Frisén, L; Landén, M; Lavebratt, C; Nikamo, P; Olsson, S; Osby, U; Priebe, L; Schalling, M; Sellgren, C; Träskman-Bendz, L; Vawter, MP, 2014)
"Patients with schizophrenia show increased brain and cerebrospinal fluid (CSF) concentrations of the endogenous N-methyl-D-aspartate receptor antagonist kynurenic acid (KYNA)."3.78Kynurenine 3-monooxygenase polymorphisms: relevance for kynurenic acid synthesis in patients with schizophrenia and healthy controls. ( Agartz, I; Andreassen, OA; Engberg, G; Erhardt, S; Hall, H; Holtze, M; Jönsson, EG; Saetre, P; Schalling, M; Schwieler, L; Terenius, L; Werge, T, 2012)
"The formation of KYNA is determined by the availability of substrate, and hence, we analyzed KYNA and its precursors, kynurenine (KYN) and TRP, in the cerebrospinal fluid (CSF) of patients with schizophrenia."3.78Increased levels of kynurenine and kynurenic acid in the CSF of patients with schizophrenia. ( Dahl, ML; Engberg, G; Erhardt, S; Holtze, M; Linderholm, KR; Olsson, SK; Samuelsson, M; Skogh, E, 2012)
"Impaired α7 nicotinic acetylcholine receptor (nAChR) function and GABAergic transmission in the hippocampus and elevated brain levels of kynurenic acid (KYNA), an astrocyte-derived metabolite of the kynurenine pathway, are key features of schizophrenia."3.78Regulation of GABAergic inputs to CA1 pyramidal neurons by nicotinic receptors and kynurenic acid. ( Albuquerque, EX; Alkondon, M; Banerjee, J; Pereira, EF, 2012)
" Kynurenic acid (KYNA), an astrocyte-derived kynurenine metabolite whose levels are increased in the brains of patients with schizophrenia, also controls the excitability of SRIs."3.77Endogenous activation of nAChRs and NMDA receptors contributes to the excitability of CA1 stratum radiatum interneurons in rat hippocampal slices: effects of kynurenic acid. ( Albuquerque, EX; Alkondon, M; Pereira, EF, 2011)
"The association between the pro-inflammatory state of schizophrenia and increased tryptophan degradation into kynurenine has been reported."3.77Reversal of imbalance between kynurenic acid and 3-hydroxykynurenine by antipsychotics in medication-naïve and medication-free schizophrenic patients. ( Kim, YK; Leonard, BE; Mueller, HH; Myint, AM; Scharpé, S; Schwarz, MJ; Steinbusch, HW; Verkerk, R; Zach, J, 2011)
"Kynurenic acid (KYNA) is an endogenous compound implicated in the pathophysiology of schizophrenia."3.75Elevated levels of kynurenic acid change the dopaminergic response to amphetamine: implications for schizophrenia. ( Andersson, AS; Engberg, G; Erhardt, S; Holtze, M; Larsson, K; Linderholm, KR; Nilsson-Todd, LK; Olsson, E; Olsson, SK; Schwieler, L, 2009)
"The upregulation of the initiating step of the kynurenine pathway was demonstrated in postmortem anterior cingulated cortex from individuals with schizophrenia and bipolar disorder."3.74Tryptophan breakdown pathway in bipolar mania. ( Kim, YK; Leonard, BE; Myint, AM; Park, SH; Scharpé, S; Steinbusch, HW; Verkerk, R, 2007)
"Previous studies have shown that endogenous brain levels of kynurenic acid (KYNA), a glutamate receptor antagonist, are elevated in patients with schizophrenia."3.73Elevated levels of kynurenic acid in the cerebrospinal fluid of male patients with schizophrenia. ( Blennow, K; Engberg, G; Erhardt, S; Karanti, A; Linderholm, KR; Lindström, LH; Nilsson, LK; Nordin, C; Paulson, L; Persson, P, 2005)
"Several lines of evidence suggest that metabolic changes in the kynurenic acid (KYNA) pathway are related to the etiology of schizophrenia."3.73Association study between kynurenine 3-monooxygenase gene and schizophrenia in the Japanese population. ( Aoyama, N; Ikeda, M; Inada, T; Ishihara, R; Iwata, N; Ji, X; Kinoshita, Y; Kitajima, T; Maeno, N; Miura, H; Ozaki, N; Saito, S; Suzuki, T; Takahashi, N; Yamanouchi, Y; Yoshida, K, 2006)
"The data demonstrate an impairment of brain kynurenine pathway metabolism in schizophrenia, resulting in elevated kynurenate levels and suggesting a possible concomitant reduction in glutamate receptor function."3.71Increased cortical kynurenate content in schizophrenia. ( Medoff, D; Rassoulpour, A; Roberts, RC; Schwarcz, R; Tamminga, CA; Wu, HQ, 2001)
"Schizophrenia is a chronic psychotic disease burdened by cognitive deficits which hamper daily functioning causing disability and costs for society."3.01Importance of the dysregulation of the kynurenine pathway on cognition in schizophrenia: a systematic review of clinical studies. ( Bosia, M; Comai, S; Guillemin, GJ; Sapienza, J; Spangaro, M, 2023)
"Schizophrenia is a neuropsychiatric disorder characterized by various symptoms including autonomic imbalance."2.72A Potential Interface between the Kynurenine Pathway and Autonomic Imbalance in Schizophrenia. ( Büki, A; Horvath, G; Kekesi, G; Vécsei, L, 2021)
"Kynurenic acid (KYNA) is an endogenous antagonist of N-methyl-D-aspartate and α7 nicotinic acetylcholine receptors that is derived from astrocytes as part of the kynurenine pathway of tryptophan degradation."2.55Kynurenic Acid in Schizophrenia: A Systematic Review and Meta-analysis. ( Caravaggio, F; Chakravarty, MM; Chung, JK; Gerretsen, P; Graff-Guerrero, A; Iwata, Y; Kim, J; Nakajima, S; Plitman, E; Remington, G; Takeuchi, H, 2017)
"Kynurenic acid (KYNA) is a neuroactive metabolite of tryptophan formed in the brain and in the periphery, known to block ionotropic glutamate receptors and α7 nicotinic receptors, and to act as a ligand of G protein-coupled GPR35 receptors and human aryl hydrocarbon (AHR) receptors."2.53[The kynurenic acid hypothesis - a new look at etiopathogenesis and treatment of schizophrenia]. ( Flis, M; Kandefer-Szerszeń, M; Karakuła-Juchnowicz, H; Krukow, P; Morylowska-Topolska, J; Szymona, K; Urbańska, A; Urbańska, EM; Zdzisińska, B, 2016)
"Patients with treatment-resistant schizophrenia (TRS) suffer severe, long-term psychotic symptoms and chronic stress."1.72Elevated salivary kynurenic acid levels related to enlarged choroid plexus and severity of clinical phenotypes in treatment-resistant schizophrenia. ( Chiappelli, J; Hong, LE; Huang, J; Kochunov, P; Li, Y; Tan, S; Tan, Y; Tian, B; Tian, L; Tong, J; Wang, Z; Yang, F; Zhang, P; Zhou, Y, 2022)
"Kynurenic acid (KYNA) is a metabolite of tryptophan (TRP)."1.72Increased plasma level of kynurenic acid in drug-free patients with first-episode schizophrenia compared to patients with chronic schizophrenia and healthy controls: preliminary data. ( Ding, W; Li, H; Ning, Y; Wang, R; Wu, F; Zhou, S, 2022)
"The kynurenine pathway (KP) has been linked to alterations in glutamatergic and monoaminergic neurotransmission and to SZ symptomatology through the production of the metabolites quinolinic acid (QA) and kynurenic acid (KYNA)."1.62Kynurenine pathway in post-mortem prefrontal cortex and cerebellum in schizophrenia: relationship with monoamines and symptomatology. ( Afia, AB; Artuch, R; Garcia-Bueno, B; Haro, JM; Leza, JC; MacDowell, KS; Ormazabal, A; Ramos, B; Vila, È, 2021)
"Only kynurenine-treated rats were impaired in acquiring the extra-dimensional shift (saline, 8."1.38Acute elevations of brain kynurenic acid impair cognitive flexibility: normalization by the alpha7 positive modulator galantamine. ( Alexander, KS; Bruno, JP; Schwarcz, R; Wu, HQ, 2012)
"Kynurenic acid is an endogenous neuroactive compound whose unbalancing is involved in the pathogenesis and progression of several neurological diseases."1.35Crystal structure of human kynurenine aminotransferase II, a drug target for the treatment of schizophrenia. ( Garavaglia, S; Montalbano, V; Rizzi, M; Rossi, F; Walsh, MA, 2008)
"Kynurenic acid (KYNA) is a tryptophan metabolite that is synthesized and released by astrocytes and acts as a competitive antagonist of the glycine site of N-methyl-D-aspartate receptors at high concentrations and as a noncompetitive antagonist of the alpha7-nicotinic acetylcholine receptor at low concentrations."1.34Elevations of endogenous kynurenic acid produce spatial working memory deficits. ( Alling, TE; Bucci, DJ; Chess, AC; Simoni, MK, 2007)
"Kynurenic acid is an endogenous glutamate antagonist with a preferential action at the glycine-site of the N-methyl-D-aspartate-receptor."1.34The kynurenic acid hypothesis of schizophrenia. ( Engberg, G; Erhardt, S; Linderholm, K; Nilsson, L; Schwieler, L, 2007)
"Kynurenic acid (KYNA) is an endogenous glutamate antagonist with a preferential action at the glycinesite of the N-methyl D-aspartate (NMDA)-receptor."1.32Kynurenic acid and schizophrenia. ( Engberg, G; Erhardt, S; Schwieler, L, 2003)
"Kynurenic acid is an endogenous glutamate antagonist with a preferential action at the glycine-site of the N-methyl D-aspartate-receptor."1.31Kynurenic acid levels are elevated in the cerebrospinal fluid of patients with schizophrenia. ( Blennow, K; Engberg, G; Erhardt, S; Lindström, LH; Nordin, C; Skogh, E, 2001)
"Kynurenic acid (KYNA) is an antagonist of ionotropic glutamate receptors, preferentially blocking the glycine-site of the N-methyl-D-aspartate (NMDA) receptor."1.31Increased phasic activity of dopaminergic neurones in the rat ventral tegmental area following pharmacologically elevated levels of endogenous kynurenic acid. ( Engberg, G; Erhardt, S, 2002)

Research

Studies (90)

TimeframeStudies, this research(%)All Research%
pre-19902 (2.22)18.7374
1990's0 (0.00)18.2507
2000's22 (24.44)29.6817
2010's41 (45.56)24.3611
2020's25 (27.78)2.80

Authors

AuthorsStudies
Afia, AB1
Vila, È1
MacDowell, KS1
Ormazabal, A1
Leza, JC1
Haro, JM1
Artuch, R1
Ramos, B1
Garcia-Bueno, B1
Büki, A1
Kekesi, G1
Horvath, G1
Vécsei, L2
Butler, MI1
Long-Smith, C1
Moloney, GM1
Morkl, S1
O'Mahony, SM1
Cryan, JF1
Clarke, G2
Dinan, TG1
Huang, J3
Zhang, P3
Zhou, Y3
Tong, J3
Cui, Y2
Tan, S3
Wang, Z3
Yang, F3
Kochunov, P5
Tian, B3
Tian, L3
Hong, LE7
Tan, Y3
Ding, W1
Wu, F1
Zhou, S1
Li, H1
Wang, R1
Ning, Y1
Steiner, J2
Dobrowolny, H1
Guest, PC2
Bernstein, HG2
Fuchs, D1
Roeser, J2
Summergrad, P2
Oxenkrug, G2
Almulla, AF1
Vasupanrajit, A1
Tunvirachaisakul, C1
Al-Hakeim, HK1
Solmi, M1
Verkerk, R3
Maes, M3
Li, Y1
Chiappelli, J5
Sakamoto, T1
Odera, K1
Onozato, M1
Sugasawa, H1
Takahashi, R1
Fujimaki, Y1
Fukushima, T1
Sapienza, J3
Spangaro, M3
Guillemin, GJ5
Comai, S3
Bosia, M3
Hare, SM1
Adhikari, BM1
Mo, C1
Chen, S1
Wijtenburg, SA2
Seneviratne, C1
Kane-Gerard, S1
Sathyasaikumar, KV3
Notarangelo, FM5
Schwarcz, R14
Kelly, DL2
Rowland, LM5
Buchanan, RW1
Wang, Y1
Fang, X1
Wang, G1
Tang, W1
Liu, S1
Yang, Y1
Chen, J1
Ling, Y1
Zhou, C1
Zhang, X1
Zhang, C1
Su, KP1
Zhu, F1
Guo, R1
Wang, W1
Ju, Y1
Wang, Q1
Ma, Q1
Sun, Q1
Fan, Y1
Xie, Y1
Yang, Z1
Jie, Z1
Zhao, B1
Xiao, L1
Yang, L1
Zhang, T1
Liu, B1
Guo, L1
He, X1
Chen, Y2
Chen, C1
Gao, C1
Xu, X1
Yang, H1
Wang, J1
Dang, Y1
Madsen, L1
Brix, S1
Kristiansen, K1
Jia, H1
Ma, X1
Zhang, Z1
Zhang, M1
Luo, Y1
Ni, X1
Lu, H1
Wen, Y1
Fan, N1
Morrens, M1
De Picker, L1
Kampen, JK1
Coppens, V1
Marx, W1
McGuinness, AJ1
Rocks, T1
Ruusunen, A1
Cleminson, J1
Walker, AJ1
Gomes-da-Costa, S1
Lane, M1
Sanches, M1
Diaz, AP1
Tseng, PT1
Lin, PY1
Berk, M1
O'Neil, A1
Jacka, F1
Stubbs, B1
Carvalho, AF2
Quevedo, J1
Soares, JC1
Fernandes, BS1
Cao, B1
Ren, Z1
Pan, Z1
McIntyre, RS1
Wang, D1
Noyan, H1
Erdağ, E1
Tüzün, E1
Yaylım, İ1
Küçükhüseyin, Ö1
Hakan, MT1
Gülöksüz, S1
Rutten, BPF1
Saka, MC1
Atbaşoğlu, C1
Alptekin, K1
van Os, J1
Üçok, A1
Noorbakhsh, A1
Hosseininezhadian Koushki, E1
Farshadfar, C1
Ardalan, N1
Mayorova, MA1
Butoma, BG1
Churilov, LP1
Gilburd, B1
Petrova, NN2
Shoenfeld, Y1
Sellgren, CM1
Imbeault, S1
Larsson, MK2
Oliveros, A1
Nilsson, IAK1
Codeluppi, S1
Orhan, F2
Bhat, M4
Tufvesson-Alm, M2
Gracias, J1
Kegel, ME3
Zheng, Y1
Faka, A1
Svedberg, M1
Powell, SB1
Caldwell, S1
Kamenski, ME1
Vawter, MP2
Schulmann, A1
Goiny, M2
Svensson, CI1
Hökfelt, T1
Schalling, M3
Schwieler, L10
Cervenka, S1
Choi, DS1
Landén, M4
Engberg, G16
Erhardt, S16
Bartoli, F1
Cioni, RM1
Callovini, T1
Cavaleri, D1
Crocamo, C1
Carrà, G1
Wurfel, BE1
Drevets, WC1
Bliss, SA1
McMillin, JR1
Suzuki, H1
Ford, BN1
Morris, HM1
Teague, TK1
Dantzer, R1
Savitz, JB1
Olajossy, M1
Olajossy, B1
Wnuk, S1
Potembska, E1
Urbańska, E1
Pocivavsek, A5
Thomas, MAR2
Jones, A1
Wisner, K1
Kanchanatawan, B2
Thiyagarajamoorthy, DK1
Arulanandam, CD1
Dahms, HU1
Murugaiah, SG1
Krishnan, M1
Rathinam, AJ1
Beggiato, S1
Giorgini, F1
Curto, M1
Lionetto, L1
Fazio, F1
Corigliano, V1
Comparelli, A1
Ferracuti, S1
Simmaco, M1
Nicoletti, F1
Baldessarini, RJ1
Kindler, J1
Lim, CK2
Weickert, CS2
Boerrigter, D1
Galletly, C1
Liu, D1
Jacobs, KR1
Balzan, R1
Bruggemann, J1
O'Donnell, M1
Lenroot, R1
Weickert, TW1
Johansson, V2
Kegel, M1
Blennow, K3
Zetterberg, H1
Cannon, TD2
Wetterberg, L2
Hultman, CM2
van der Hart, M1
Lavebratt, C1
Olsson, S1
Backlund, L1
Frisén, L1
Sellgren, C2
Priebe, L1
Nikamo, P1
Träskman-Bendz, L1
Cichon, S1
Osby, U1
Johansson, AS1
Owe-Larsson, B1
Asp, L2
Kocki, T2
Adler, M1
Hetta, J1
Gardner, R1
Lundkvist, GB1
Urbanska, EM3
Karlsson, H2
Javitt, DC1
Nugent, KL1
Zavitsanou, K1
Purves-Tyson, T1
Karl, T1
Kassiou, M1
Banister, SD1
Kozak, R1
Campbell, BM1
Strick, CA1
Horner, W1
Hoffmann, WE1
Kiss, T1
Chapin, DS1
McGinnis, D1
Abbott, AL1
Roberts, BM1
Fonseca, K1
Guanowsky, V1
Young, DA1
Seymour, PA1
Dounay, A1
Hajos, M1
Williams, GV1
Castner, SA1
Pershing, ML2
Bortz, DM1
Fredericks, PJ1
Jørgensen, CV1
Vunck, SA1
Leuner, B1
Bruno, JP5
Skogh, E3
Abdelmoaty, S1
Finn, A1
Samuelsson, M2
Lundberg, K1
Dahl, ML2
Schuppe-Koistinen, I2
Svensson, C1
Dorofeykova, MV1
Fukuda, K1
Sekine, A1
Kuroki, Y1
Urata, T1
Mori, N1
Fukuwatari, T1
Phenis, D1
Valentini, V1
Lindquist, DH1
Flis, M2
Szymona, K2
Morylowska-Topolska, J1
Urbańska, A1
Krukow, P1
Kandefer-Szerszeń, M2
Zdzisińska, B2
Karakuła-Juchnowicz, H2
Shovestul, BJ1
Glassman, M1
McMahon, RP1
Liu, F1
Plitman, E1
Iwata, Y1
Caravaggio, F1
Nakajima, S1
Chung, JK1
Gerretsen, P1
Kim, J1
Takeuchi, H1
Chakravarty, MM1
Remington, G1
Graff-Guerrero, A1
Rosa, W1
Sirivichayakul, S1
Ruxrungtham, K1
Geffard, M1
Anderson, G1
Müller, N3
Schwarz, MJ5
Holtze, M4
Olsson, SK3
Andersson, AS1
Linderholm, KR3
Nilsson-Todd, LK1
Olsson, E1
Larsson, K1
Zmarowski, A1
Wu, HQ4
Brooks, JM1
Potter, MC1
Pellicciari, R2
Pereira, EF3
Albuquerque, EX3
Fülöp, F1
Szatmári, I1
Vámos, E1
Zádori, D1
Toldi, J1
Akagbosu, CO1
Evans, GC1
Gulick, D1
Suckow, RF1
Bucci, DJ2
Myint, AM4
Mueller, HH1
Zach, J1
Scharpé, S2
Steinbusch, HW2
Leonard, BE2
Kim, YK2
Alkondon, M2
Saetre, P1
Werge, T1
Andreassen, OA1
Hall, H1
Terenius, L1
Agartz, I1
Jönsson, EG2
Wonodi, I1
Stine, OC1
Roberts, RC2
Mitchell, BD1
Kajii, Y1
Thaker, GK1
Alexander, KS1
Banerjee, J1
Möller, M1
Du Preez, JL1
Harvey, BH1
Carlborg, A1
Jokinen, J1
Nordström, P1
Krause, D1
Weidinger, E1
BENASSI, CA1
ALLEGRI, G1
BENASSI, P1
RABASSINI, A1
Nilsson, LK1
Paulson, L1
Lindström, LH2
Nordin, C2
Karanti, A1
Persson, P1
Miller, CL1
Llenos, IC1
Dulay, JR1
Weis, S1
Aoyama, N1
Takahashi, N1
Saito, S1
Maeno, N1
Ishihara, R1
Ji, X1
Miura, H1
Ikeda, M1
Suzuki, T1
Kitajima, T1
Yamanouchi, Y1
Kinoshita, Y1
Yoshida, K1
Iwata, N1
Inada, T1
Ozaki, N1
Chess, AC1
Simoni, MK1
Alling, TE1
Park, SH1
Hunter, CA1
Nilsson, L1
Linderholm, K1
Miüller, N1
Han, Q1
Robinson, H1
Li, J1
Rossi, F1
Garavaglia, S1
Montalbano, V1
Walsh, MA1
Rizzi, M1
Ravikumar, A1
Deepadevi, KV1
Arun, P1
Manojkumar, V1
Kurup, PA1
Stone, TW1
Rassoulpour, A1
Medoff, D1
Tamminga, CA1
Payne, IR1
Walsh, EM1
Whittenburg, EJ1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Longitudinal Study of Inflammatory Pathways in Depression[NCT04159207]160 participants (Anticipated)Observational2019-10-01Recruiting
Vortioxetine Monotherapy for Major Depressive Disorder in Type 2 Diabetes: Role of Inflammation, Kynurenine Pathway, and Structural and Functional Brain Connectivity as Biomarkers[NCT03580967]Phase 40 participants (Actual)Interventional2019-07-01Withdrawn (stopped due to COVID-19 Pandemic interfered with Pt recruitment)
Pilot Study of Glycine Augmentation in Carriers of a Mutation in the Gene Encoding Glycine Decarboxylase[NCT01720316]Phase 22 participants (Actual)Interventional2012-12-10Completed
Targeting a Genetic Mutation in Glycine Metabolism With D-cycloserine[NCT02304432]Early Phase 12 participants (Actual)Interventional2015-09-27Completed
The Effects of Glycine Transport Inhibition on Brain Glycine Concentration[NCT00538070]68 participants (Actual)Interventional2007-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Auditory Evoked Potentials - P50 Ratio (P50 S2/P50 S1 Amplitude) at 1) BASELINE - Pre-glycine Treatment and 2) IN WEEK 6 OF GLYCINE TREATMENT

Auditory evoked potentials amplitude: P50 ratio (S2/S1). Participants were assessed at baseline and in week 6 of open-label glycine treatment. (NCT01720316)
Timeframe: Recordings at baseline and week 6 of glycine

Interventionratio (Number)
Auditory ERPs Amplitude (Deg) Baseline: Subject 244.51
Auditory ERPs Amplitude (Deg) 6 Weeks of Glycine: Subject 235.67

Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts) at 1) BASELINE - Pre-glycine Treatment and 2) IN WEEK 6 OF GLYCINE TREATMENT

Auditory evoked potentials amplitude: P300 at fz, cz, and pz; N100 at fz and cz; P200 at fz and cz; P50 S1 and S2 amplitude; mismatch negativity (MMN) at fz and cz. Participants were assessed at baseline and in week 6 of open-label glycine treatment. (NCT01720316)
Timeframe: Recordings at baseline and week 6 of glycine

,
Interventionmicrovolts (Number)
P300 amplitude at fzP300 amplitude at czP300 amplitude at pzN100 amplitude at fzN100 amplitude at czP200 amplitude at fzP200 amplitude at czP50 S1 amplitudeP50 S2 amplitudeMMN amplitude at fzMMN amplitude at cz
Auditory ERPs Amplitude (Deg) 6 Weeks of Glycine: Subject 23.746.65.57-4.71-3.896.297.82.20.78-1.004-1.322
Auditory ERPs Amplitude (Deg) Baseline: Subject 2-0.6356.535.34-3.93-3.621.6626.592.761.23-3.356-4.13

Auditory Evoked Potentials in Gammas Oscillations (the Power Spectrum is Measured in Microvolts Squared) at 1) BASELINE - Pre-glycine Treatment and 2) IN WEEK 6 OF GLYCINE TREATMENT

Auditory evoked potentials gamma: G40 hz phase locking at fz and cz; G20 hz phase locking response at fz and cz G30 hz phase locking response at fz and cz. Participants were assessed at baseline and in week 6 of open-label glycine treatment. (NCT01720316)
Timeframe: Recordings at baseline and week 6 of glycine

,
Interventionmicrovolts squared (Number)
G40 fzG40 czG20 fzG20 czG30 fzG30 cz
Auditory ERPs Gamma 6 Weeks of Glycine: Subject 20.2550.290.1070.1080.1770.242
Auditory ERPs Gamma Baseline: Subject 20.1350.1680.0230.030.190.163

Auditory Evoked Potentials in Latency (Msec) at BASELINE - Pre-glycine Treatment and 2) IN WEEK 6 OF TREATMENT WITH GLYCINE

Auditory evoked potentials latency: P300 at fz, cz, and pz); N100 at fz and cz); P200 at fz and cz. Participants were assessed at baseline and in week of open-label glycine treatment. (NCT01720316)
Timeframe: Recordings at baseline and week 6 of glycine

,
Interventionmsec (Number)
P300 latency at fzP300 latency at czP300 latency at pzN100 latency at fzN100 latency at czP200 latency at fzP200 latency at cz
Auditory ERPs Latency (ms) 6 Weeks of Glycine: Subject 2300.78293294.929494205203
Auditory ERPs Latency (ms) Baseline: Subject 2279.3279.3279.397.6691.8197.27193.4

Brain GABA Metabolite Levels (GABA/Creatine Ratio: GABA/Cr) at 1) BASELINE - Pre-glycine Treatment and 2) IN WEEK 6 OF GLYCINE TREATMENT

Magnetic resonance spectroscopy GABA/Cr. Participants were assessed 1) pre-glycine treatment (baseline) and 2) in week 6 of open-label glycine treatment measured in posterior occipital cortex. (NCT01720316)
Timeframe: Baseline and week 6 of glycine

,
Interventionratio (Number)
Baseline GABA/CrWeek 6 of glycine tx GABA/Cr
Subject1: Brain GABA/CR Ratio- Baseline/Week 6 of Glycine0.160.22
Subject2: Brain GABA/CR Ratio- Baseline/Week 6 of Glycine0.270.24

Brain Glutamate Metabolite Levels (Glutamate/Creatine Ratio: Glu/Cr) at 1) BASELINE - Pre-glycine Treatment and 2) IN WEEK 6 OF GLYCINE TREATMENT

magnetic resonance spectroscopy - glutamate metabolite level. Participants were assessed 1) pre-glycine treatment and in week 6 of open-label glycine treatment. Measured in posterior occipital cortex. (NCT01720316)
Timeframe: baseline and week 6 of glycine

,
Interventionratio (Number)
Baseline brain glutamate/Cr ratioWeek 6 brain glutamate/Cr ratio
Subject1: Brain Glutamate/CR Ratio- Baseline/Week 6 of Glycine0.980.84
Subject2: Brain Glutamate/CR Ratio- Baseline/Week 6 of Glycine2.0531.13

Brain Glycine/CR Ratio

magnetic resonance spectroscopy: glycine/creatine ratio. Participants were assessed at 1) BASELINE PRE-GLYCINE TREATMENT: pre-glycine challenge drink, 60 minutes post challenge drink, 80 minutes post challenge drink, 100 minutes post challenge drink, and 120 minutes post challenge drink (0.4 g/kg up to max of 30 g); and 2) IN WEEK 6 OF OPEN-LABEL GLYCINE TREATMENT: pre-glycine dose, and 60 minutes, 80 minutes, 100 minutes and 120 minutes post daily dose of glycine. Measured in posterior occipital cortex (NCT01720316)
Timeframe: baseline (pre-challenge, 60, 80, 100, 120 minutes post-challenge), and week 6 of glycine (pre-dose and 60, 80, 100, 120 minutes post-dose

,
Interventionratio (Number)
Baseline - pre-challenge drinkBaseline 60 minutes post challenge drinkBaseline 80 minutes post challenge drinkBaseline 100 minutes post challenge drinkBaseline 120 minutes post challenge drinkWeek 6 of glycine - pre-glycine doseWeek 6 of glycine - 60 minutes post glycine doseWeek 6 of glycine - 80 minutes post glycine doseWeek 6 of glycine - 100 minutes post glycine doseWeek 6 of glycine - 120 minutes post glycine dose
Subject 2:Brain Glycine/CR Ratio at Baseline/Week 6 of Glycine0.56910.39180.64280.63630.95590.32350.38070.55910.41420.3545
Subject1: Brain Glycine/CR Ratio at Baseline/Week 6 of Glycine0.25580.61570.66310.59380.69530.65730.29830.45770.57510.3842

Brief Psychiatric Rating Scale (BPRS) Scores at Baseline and at 2 Weeks, 4 Weeks, and 6 Weeks Positive and Negative Symptom Scores at Baseline and at 2, 4, and 6 Weeks During Intervention 1, Intervention 2, and During Open-label Glycine

Total BPRS score measures severity of 18 psychiatric symptoms. Each symptom is scored 1-7 with the total score ranging from 18-126. 18 means no symptoms and 126 means very severe symptoms. (NCT01720316)
Timeframe: baseline and at 2 weeks, 4 weeks, and 6 weeks within and after each treatment period

,
Interventionunits on a scale (Number)
BPRS at baselineBPRS at 2 weeks intervention 1BPRS at 4 weeks intervention 1BPRS at 6 weeks intervention 1BPRS, end of washout1BPRS at 2 weeks intervention 2BPRS at 4 weeks intervention 2BPRS at 6 weeks intervention 2BPRS, end of washout2BPRS at 2 weeks open labelBPRS at 4 weeks open labelBPRS at 6 weeks open labelBPRS, end of washout3
Glycine, Then Placebo39383221223731373223222119
Placebo, Then Glycine46383928343220232420181923

Clinical Global Impression (CGI) Severity Scores at Baseline and at 2 Weeks, 4 Weeks, and 6 Weeks Within Each Treatment Period

Clinical Global Impression (CGI) severity scores measure severity of mental illness on a scale of 1-7 where 1 means normal, not at all ill, 2 means borderline mentally ill, 3 means mildly ill, 4 means moderately ill, 5 means markedly ill, 6 means severely ill and 7 means among the most extremely ill patients. (NCT01720316)
Timeframe: CGI at baseline and at 2 weeks, 4 weeks, and 6 weeks per treatment period

,
Interventionunits on a scale (Number)
CGI severity score at baselineCGI severity score at 2 weeks intervention 1CGI severity score at 4 weeks intervention 1CGI severity score at 6 weeks intervention 1CGI severity score, end of washout1CGI severity score at 2 weeks intervention 2CGI severity score at 4 weeks intervention 2CGI severity score at 6 weeks intervention 2CGI severity score, end of washout2CGI severity score at 2 weeks open labelCGI severity score at 4 weeks open labelCGI severity score at 6 weeks open labelCGI severity score, end of washout3
Glycine, Then Placebo4432244443322
Placebo, Then Glycine4444444333322

Clinical Global Impression (CGI) Therapeutic Effect Scores at 2 Weeks, 4 Weeks, and 6 Weeks Within Each Treatment Period

Clinical Global Impression (CGI) therapeutic effect scores measure degree of improvement as marked (1), moderate (5), minimal (9) or unchanged/worse (13). (NCT01720316)
Timeframe: at 2 weeks, 4 weeks, and 6 weeks within each treatment period

,
Interventionscore (Number)
CGI therapeutic effect at 2 weeks intervention 1CGI therapeutic effect at 4 weeks intervention 1CGI therapeutic effect at 6 weeks intervention 1CGI therapeutic effect, end of washout1CGI therapeutic effect at 2 weeks intervention 2CGI therapeutic effect at 4 weeks intervention 2CGI therapeutic effect at 6 weeks intervention 2CGI therapeutic effect, end of washout2CGI therapeutic effect at 2 weeks open labelCGI therapeutic effect at 4 weeks open labelCGI therapeutic effect at 6 weeks open labelCGI therapeutic effect, end of washout3
Glycine, Then Placebo13555131313135511
Placebo, Then Glycine5555135551111

Depression Symptom Scores at Baseline and at 2 Weeks, 4 Weeks, and 6 Weeks Within Each Treatment Period

Hamilton Depression Scale measures severity of depression symptoms. The sum of ratings for 9 depression symptoms are measured on a scale from 0-2 with 0 meaning no symptoms and 2 meaning some level of severity of that specific symptom. The rating for 1 depression symptom is measured on a scale from 0-3 with 0 meaning no symptoms and 3 meaning a severe level of that specific symptom. The sum of ratings for 11 depression symptoms are measured on a scale from 0-4 with 0 meaning no symptoms and 4 meaning a severe level of that specific symptom. The three sums are added to produce an overall depression rating scale score ranging from 0-65. (NCT01720316)
Timeframe: baseline and at 2 weeks, 4 weeks, and 6 weeks within each treatment period

,
Interventionunits on a scale (Number)
Depression symptoms at baselineDepression symptoms at 2 weeks intervention 1Depression symptoms at 4 weeks intervention 1Depression symptoms at 6 weeks intervention 1Depression symptoms, end of washout1Depression symptoms at 2 weeks intervention 2Depression symptoms at 4 weeks intervention 2Depression symptoms at 6 weeks intervention 2Depression symptoms, end of washout2Depression symptoms at 2 weeks open labelDepression symptoms at 4 weeks open labelDepression symptoms at 6 weeks open labelDepression symptoms, end of washout3
Glycine, Then Placebo18171131195732212
Placebo, Then Glycine12550332111110

Glycine Plasma Amino Acid Levels at Baseline, During Glycine Treatment, During Placebo Treatment and During Open-label Glycine

Plasma glycine levels; normal range is 122-467 nM/mL (NCT01720316)
Timeframe: At baseline, during glycine treatment, during placebo treatment and during open-label glycine

,
InterventionnM/mL (Number)
BaselineGlycine double-blindPlaceboGlycine open-label
Glycine Then Placebo216410194516
Placebo Then Glycine271761347634

Mania Symptom Scores at Baseline and at 2 Weeks, 4 Weeks, and 6 Weeks Within Each Treatment Period

Young Mania Rating Scale (YMRS) measures severity of manic symptoms. The sum of ratings for 7 symptoms of mania is measured on a scale from 0-4 and the sum of 4 symptoms of mania is measured on a scale from 0-8 to yield a total score ranging from 0-60, with 0 meaning no manic symptoms and 60 meaning severe manic symptoms. (NCT01720316)
Timeframe: baseline and at 2 weeks, 4 weeks, and 6 weeks within each treatment period

,
Interventionunits on a scale (Number)
Manic symptoms at baselineManic symptoms at 2 weeks intervention 1Manic symptoms at 4 weeks intervention 1Manic symptoms at 6 weeks intervention 1Manic symptoms, end of washout1Manic symptoms at 2 weeks intervention 2Manic symptoms at 4 weeks intervention 2Manic symptoms at 6 weeks intervention 2Manic symptoms, end of washout2Manic symptoms at 2 weeks open labelManic symptoms at 4 weeks open labelManic symptoms at 6 weeks open labelManic symptoms, end of washout3
Glycine, Then Placebo41000170221000
Placebo, Then Glycine7760000000000

Neurocognitive Function at Baseline, During Glycine Treatment, During Placebo Treatment and During Open-label Glycine

Scores on each of 8 domains of cognitive function (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning/problem solving, social cognition, overall composite). Scores are T scores ranging from 0-100, with 50 representing the mean for a population based on a normal distribution; standard deviation of 10. Only overall composite score is entered. (NCT01720316)
Timeframe: At baseline, during glycine treatment, during placebo treatment and during open-label glycine

,,,
Interventionunits on a scale (Number)
Participant 1Participant 2
Baseline4548
Composite Score on Glycine, Double-blind5252
Composite Score on Glycine, Open-label4946
Composite Score on Placebo5255

Positive and Negative Symptom Scores at Baseline and at 2 Weeks, 4 Weeks, and 6 Weeks During Intervention 1 (Glycine or Placebo), Intervention 2 (Glycine or Placebo), and During Open-label Glycine

Positive and Negative Symptom Scale (PANSS) measures positive and negative symptoms of schizophrenia. The sum of ratings for seven positive symptoms are measured on a scale from 7-49 with 7 meaning no symptoms and 49 meaning severe symptoms. (NCT01720316)
Timeframe: baseline and at 2 weeks, 4 weeks, and 6 weeks within each treatment period and after each treatment period

,
Interventionunits on a scale (Number)
Positive symptoms at baselinePositive symptoms at 2 weeks intervention 1Positive symptoms at 4 weeks intervention 1Positive symptoms at 6 weeks intervention 1Positive symptoms, end of washout1Positive symptoms at 2 weeks intervention 2Positive symptoms at 4 weeks intervention 2Positive symptoms at 6 weeks intervention 2Positive symptoms, end of washout2Positive symptoms at 2 weeks open labelPositive symptoms at 4 weeks open labelPositive symptoms at 6 weeks open labelPositive symptoms, end of washout3
Glycine, Then Placebo1312987121114149977
Placebo, Then Glycine1920191313121011118788

Auditory Evoked Potentials - P50 Ratio (P50 S2/S1) (Amplitude)

Auditory evoked potential amplitude: P50 ratio (P50 S2/S1) (NCT02304432)
Timeframe: Baseline and Week 8 of DCS treatment

Interventionratio (Number)
P50 ratio: BaselineP50 ratio: Week 8 of DCS
First Open Label DCS44.5130

Auditory Evoked Potentials in Amplitude (Degrees Measured in Microvolts)

Auditory evoked potential amplitude: P300 at fz, cz, and pz; N100 at fz and cz; P200 at fz and cz; P50 S1 and S2; mismatch negativity (MMN) at fz and cz. (NCT02304432)
Timeframe: Baseline and Week 8 of DCS treatment

Interventionmicrovolts (Number)
P300 at fz: BaselineP300 at cz: BaselineP300 at pz: BaselineN100 at fz: BaselineN100 at cz: BaselineP200 at fz: BaselineP200 at cz: BaselineP50 S1: BaselineP50 S2: BaselineMMN at fz: BaselineMMN at cz: BaselineP300 at fz: Week 8 of DCSP300 at cz: Week 8 of DCSP300 at pz: Week 8 of DCSN100 at fz: Week 8 of DCSN100 at cz: Week 8 of DCSP200 at fz: Week 8 of DCSP200 at cz: Week 8 of DCSP50 S1: Week 8 of DCSP50 S2: Week 8 of DCSMMN at fz: Week 8 of DCSMMN at cz: Week 8 of DCS
First Open Label DCS-0.6356.5295.340-3.926-3.6151.6626.5912.7591.23-3.356-4.1303.0306.8106.620-3.260-3.9408.2008.1601.360.4-3.330-1.540

Auditory Evoked Potentials in Gamma Oscillations (the Power Spectrum is Measured in Microvolts Squared)

Auditory evoked potential gamma: G40 hz phase locking at fz and cz; G30 hz phase locking at fz and cz; G20 hz phase locking at fz and cz (NCT02304432)
Timeframe: Baseline and Week 8 of DCS treatment

Interventionmicrovolts squared (Number)
G40 hz phase locking at fz: BaselineG40 hz phase locking at cz: BaselineG30 hz phase locking at fz: BaselineG30 hz phase locking at cz: BaselineG20 hz phase locking at fz: BaselineG20 hz phase locking at cz: BaselineG40 hz phase locking at fz: Week 8 of DCSG40 hz phase locking at cz: Week 8 of DCSG30 hz phase locking at fz: Week 8 of DCSG30 hz phase locking at cz: Week 8 of DCSG20 hz phase locking at fz: Week 8 of DCSG20 hz phase locking at cz: Week 8 of DCS
First Open Label DCS0.1350.1680.1900.1630.0230.0300.3440.3810.1680.190.01-0.01

Auditory Evoked Potentials in Latency (Msec)

Auditory evoked potential latency: P300 at fz, cz, and pz; N100 at fz and cz; P200 at fz and cz. (NCT02304432)
Timeframe: Baseline and Week 8 of DCS treatment

Interventionmsec (Number)
P300 at fz: BaselineP300 at cz: BaselineP300 at pz: BaselineN100 at fz: BaselineN100 at cz: BaselineP200 at fz: BaselineP200 at cz: BaselineP300 at fz: Week 8 of DCSP300 at cz: Week 8 of DCSP300 at pz: Week 8 of DCSN100 at fz: Week 8 of DCSN100 at cz: Week 8 of DCSP200 at fz: Week 8 of DCSP200 at cz: Week 8 of DCS
First Open Label DCS279.297279.297279.29797.65691.797197.266193.359294.920294.00029487.988.000212.890212.000

Brain Glycine/CR Ratio

Proton magnetic resonance spectroscopy at 4T: brain glycine/CR ratio. Participants were assessed at baseline (pre-glycine challenge dose and 60, 80, 100 and 120 minutes post glycine dose) and in week 8 of of open-label DCS treatment: pre-DCS dose, and 60, 80, 100 and 120 minutes post DCS dose. Measured in posterior occipital cortex. (NCT02304432)
Timeframe: Baseline and Week 8 of DCS treatment

Interventionratio (Median)
BaselineBaseline at 60 minutesBaseline at 80 minutesBaseline at 100 minutesBaseline at 120 minutesWeek 8 of DCS: BaselineWeek 8 of DCS: 60 minutesWeek 8 of DCS: 80 minutesWeek 8 of DCS: 100 minutesWeek 8 of DCS: 120 minutes
Open Label DCS0.412450.503750.652950.615050.82560.109770.2488850.326090.320520.312155

Brief Psychiatric Rating Scale (BPRS) Scores

Total BPRS score measures severity of 18 psychiatric symptoms. Each symptom is scored 1-7 with the total score ranging from 18-126. 18 means no symptoms and 126 means very severe symptoms. (NCT02304432)
Timeframe: Baseline & at 2, 4, 6 & 8 Weeks during open-label phase 1 and every 2 weeks up to 24 weeks during open label phase 2

,
Interventionunits on a scale (Median)
Baseline BPRS2 weeks BPRS4 weeks BPRS6 weeks BPRS8 weeks BPRS10 weeks BPRS12 weeks BPRS14 weeks BPRS16 weeks BPRS18 weeks BPRS20 weeks BPRS22 weeks BPRS24 weeks BPRS
First Open Label DCS3725262424.5NANANANANANANANA
Second Open Label DCS31.530.52825.52626.52625.528.5272524.526.5

Brief Psychiatric Rating Scale (BPRS) Scores

Total BPRS score measures severity of 18 psychiatric symptoms. Each symptom is scored 1-7 with the total score ranging from 18-126. 18 means no symptoms and 126 means very severe symptoms. (NCT02304432)
Timeframe: Baseline, 2, 4, & 6 weeks (crossover periods)

,
Interventionunits on a scale (Number)
Baseline BPRS for first intervention2 weeks BPRS for first intervention4 weeks BPRS for first intervention6 weeks BPRS for first interventionBaseline BPRS for second intervention2 weeks BPRS for second intervention4 weeks BPRS for second intervention6 weeks BPRS for second intervention
DCS First, Then Placebo2625252639454538
Placebo First, Then DCS2935333536302728

Clinical Global Impression (CGI) Severity Scores

CGI severity scores measure severity of mental illness on a scale of 1-7 where 1 means normal, not at all ill, 2 means borderline mentally ill, 3 means mildly ill, 4 means moderately ill, 5 means markedly ill, 6 means severely ill and 7 means among the most extremely ill patients. (NCT02304432)
Timeframe: Baseline & at 2, 4, 6 & 8 Weeks during open-label phase 1 and every 2 weeks up to 24 weeks during open label phase 2

,
Interventionunits on a scale (Median)
Baseline CGI2 weeks CGI4 weeks CGI6 weeks CGI8 weeks CGI10 weeks CGI12 weeks CGI14 weeks CGI16 weeks CGI18 weeks CGI20 weeks CGI22 weeks CGI24 weeks CGI
First Open Label DCS42222NANANANANANANANA
Second Open Label DCS2.52.52.52.52.532.522.52.52.52.52.5

Clinical Global Impression (CGI) Severity Scores

CGI severity scores measure severity of mental illness on a scale of 1-7 where 1 means normal, not at all ill, 2 means borderline mentally ill, 3 means mildly ill, 4 means moderately ill, 5 means markedly ill, 6 means severely ill and 7 means among the most extremely ill patients. (NCT02304432)
Timeframe: Baseline, 2, 4, & 6 weeks (crossover periods)

,
Interventionunits on a scale (Number)
Baseline CGI for first intervention2 weeks CGI for first intervention4 weeks CGI for first intervention6 weeks CGI for first interventionBaseline CGI for second intervention2 weeks CGI for second intervention4 weeks CGI for second intervention6 weeks CGI for second intervention
DCS First, Then Placebo22223333
Placebo First, Then DCS13333222

Depression Symptom Scores

Hamilton Depression Scale (HAM) measures severity of depression symptoms. The sum of the ratings for 9 depression symptoms is measured on a scale of 0-2 with 0 meaning no depression symptoms and 2 meaning some level of severity of that specific symptom. The rating for one depression symptom is measured on a scale of 0-3 with 0 meaning no depression symptoms and 3 meaning a severe level of that specific symptom. The sum of ratings for 11 depression symptoms is measured on a scale of 0-4, with 0 meaning no symptoms and 4 meaning a severe level of that specific symptom. The three sums are added to produce an overall depression rating scale score ranging from 0-65. Higher scores indicate worse depression symptoms. (NCT02304432)
Timeframe: Baseline & at 2, 4, 6 & 8 Weeks during open-label phase 1 and every 2 weeks up to 24 weeks during open label phase 2

,
Interventionunits on a scale (Median)
Baseline HAM2 weeks HAM4 weeks HAM6 weeks HAM8 weeks HAM10 weeks HAM12 weeks HAM14 weeks HAM16 weeks HAM18 weeks HAM20 weeks HAM22 weeks HAM24 weeks HAM
First Open Label DCS51.510.51.5NANANANANANANANA
Second Open Label DCS0.51102.50003.50000

Depression Symptom Scores

Hamilton Depression Scale (HAM) measures severity of depression symptoms. The sum of the ratings for 9 depression symptoms is measured on a scale of 0-2 with 0 meaning no depression symptoms and 2 meaning some level of severity of that specific symptom. The rating for one depression symptom is measured on a scale of 0-3 with 0 meaning no depression symptoms and 3 meaning a severe level of that specific symptom. The sum of ratings for 11 depression symptoms is measured on a scale of 0-4, with 0 meaning no symptoms and 4 meaning a severe level of that specific symptom. The three sums are added to produce an overall depression rating scale score ranging from 0-65. Higher scores indicate worse depression symptoms. (NCT02304432)
Timeframe: Baseline, 2, 4, & 6 weeks (crossover periods)

,
Interventionunits on a scale (Number)
Baseline HAM for first intervention2 weeks HAM for first intervention4 weeks HAM for first intervention6 weeks HAM for first interventionBaseline HAM for second intervention2 weeks HAM for second intervention4 weeks HAM for second intervention6 weeks HAM for second intervention
DCS First, Then Placebo010021292
Placebo First, Then DCS452100000

Mania Symptom Scores

Young Mania Rating Scale (YMRS) measures severity of manic symptoms. The sum of the ratings for 7 symptoms of mania is measured on a scale of 0-4 and the sumof 4 symptoms of mania is measured on a scale of 0-8 to yield a total score ranging from 0-60, with 0 meaning no manic symptoms and 60 meaning severe manic symptoms. (NCT02304432)
Timeframe: Baseline & at 2, 4, 6 & 8 Weeks during open-label phase 1 and every 2 weeks up to 24 weeks during open label phase 2

,
Interventionunits on a scale (Median)
Baseline YMRS2 weeks YMRS4 weeks YMRS6 weeks YMRS8 weeks YMRS10 weeks YMRS12 weeks YMRS14 weeks YMRS16 weeks YMRS18 weeks YMRS20 weeks YMRS22 weeks YMRS24 weeks YMRS
First Open Label DCS21100NANANANANANANANA
Second Open Label DCS0000000000001

Mania Symptom Scores

Young Mania Rating Scale (YMRS) measures severity of manic symptoms. The sum of the ratings for 7 symptoms of mania is measured on a scale of 0-4 and the sumof 4 symptoms of mania is measured on a scale of 0-8 to yield a total score ranging from 0-60, with 0 meaning no manic symptoms and 60 meaning severe manic symptoms. (NCT02304432)
Timeframe: Baseline, 2, 4, & 6 weeks (crossover periods)

,
Interventionunits on a scale (Number)
Baseline YMRS for first intervention2 weeks YMRS for first intervention4 weeks YMRS for first intervention6 weeks YMRS for first interventionBaseline YMRS for second intervention2 weeks YMRS for second intervention4 weeks YMRS for second intervention6 weeks YMRS for second intervention
DCS First, Then Placebo00000000
Placebo First, Then DCS10004111

Neurocognitive Function

Scores on each of 8 domains of cognitive function (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning/problem solving, social cognition, overall composite). Scores are T scores ranging from 0-100, with 50 representing the mean for a population based on a normal distribution, standard deviation of 10. Higher scores signify better functioning. (NCT02304432)
Timeframe: Baseline and Week 8 of open-label DCS treatment

InterventionT scores (Median)
Baseline Processing SpeedBaseline Attention/VigilanceBaseline Working MemoryBaseline Verbal LearningBaseline Visual LearningBaseline Reasoning/Problem SolvingBaseline Social CognitionBaseline Overall Composite ScoreWeek 8 of open-label DCS Processing SpeedWeek 8 of open-label DCS Attention/VigilanceWeek 8 of open-label DCS Working MemoryWeek 8 of open-label DCS Verbal LearningWeek 8 of open-label DCS Visual LearningWeek 8 of open-label DCS Reasoning/Problem SolvingWeek 8 of open-label DCS Social CognitionWeek 8 of open-label DCS Overall Composite Score
Open Label DCS48.544.538.55450.552.54846.552.547.550.543.554.566.544.551.5

Positive and Negative Symptom Scores

Positive and Negative Symptom Scale (PANSS) measures positive and negative symptoms of schizophrenia. The sum of ratings for seven positive symptoms is measured on a scale from 7-49 with 7 meaning no symptoms and 49 meaning severe symptoms.The sum of ratings for seven negative symptoms is measured on a scale from 7-49 with 7 meaning no symptoms and 49 meaning severe symptoms. (NCT02304432)
Timeframe: Baseline & at 2, 4, 6 & 8 Weeks during open-label phase 1 and every 2 weeks up to 24 weeks during open label phase 2

,
Interventionunits on a scale (Median)
Baseline positiveBaseline negative2 weeks positive2 weeks negative4 weeks positive4 weeks negative6 weeks positive6 weeks negative8 weeks positive8 weeks negative10 weeks positive10 weeks negative12 weeks positive12 weeks negative14 weeks positive14 weeks negative16 weeks positive16 weeks negative18 weeks positive18 weeks negative20 weeks positive20 weeks negative22 weeks positive22 weeks negative24 weeks positive24 weeks negative
First Open Label DCS14.514.5101210.512912912NANANANANANANANANANANANANANANANA
Second Open Label DCS1114111410.513.59139.51210.5131112101210.51210.51210.5129.5121012

Positive and Negative Symptom Scores

Positive and Negative Symptom Scale (PANSS) measures positive and negative symptoms of schizophrenia. The sum of ratings for seven positive symptoms is measured on a scale from 7-49 with 7 meaning no symptoms and 49 meaning severe symptoms.The sum of ratings for seven negative symptoms is measured on a scale from 7-49 with 7 meaning no symptoms and 49 meaning severe symptoms. (NCT02304432)
Timeframe: Baseline, 2, 4, & 6 weeks (crossover periods)

,
Interventionunits on a scale (Number)
Baseline positive for first interventionBaseline negative symptoms for first intervention2 weeks positive for first intervention2 weeks negative for first intervention4 weeks positive for first intervention4 weeks negative for first intervention6 weeks positive for first intervention6 weeks negative for first interventionBaseline positive for second interventionBaseline negative for second intervention2 weeks positive for second intervention2 weeks negative for second intervention4 weeks positive for second intervention4 weeks negative for second intervention6 weeks positive for second intervention6 weeks negative for second intervention
DCS First, Then Placebo10151015101510151518151815181418
Placebo First, Then DCS11912151113131313131011911911

Reviews

16 reviews available for kynurenic acid and Schizophrenia

ArticleYear
A Potential Interface between the Kynurenine Pathway and Autonomic Imbalance in Schizophrenia.
    International journal of molecular sciences, 2021, Sep-16, Volume: 22, Issue:18

    Topics: Animals; Autonomic Nervous System; Humans; Kynurenic Acid; Kynurenine; Schizophrenia

2021
The tryptophan catabolite or kynurenine pathway in schizophrenia: meta-analysis reveals dissociations between central, serum, and plasma compartments.
    Molecular psychiatry, 2022, Volume: 27, Issue:9

    Topics: Humans; Indoleamine-Pyrrole 2,3,-Dioxygenase; Kynurenic Acid; Kynurenine; Quinolinic Acid; Schizophr

2022
Importance of the dysregulation of the kynurenine pathway on cognition in schizophrenia: a systematic review of clinical studies.
    European archives of psychiatry and clinical neuroscience, 2023, Volume: 273, Issue:6

    Topics: Cognition; Humans; Kynurenic Acid; Kynurenine; Psychotic Disorders; Quality of Life; Schizophrenia

2023
Importance of the dysregulation of the kynurenine pathway on cognition in schizophrenia: a systematic review of clinical studies.
    European archives of psychiatry and clinical neuroscience, 2023, Volume: 273, Issue:6

    Topics: Cognition; Humans; Kynurenic Acid; Kynurenine; Psychotic Disorders; Quality of Life; Schizophrenia

2023
Importance of the dysregulation of the kynurenine pathway on cognition in schizophrenia: a systematic review of clinical studies.
    European archives of psychiatry and clinical neuroscience, 2023, Volume: 273, Issue:6

    Topics: Cognition; Humans; Kynurenic Acid; Kynurenine; Psychotic Disorders; Quality of Life; Schizophrenia

2023
Importance of the dysregulation of the kynurenine pathway on cognition in schizophrenia: a systematic review of clinical studies.
    European archives of psychiatry and clinical neuroscience, 2023, Volume: 273, Issue:6

    Topics: Cognition; Humans; Kynurenic Acid; Kynurenine; Psychotic Disorders; Quality of Life; Schizophrenia

2023
Blood-based kynurenine pathway alterations in schizophrenia spectrum disorders: A meta-analysis.
    Schizophrenia research, 2020, Volume: 223

    Topics: Aged; Humans; Kynurenic Acid; Kynurenine; Quinolinic Acid; Schizophrenia; Tryptophan

2020
The kynurenine pathway in major depressive disorder, bipolar disorder, and schizophrenia: a meta-analysis of 101 studies.
    Molecular psychiatry, 2021, Volume: 26, Issue:8

    Topics: Bipolar Disorder; Depressive Disorder, Major; Humans; Kynurenic Acid; Kynurenine; Schizophrenia

2021
Dysregulation of kynurenine pathway and potential dynamic changes of kynurenine in schizophrenia: A systematic review and meta-analysis.
    Neuroscience and biobehavioral reviews, 2021, Volume: 123

    Topics: Humans; Kynurenic Acid; Kynurenine; Quinolinic Acid; Schizophrenia; Tryptophan

2021
[Mechanisms of neurocognitive deficit development in schizophrenia and current treatment approaches].
    Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova, 2014, Volume: 114, Issue:11

    Topics: Animals; Cognition; Humans; Kynurenic Acid; Neurotransmitter Agents; Schizophrenia; Synaptic Transmi

2014
[The kynurenic acid hypothesis - a new look at etiopathogenesis and treatment of schizophrenia].
    Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2016, Sep-29, Volume: 41, Issue:243

    Topics: Antipsychotic Agents; Basic Helix-Loop-Helix Transcription Factors; Brain; Humans; Kynurenic Acid; N

2016
Kynurenic Acid in Schizophrenia: A Systematic Review and Meta-analysis.
    Schizophrenia bulletin, 2017, 07-01, Volume: 43, Issue:4

    Topics: Adult; Female; Humans; Kynurenic Acid; Male; Schizophrenia

2017
COX-2 inhibition in schizophrenia and major depression.
    Current pharmaceutical design, 2008, Volume: 14, Issue:14

    Topics: Animals; Cyclooxygenase 2; Cyclooxygenase 2 Inhibitors; Cytokines; Depressive Disorder, Major; Elect

2008
Pharmacological manipulation of kynurenic acid: potential in the treatment of psychiatric disorders.
    CNS drugs, 2009, Volume: 23, Issue:2

    Topics: Animals; Cognition Disorders; Excitatory Amino Acid Antagonists; Humans; Kynurenic Acid; Kynurenine;

2009
Syntheses, transformations and pharmaceutical applications of kynurenic acid derivatives.
    Current medicinal chemistry, 2009, Volume: 16, Issue:36

    Topics: Diabetes Mellitus; Humans; Ischemia; Kynurenic Acid; Neurodegenerative Diseases; Renal Insufficiency

2009
Kynurenine pathway in schizophrenia: pathophysiological and therapeutic aspects.
    Current pharmaceutical design, 2011, Volume: 17, Issue:2

    Topics: Animals; Anti-Inflammatory Agents; Antipsychotic Agents; Humans; Indoleamine-Pyrrole 2,3,-Dioxygenas

2011
Anti-inflammatory treatment in schizophrenia.
    Progress in neuro-psychopharmacology & biological psychiatry, 2013, Apr-05, Volume: 42

    Topics: Animals; Anti-Inflammatory Agents, Non-Steroidal; Antipsychotic Agents; Controlled Clinical Trials a

2013
The immunological basis of glutamatergic disturbance in schizophrenia: towards an integrated view.
    Journal of neural transmission. Supplementum, 2007, Issue:72

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Astrocytes; Brain; Carrier Proteins; Cyclooxygenase 2 Inhib

2007
Kynurenic acid antagonists and kynurenine pathway inhibitors.
    Expert opinion on investigational drugs, 2001, Volume: 10, Issue:4

    Topics: Brain Ischemia; Epilepsy; Excitatory Amino Acid Antagonists; Humans; Kynurenic Acid; Kynurenine; Neu

2001

Trials

1 trial available for kynurenic acid and Schizophrenia

ArticleYear
Tryptophan challenge in individuals with schizophrenia and healthy controls: acute effects on circulating kynurenine and kynurenic acid, cognition and cerebral blood flow.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2023, Volume: 48, Issue:11

    Topics: Animals; Cerebrovascular Circulation; Cognition; Cross-Over Studies; Humans; Kynurenic Acid; Kynuren

2023

Other Studies

73 other studies available for kynurenic acid and Schizophrenia

ArticleYear
Kynurenine pathway in post-mortem prefrontal cortex and cerebellum in schizophrenia: relationship with monoamines and symptomatology.
    Journal of neuroinflammation, 2021, Sep-12, Volume: 18, Issue:1

    Topics: Cerebellum; Humans; Kynurenic Acid; Kynurenine; Prefrontal Cortex; Schizophrenia

2021
The immune-kynurenine pathway in social anxiety disorder.
    Brain, behavior, and immunity, 2022, Volume: 99

    Topics: Female; Humans; Kynurenic Acid; Kynurenine; Male; Phobia, Social; Schizophrenia; Tryptophan

2022
Serum kynurenine metabolites might not be associated with risk factors of treatment-resistant schizophrenia.
    Journal of psychiatric research, 2022, Volume: 145

    Topics: Diffusion Tensor Imaging; Humans; Kynurenic Acid; Kynurenine; Risk Factors; Schizophrenia; Schizophr

2022
Increased plasma level of kynurenic acid in drug-free patients with first-episode schizophrenia compared to patients with chronic schizophrenia and healthy controls: preliminary data.
    Nordic journal of psychiatry, 2022, Volume: 76, Issue:6

    Topics: Chromatography, Liquid; Humans; Kynurenic Acid; Preliminary Data; Schizophrenia; Tandem Mass Spectro

2022
Gender-specific elevation of plasma anthranilic acid in schizophrenia: Protection against glutamatergic hypofunction?
    Schizophrenia research, 2022, Volume: 243

    Topics: Humans; Kynurenic Acid; ortho-Aminobenzoates; Schizophrenia

2022
Elevated salivary kynurenic acid levels related to enlarged choroid plexus and severity of clinical phenotypes in treatment-resistant schizophrenia.
    Brain, behavior, and immunity, 2022, Volume: 106

    Topics: Antipsychotic Agents; Choroid Plexus; Humans; Kynurenic Acid; Kynurenine; Phenotype; Schizophrenia;

2022
Direct Fluorescence Evaluation of d-Amino Acid Oxidase Activity Using a Synthetic d-Kynurenine Derivative.
    Analytical chemistry, 2022, 10-25, Volume: 94, Issue:42

    Topics: Animals; D-Amino-Acid Oxidase; Fluorometry; Kynurenic Acid; Kynurenine; Schizophrenia; Swine

2022
The association between inflammation and kynurenine pathway metabolites in electroconvulsive therapy for schizophrenia: Implications for clinical efficacy.
    Brain, behavior, and immunity, 2023, Volume: 113

    Topics: Electroconvulsive Therapy; Humans; Interleukin-18; Kynurenic Acid; Kynurenine; RNA, Messenger; Schiz

2023
Transplantation of microbiota from drug-free patients with schizophrenia causes schizophrenia-like abnormal behaviors and dysregulated kynurenine metabolism in mice.
    Molecular psychiatry, 2020, Volume: 25, Issue:11

    Topics: Animals; Case-Control Studies; Dopamine; Fecal Microbiota Transplantation; Gastrointestinal Microbio

2020
Preliminary comparative analysis of kynurenine pathway metabolites in chronic ketamine users, schizophrenic patients, and healthy controls.
    Human psychopharmacology, 2020, Volume: 35, Issue:4

    Topics: Adult; Case-Control Studies; Chromatography, High Pressure Liquid; Female; Humans; Ketamine; Kynuren

2020
Association of the kynurenine pathway metabolites with clinical, cognitive features and IL-1β levels in patients with schizophrenia spectrum disorder and their siblings.
    Schizophrenia research, 2021, Volume: 229

    Topics: Cognition; Humans; Kynurenic Acid; Kynurenine; Schizophrenia; Siblings

2021
Designing a natural inhibitor against human kynurenine aminotransferase type II and a comparison with PF-04859989: a computational effort against schizophrenia.
    Journal of biomolecular structure & dynamics, 2022, Volume: 40, Issue:15

    Topics: Enzyme Inhibitors; Humans; Kynurenic Acid; Pyrazoles; Schizophrenia; Transaminases

2022
Effects of neuroactive metabolites of the tryptophan pathway on working memory and cortical thickness in schizophrenia.
    Translational psychiatry, 2021, 04-01, Volume: 11, Issue:1

    Topics: Humans; Kynurenic Acid; Kynurenine; Memory, Short-Term; Quinolinic Acid; Schizophrenia; Tryptophan

2021
Autoimmune Concept of Schizophrenia: Historical Roots and Current Facets.
    Psychiatria Danubina, 2021,Spring, Volume: 33, Issue:1

    Topics: Antipsychotic Agents; Humans; Kynurenic Acid; Kynurenine; Psychotic Disorders; Schizophrenia

2021
GRK3 deficiency elicits brain immune activation and psychosis.
    Molecular psychiatry, 2021, Volume: 26, Issue:11

    Topics: Animals; Bipolar Disorder; Brain; Kynurenic Acid; Mice; Psychotic Disorders; Schizophrenia

2021
The kynurenine pathway in schizophrenia and other mental disorders: Insight from meta-analyses on the peripheral blood levels of tryptophan and related metabolites.
    Schizophrenia research, 2021, Volume: 232

    Topics: Bipolar Disorder; Humans; Kynurenic Acid; Kynurenine; Schizophrenia; Tryptophan

2021
Serum kynurenic acid is reduced in affective psychosis.
    Translational psychiatry, 2017, 05-02, Volume: 7, Issue:5

    Topics: Adult; Affective Disorders, Psychotic; Bipolar Disorder; Corpus Striatum; Cytokines; Depression; Dep

2017
Blood serum concentrations of kynurenic acid in patients diagnosed with recurrent depressive disorder, depression in bipolar disorder, and schizoaffective disorder treated with electroconvulsive therapy.
    Psychiatria polska, 2017, Jun-18, Volume: 51, Issue:3

    Topics: Adult; Case-Control Studies; Depression; Depressive Disorder; Electroconvulsive Therapy; Female; Hum

2017
Influence of plasma cytokines on kynurenine and kynurenic acid in schizophrenia.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2018, Volume: 43, Issue:8

    Topics: Adolescent; Adult; Cytokines; Female; Humans; Kynurenic Acid; Kynurenine; Male; Middle Aged; Psychot

2018
Salivary kynurenic acid response to psychological stress: inverse relationship to cortical glutamate in schizophrenia.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2018, Volume: 43, Issue:8

    Topics: Adult; Female; Glutamic Acid; Gyrus Cinguli; Humans; Kynurenic Acid; Male; Proton Magnetic Resonance

2018
Importance of kynurenine 3-monooxygenase for spontaneous firing and pharmacological responses of midbrain dopamine neurons: Relevance for schizophrenia.
    Neuropharmacology, 2018, Volume: 138

    Topics: Action Potentials; Animals; Antipsychotic Agents; Dopaminergic Neurons; Dose-Response Relationship,

2018
The Effects of Tryptophan Catabolites on Negative Symptoms and Deficit Schizophrenia are Partly Mediated by Executive Impairments: Results of Partial Least Squares Path Modeling.
    CNS & neurological disorders drug targets, 2018, Volume: 17, Issue:6

    Topics: Adolescent; Adult; Aged; Analysis of Variance; Cognition Disorders; Executive Function; Female; Huma

2018
Marine Bacterial Compounds Evaluated by In Silico Studies as Antipsychotic Drugs Against Schizophrenia.
    Marine biotechnology (New York, N.Y.), 2018, Volume: 20, Issue:5

    Topics: Antipsychotic Agents; Binding Sites; Computational Biology; Drug Interactions; Famotidine; Furans; H

2018
Maternal genotype determines kynurenic acid levels in the fetal brain: Implications for the pathophysiology of schizophrenia.
    Journal of psychopharmacology (Oxford, England), 2018, Volume: 32, Issue:11

    Topics: Animals; Brain; Cognitive Dysfunction; Female; Genotype; Kynurenic Acid; Kynurenine; Kynurenine 3-Mo

2018
Serum xanthurenic acid levels: Reduced in subjects at ultra high risk for psychosis.
    Schizophrenia research, 2019, Volume: 208

    Topics: Adolescent; Adult; Disease Progression; Female; Humans; Hydroxyindoleacetic Acid; Kynurenic Acid; Ky

2019
Dysregulation of kynurenine metabolism is related to proinflammatory cytokines, attention, and prefrontal cortex volume in schizophrenia.
    Molecular psychiatry, 2020, Volume: 25, Issue:11

    Topics: Adult; Attention; Cytokines; Female; Humans; Inflammation Mediators; Kynurenic Acid; Kynurenine; Mal

2020
Twin study shows association between monocyte chemoattractant protein-1 and kynurenic acid in cerebrospinal fluid.
    European archives of psychiatry and clinical neuroscience, 2020, Volume: 270, Issue:7

    Topics: Adult; Aged; Bipolar Disorder; Chemokine CCL2; Cohort Studies; Female; Humans; Kynurenic Acid; Male;

2020
Plasma xanthurenic acid in a context of insulin resistance and obesity in schizophrenia.
    Schizophrenia research, 2019, Volume: 211

    Topics: Case-Control Studies; Humans; Insulin Resistance; Kynurenic Acid; Kynurenine; Obesity; Schizophrenia

2019
The KMO allele encoding Arg452 is associated with psychotic features in bipolar disorder type 1, and with increased CSF KYNA level and reduced KMO expression.
    Molecular psychiatry, 2014, Volume: 19, Issue:3

    Topics: Adult; Aged; Alleles; Bipolar Disorder; Case-Control Studies; Cell Line; Female; Gene Expression; Ge

2014
Activation of kynurenine pathway in ex vivo fibroblasts from patients with bipolar disorder or schizophrenia: cytokine challenge increases production of 3-hydroxykynurenine.
    Journal of psychiatric research, 2013, Volume: 47, Issue:11

    Topics: Adult; Bipolar Disorder; Cells, Cultured; Cytokines; Female; Fibroblasts; Gene Expression Regulation

2013
Distress intolerance, kynurenic acid, and schizophrenia.
    JAMA psychiatry, 2014, Jul-01, Volume: 71, Issue:7

    Topics: Female; Humans; Kynurenic Acid; Male; Schizophrenia; Stress, Psychological

2014
Stress-induced increase in kynurenic acid as a potential biomarker for patients with schizophrenia and distress intolerance.
    JAMA psychiatry, 2014, Jul-01, Volume: 71, Issue:7

    Topics: Adult; Biomarkers; Female; Humans; Kynurenic Acid; Male; Middle Aged; Neuropsychological Tests; Neur

2014
Effect of maternal immune activation on the kynurenine pathway in preadolescent rat offspring and on MK801-induced hyperlocomotion in adulthood: amelioration by COX-2 inhibition.
    Brain, behavior, and immunity, 2014, Volume: 41

    Topics: Animals; Brain; Celecoxib; Cyclooxygenase 2 Inhibitors; Disease Models, Animal; Dizocilpine Maleate;

2014
Reduction of brain kynurenic acid improves cognitive function.
    The Journal of neuroscience : the official journal of the Society for Neuroscience, 2014, Aug-06, Volume: 34, Issue:32

    Topics: Animals; Attention; Brain; Cognition; Enzyme Inhibitors; Evoked Potentials, Auditory; Female; Hippoc

2014
Elevated levels of kynurenic acid during gestation produce neurochemical, morphological, and cognitive deficits in adulthood: implications for schizophrenia.
    Neuropharmacology, 2015, Volume: 90

    Topics: alpha7 Nicotinic Acetylcholine Receptor; Animals; Attention; Brain; Cognition; Dendritic Spines; Die

2015
Increased levels of IL-6 in the cerebrospinal fluid of patients with chronic schizophrenia--significance for activation of the kynurenine pathway.
    Journal of psychiatry & neuroscience : JPN, 2015, Volume: 40, Issue:2

    Topics: Adult; Astrocytes; Cells, Cultured; Cerebral Cortex; Chronic Disease; Female; Humans; Interleukin-6;

2015
Integrated theory to unify status among schizophrenia and manic depressive illness.
    Medical hypotheses, 2015, Volume: 85, Issue:4

    Topics: 5-Hydroxytryptophan; Antidepressive Agents, Tricyclic; Antipsychotic Agents; Biopterins; Bipolar Dis

2015
Inhibition of Large Neutral Amino Acid Transporters Suppresses Kynurenic Acid Production Via Inhibition of Kynurenine Uptake in Rodent Brain.
    Neurochemical research, 2016, Volume: 41, Issue:9

    Topics: alpha7 Nicotinic Acetylcholine Receptor; Amino Acid Transport Systems, Neutral; Animals; Brain; Kynu

2016
Prenatal kynurenine exposure in rats: age-dependent changes in NMDA receptor expression and conditioned fear responding.
    Psychopharmacology, 2016, Volume: 233, Issue:21-22

    Topics: Age Factors; alpha7 Nicotinic Acetylcholine Receptor; Animals; Brain; Cognition; Conditioning, Psych

2016
Kynurenic acid and psychotic symptoms and personality traits in twins with psychiatric morbidity.
    Psychiatry research, 2017, Volume: 247

    Topics: Bipolar Disorder; Female; Humans; Interleukin-6; Interleukin-8; Kynurenic Acid; Male; Middle Aged; P

2017
Pilot study examining the relationship of childhood trauma, perceived stress, and medication use to serum kynurenic acid and kynurenine levels in schizophrenia.
    Schizophrenia research, 2017, Volume: 185

    Topics: Adult; Adult Survivors of Child Abuse; Antipsychotic Agents; Female; Humans; Kynurenic Acid; Kynuren

2017
Correlations of Kynurenic Acid, 3-Hydroxykynurenine, sIL-2R, IFN-α, and IL-4 with Clinical Symptoms During Acute Relapse of Schizophrenia.
    Neurotoxicity research, 2017, Volume: 32, Issue:1

    Topics: Adult; Antipsychotic Agents; Clozapine; Female; Humans; Interferon-alpha; Interleukin-4; Kynurenic A

2017
Deficit Schizophrenia Is Characterized by Defects in IgM-Mediated Responses to Tryptophan Catabolites (TRYCATs): a Paradigm Shift Towards Defects in Natural Self-Regulatory Immune Responses Coupled with Mucosa-Derived TRYCAT Pathway Activation.
    Molecular neurobiology, 2018, Volume: 55, Issue:3

    Topics: Adult; Biomarkers; Female; Humans; Immunity, Cellular; Immunoglobulin M; Kynurenic Acid; Male; Metab

2018
Induction of the kynurenine pathway by neurotropic influenza A virus infection.
    Journal of neuroscience research, 2008, Volume: 86, Issue:16

    Topics: Animals; Brain; Cells, Cultured; Chemotaxis, Leukocyte; Coculture Techniques; Encephalitis, Viral; G

2008
Elevated levels of kynurenic acid change the dopaminergic response to amphetamine: implications for schizophrenia.
    The international journal of neuropsychopharmacology, 2009, Volume: 12, Issue:4

    Topics: Animals; Brain Chemistry; Data Interpretation, Statistical; Dextroamphetamine; Dopamine; Dopamine Up

2009
Astrocyte-derived kynurenic acid modulates basal and evoked cortical acetylcholine release.
    The European journal of neuroscience, 2009, Volume: 29, Issue:3

    Topics: Acetylcholine; alpha7 Nicotinic Acetylcholine Receptor; Amphetamine; Animals; Astrocytes; Central Ne

2009
The astrocyte-derived alpha7 nicotinic receptor antagonist kynurenic acid controls extracellular glutamate levels in the prefrontal cortex.
    Journal of molecular neuroscience : MN, 2010, Volume: 40, Issue:1-2

    Topics: alpha7 Nicotinic Acetylcholine Receptor; Animals; Astrocytes; Cholinesterase Inhibitors; Enzyme Inhi

2010
Increased levels of kynurenine and kynurenic acid in the CSF of patients with schizophrenia.
    Schizophrenia bulletin, 2012, Volume: 38, Issue:3

    Topics: Adult; Antipsychotic Agents; Benzodiazepines; Humans; Kynurenic Acid; Kynurenine; Male; Middle Aged;

2012
Exposure to kynurenic acid during adolescence produces memory deficits in adulthood.
    Schizophrenia bulletin, 2012, Volume: 38, Issue:4

    Topics: alpha7 Nicotinic Acetylcholine Receptor; Animals; Excitatory Amino Acid Antagonists; Fear; Kynurenic

2012
Reversal of imbalance between kynurenic acid and 3-hydroxykynurenine by antipsychotics in medication-naïve and medication-free schizophrenic patients.
    Brain, behavior, and immunity, 2011, Volume: 25, Issue:8

    Topics: Adult; Algorithms; Antipsychotic Agents; Chromatography, High Pressure Liquid; Diagnostic and Statis

2011
Endogenous activation of nAChRs and NMDA receptors contributes to the excitability of CA1 stratum radiatum interneurons in rat hippocampal slices: effects of kynurenic acid.
    Biochemical pharmacology, 2011, Oct-15, Volume: 82, Issue:8

    Topics: Action Potentials; Animals; CA1 Region, Hippocampal; Excitatory Amino Acid Antagonists; In Vitro Tec

2011
Kynurenine 3-monooxygenase polymorphisms: relevance for kynurenic acid synthesis in patients with schizophrenia and healthy controls.
    Journal of psychiatry & neuroscience : JPN, 2012, Volume: 37, Issue:1

    Topics: Adult; Alleles; Brain; Genetic Association Studies; Genotype; Humans; Kynurenic Acid; Kynurenine 3-M

2012
Downregulated kynurenine 3-monooxygenase gene expression and enzyme activity in schizophrenia and genetic association with schizophrenia endophenotypes.
    Archives of general psychiatry, 2011, Volume: 68, Issue:7

    Topics: Adult; Brain Chemistry; Case-Control Studies; Down-Regulation; Female; Gene Expression Regulation, E

2011
Acute elevations of brain kynurenic acid impair cognitive flexibility: normalization by the alpha7 positive modulator galantamine.
    Psychopharmacology, 2012, Volume: 220, Issue:3

    Topics: alpha7 Nicotinic Acetylcholine Receptor; Animals; Brain; Cognition; Cognition Disorders; Disease Mod

2012
Regulation of GABAergic inputs to CA1 pyramidal neurons by nicotinic receptors and kynurenic acid.
    The Journal of pharmacology and experimental therapeutics, 2012, Volume: 341, Issue:2

    Topics: Aconitine; alpha7 Nicotinic Acetylcholine Receptor; Animals; Bungarotoxins; CA1 Region, Hippocampal;

2012
Development and validation of a single analytical method for the determination of tryptophan, and its kynurenine metabolites in rat plasma.
    Journal of chromatography. B, Analytical technologies in the biomedical and life sciences, 2012, Jun-01, Volume: 898

    Topics: 3-Hydroxyanthranilic Acid; Animals; Charcoal; Chromatography, High Pressure Liquid; Depression; Kynu

2012
CSF kynurenic acid and suicide risk in schizophrenia spectrum psychosis.
    Psychiatry research, 2013, Jan-30, Volume: 205, Issue:1-2

    Topics: Adolescent; Adult; Cohort Studies; Female; Follow-Up Studies; Humans; Kynurenic Acid; Linear Models;

2013
TRYPTOPHAN METABOLISM IN SPECIAL PAIRS OF TWINS.
    Clinica chimica acta; international journal of clinical chemistry, 1964, Volume: 9

    Topics: Chromatography; Diseases in Twins; Genetics, Medical; Kynurenic Acid; Kynurenine; Metabolic Diseases

1964
Kynurenic acid and schizophrenia.
    Advances in experimental medicine and biology, 2003, Volume: 527

    Topics: Animals; Antipsychotic Agents; Dopamine; Glutamic Acid; Humans; Kynurenic Acid; Male; Models, Neurol

2003
Elevated levels of kynurenic acid in the cerebrospinal fluid of male patients with schizophrenia.
    Schizophrenia research, 2005, Dec-15, Volume: 80, Issue:2-3

    Topics: Adolescent; Adult; Diagnostic and Statistical Manual of Mental Disorders; Female; Humans; Kynurenic

2005
Upregulation of the initiating step of the kynurenine pathway in postmortem anterior cingulate cortex from individuals with schizophrenia and bipolar disorder.
    Brain research, 2006, Feb-16, Volume: 1073-1074

    Topics: Adult; Analysis of Variance; Bipolar Disorder; Chromatography, High Pressure Liquid; Demography; Dep

2006
Association study between kynurenine 3-monooxygenase gene and schizophrenia in the Japanese population.
    Genes, brain, and behavior, 2006, Volume: 5, Issue:4

    Topics: Aged; Case-Control Studies; Chi-Square Distribution; Chromosomes, Human, Pair 1; Epigenesis, Genetic

2006
Elevations of endogenous kynurenic acid produce spatial working memory deficits.
    Schizophrenia bulletin, 2007, Volume: 33, Issue:3

    Topics: alpha7 Nicotinic Acetylcholine Receptor; Animals; Astrocytes; Brain; Disease Models, Animal; Humans;

2007
Tryptophan breakdown pathway in bipolar mania.
    Journal of affective disorders, 2007, Volume: 102, Issue:1-3

    Topics: Adult; Aspartic Acid; Bipolar Disorder; Brief Psychiatric Rating Scale; Female; Gyrus Cinguli; Human

2007
Toxoplasma gondii and schizophrenia: linkage through astrocyte-derived kynurenic acid?
    Schizophrenia bulletin, 2007, Volume: 33, Issue:3

    Topics: alpha7 Nicotinic Acetylcholine Receptor; Animals; Astrocytes; Brain; Humans; Kynurenic Acid; Recepto

2007
The kynurenic acid hypothesis of schizophrenia.
    Physiology & behavior, 2007, Sep-10, Volume: 92, Issue:1-2

    Topics: Animals; Disease Models, Animal; Excitatory Amino Acid Antagonists; Injections, Intraventricular; Ky

2007
The kynurenic acid hypothesis of schizophrenia.
    Physiology & behavior, 2007, Sep-10, Volume: 92, Issue:1-2

    Topics: Animals; Disease Models, Animal; Excitatory Amino Acid Antagonists; Injections, Intraventricular; Ky

2007
The kynurenic acid hypothesis of schizophrenia.
    Physiology & behavior, 2007, Sep-10, Volume: 92, Issue:1-2

    Topics: Animals; Disease Models, Animal; Excitatory Amino Acid Antagonists; Injections, Intraventricular; Ky

2007
The kynurenic acid hypothesis of schizophrenia.
    Physiology & behavior, 2007, Sep-10, Volume: 92, Issue:1-2

    Topics: Animals; Disease Models, Animal; Excitatory Amino Acid Antagonists; Injections, Intraventricular; Ky

2007
Crystal structure of human kynurenine aminotransferase II.
    The Journal of biological chemistry, 2008, Feb-08, Volume: 283, Issue:6

    Topics: Binding Sites; Crystallography, X-Ray; Dimerization; Enzyme Inhibitors; Humans; Kynurenic Acid; Live

2008
Crystal structure of human kynurenine aminotransferase II, a drug target for the treatment of schizophrenia.
    The Journal of biological chemistry, 2008, Feb-08, Volume: 283, Issue:6

    Topics: Binding Sites; Brain; Chemistry, Pharmaceutical; Crystallography, X-Ray; Dimerization; Drug Design;

2008
Tryptophan and tyrosine catabolic pattern in neuropsychiatric disorders.
    Neurology India, 2000, Volume: 48, Issue:3

    Topics: Adult; Biogenic Monoamines; Brain Diseases; Brain Neoplasms; Digoxin; Epilepsy, Generalized; Erythro

2000
Increased cortical kynurenate content in schizophrenia.
    Biological psychiatry, 2001, Oct-01, Volume: 50, Issue:7

    Topics: Adult; Aged; Aged, 80 and over; Animals; Antipsychotic Agents; Female; Frontal Lobe; Haloperidol; Hu

2001
Kynurenic acid levels are elevated in the cerebrospinal fluid of patients with schizophrenia.
    Neuroscience letters, 2001, Nov-02, Volume: 313, Issue:1-2

    Topics: Adolescent; Adult; Chromatography, High Pressure Liquid; Glutamic Acid; Humans; Kynurenic Acid; Male

2001
Increased phasic activity of dopaminergic neurones in the rat ventral tegmental area following pharmacologically elevated levels of endogenous kynurenic acid.
    Acta physiologica Scandinavica, 2002, Volume: 175, Issue:1

    Topics: Action Potentials; Animals; Antimetabolites; Butyrates; Cycloserine; Dizocilpine Maleate; Dopamine;

2002
Relationship of dietary tryptophan and niacin to tryptophan metabolism in schizophrenics and nonschizophrenics.
    The American journal of clinical nutrition, 1974, Volume: 27, Issue:6

    Topics: Acetates; Aminohippuric Acids; Diet; Female; Humans; Hydroxyindoleacetic Acid; Indican; Indoles; Kyn

1974