PMID- 29219634 OWN - NLM STAT- MEDLINE DCOM- 20180725 LR - 20240407 IS - 1369-1627 (Electronic) IS - 0954-0261 (Print) IS - 0954-0261 (Linking) VI - 29 IP - 6 DP - 2017 Dec TI - Using molecular imaging to understand early schizophrenia-related psychosis neurochemistry: a review of human studies. PG - 555-566 LID - 10.1080/09540261.2017.1396205 [doi] AB - Schizophrenia is a chronic psychiatric disorder generally preceded by a so-called prodromal phase, which is characterized by attenuated psychotic symptoms. Advances in clinical research have enabled prospective identification of those individuals who are at clinical high risk (CHR) for psychosis, with the power to predict psychosis onset within the near future. Changes in several brain neurochemical systems and molecular mechanisms are implicated in the pathophysiology of schizophrenia and the psychosis spectrum, including the dopaminergic, gamma-aminobutyric acid (GABA)-ergic, glutamatergic, endocannabinoid, and immunologic (i.e. glial activation) system and other promising future directions such as synaptic density, which are possible to quantify in vivo using positron emission tomography (PET). This paper aims to review in vivo PET studies in the mentioned systems in the early course of psychosis (i.e. CHR and first-episode psychosis (FEP)). The results of reviewed studies are promising; however, the current understanding of the underlying pathology of psychosis is still limited. Importantly, promising efforts involve the development of novel PET radiotracers targeting systems with growing interest in schizophrenia, like the nociceptive system and synaptic density. FAU - Schifani, Christin AU - Schifani C AD - a Research Imaging Centre , Centre for Addiction and Mental Health , Toronto , ON , Canada. FAU - Hafizi, Sina AU - Hafizi S AD - a Research Imaging Centre , Centre for Addiction and Mental Health , Toronto , ON , Canada. FAU - Da Silva, Tania AU - Da Silva T AD - a Research Imaging Centre , Centre for Addiction and Mental Health , Toronto , ON , Canada. FAU - Watts, Jeremy Joseph AU - Watts JJ AD - a Research Imaging Centre , Centre for Addiction and Mental Health , Toronto , ON , Canada. FAU - Khan, M Saad AU - Khan MS AD - a Research Imaging Centre , Centre for Addiction and Mental Health , Toronto , ON , Canada. FAU - Mizrahi, Romina AU - Mizrahi R AD - a Research Imaging Centre , Centre for Addiction and Mental Health , Toronto , ON , Canada. AD - b Campbell Family Mental Health Research Institute , Centre for Addiction and Mental Health , Toronto , ON , Canada. LA - eng GR - R01 MH100043/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20171208 PL - England TA - Int Rev Psychiatry JT - International review of psychiatry (Abingdon, England) JID - 8918131 SB - IM MH - Age of Onset MH - Brain/pathology MH - Humans MH - Molecular Imaging/*methods MH - *Neurochemistry MH - *Positron-Emission Tomography MH - Psychotic Disorders/*diagnostic imaging/physiopathology MH - Risk Factors MH - Schizophrenia/*diagnostic imaging/physiopathology MH - *Schizophrenic Psychology PMC - PMC8011813 MID - NIHMS1682597 OTO - NOTNLM OT - Positron emission tomography OT - at risk mental state OT - clinical high risk OT - first episode OT - schizophrenia OT - ultra-high risk COIS- Disclosure statement The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper. EDAT- 2017/12/09 06:00 MHDA- 2018/07/26 06:00 PMCR- 2021/03/31 CRDT- 2017/12/09 06:00 PHST- 2017/12/09 06:00 [pubmed] PHST- 2018/07/26 06:00 [medline] PHST- 2017/12/09 06:00 [entrez] PHST- 2021/03/31 00:00 [pmc-release] AID - 10.1080/09540261.2017.1396205 [doi] PST - ppublish SO - Int Rev Psychiatry. 2017 Dec;29(6):555-566. doi: 10.1080/09540261.2017.1396205. Epub 2017 Dec 8.