Several decades of research attempting to explain schizophrenia in terms of
the dopamine hyperactivity hypothesis have produced disappointing results.
A new hypothesis focusing on hypofunction of the NMDA glutamate transmitte
r system is emerging as a potentially more promising concept. In this artic
le, we present a version of the NMDA receptor hypofunction hypothesis that
has evolved from our recent studies pertaining to the neurotoxic and psycho
tomimetic effects of PCP and related NMDA antagonist drugs. In this article
, we examine this hypothesis in terms of its strengths and weaknesses, its
therapeutic implications and ways in which it can be further tested. (C) 19
99 Elsevier Science Ltd. All rights reserved.