The role of muscarinic receptors in schizophrenia was investigated using th
e muscarinic agonist PTAC. PTAC was highly selective for muscarinic recepto
rs, was a partial agonist at muscarinic M-2/M-4 receptors and an antagonist
at M-1, M-3 and Ms receptors. PTAC was highly active in animal models pred
ictive of antipsychotic behavior including inhibition of conditioned avoida
nce responding in rats and blockade of apomorphine-induced climbing behavio
r in mice. Amphetamine-induced Fos expression in rat nucleus accumbens was
inhibited by PTAC, thus directly demonstrating the ability of PTAC to modul
ate DA activity. In electrophysiological studies in rats, PTAC acutely inhi
bited the firing of A10 DA cells and after chronic administration decreased
the number of spontaneously firing DA cells in the A10 brain area. However
, PTAC did not appreciably alter the firing of A9 DA cells. Thus, PTAC appe
ars to have novel antipsychotic-like activity and these data suggest that m
uscarinic compounds such as PTAC may represent a new class of antipsychotic
agents.