The clinical efficacy of clozapine in treating schizophrenia may stem from
its lack of receptor selectivity. If true, several clozapine-sensitive rece
ptors may be co-expressed by neurons dysfunctional in schizophrenia. To tes
t this hypothesis, neurons from the rat medial prefrontal cortex were acute
ly isolated and subjected to single cell RT-PCR analysis. The cc-ordinated
expression of five clozapine-sensitive receptors (D-4, m1, 5-HT2a, 5-HT2c,
5-HT7) was examined in interneurons and pyramidal neurons. Profiling of GAB
Aergic interneurons commonly revealed the co-expression of two or more cloz
apine-sensitive receptor mRNAs. Although co-expression of these receptors w
as less extensive in pyramidal neurons, it was also commonly found. These r
esults suggest that clozapine's therapeutic effects may be mediated by anta
gonism of dopaminergic, cholinergic and serotoninergic signaling pathways a
t the single cell level. (C) 1998 Published by Elsevier Science Ireland Ltd
. All rights reserved.