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Schizophrenia, dissociative anaesthesia and near-death experience; three events meeting at the NMDA receptor.

Iván L Bonta

Medical Hypotheses 2004 DOI: 10.1016/s0306-9877(03)00307-4 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics Near-death experience
Keywords Brain Animals Humans Death Glutamic acid Glycine Receptors, n-methyl-d-aspartate Anesthetics, dissociative Schizophrenia Models, biological Statistics as topic
Key points Argues that schizophrenia, dissociative anaesthesia, and near-death experience share the glutamate-sensitive NMDA receptor complex as a common functional denominator and may serve as functional models of one another. Proposes that NMDA recognition-site antagonism induces dissociative anaesthesia and near-death experience, while glycine-site agonist reinforcement counteracts negative symptoms of schizophrenia, both compatible with a glutamate deficiency concept.

Abstract

The three events, viz. schizophrenia, dissociative anaesthesia and Near-Death Experience, despite their seemingly unrelated manifestation to each other, have nevertheless similar functional basis. All three events are linked to the glutamate sensitive N-methyl-D-aspartate (NMDA) receptor complex, which serves as their common functional denominator. Arguments and speculations are presented in favor of the view that, the three events might be considered as functional models of each other. Antagonism to the recognition NMDA-site of the receptor induces dissociative anaesthesia and precipitates Near-Death Experience. Agonist reinforcement at the modulatory glycine-site of the receptor counteracts negative symptoms of schizophrenia. Both types of challenges towards the receptor are compatible with a glutamate deficiency concept which underlies the meeting of the three events at the NMDA receptor.

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