All clinically prescribed antipsychotics act by essentially blocking dopamine D2 G protein Coupled Receptors (GPCR) in the brain. We now understand that depending on the biochemical make-up of cells or neurons, a GPCR can engage distinct signaling pathways and affect distinct cellular responses. Validation of this new concept in genetically engineered mice has revealed that a novel "putative antipsychotic agent” can block D2 receptors in the motor area of the brain (striatum) but activate D2 receptors in the cognitive/executive function area (frontal cortex). A new antipsychotic with these properties might be more effective at alleviating both positive and negative symptoms of schizophrenia.
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