Spatial working memory (ability to remember where objects are in space) is impaired in patients with schizophrenia. It is thought that this impairment occurs due to problems with the chemical messenger (neurotransmitter), glutamate, and the N-methyl-D-aspartate (NMDA) glutamate receptor, particularly in the hippocampal brain region. NMDA receptor activation leads to increases in the release of the second messenger Nitric Oxide. Impaired NMDA receptor function would therefore be predicted to lead to reductions in Nitric Oxide production. Recent work suggests that a drug, sodium nitroprusside, which releases nitric oxide, enhances some aspects of cognition in schizophrenia (specifically related to negative symptoms). In this study, the investigators will test the hypothesis that sodium nitroprusside improves spatial working memory in patients with schizophrenia. 15 patients will receive sodium nitroprusside, and 15 will receive a nonactive compound (placebo). Their performance on a spatial working memory task will be tested before and after administration of sodium nitroprusside or placebo.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
QUADRUPLE
Enrollment
21
Clinical Research Facility, King's College Hospital
London, United Kingdom
Spatial Working Memory
performance on Cambridge Neuropsychological Test Automated Battery spatial working memory task
Time frame: 4 hours post-infusion
Positive and Negative Syndrome Scale (PANSS)
Symptoms rated on PANSS
Time frame: 4 hours post-infusion
Brief Psychiatric Rating Scale (BPRS)
Symptoms rated on BPRS
Time frame: 4 hours post-infusion
Quick Inventory of Depressive Symptomatology (QIDS)
Symptoms rated on QIDS
Time frame: 4 hours post-infusion
Hypomania Checklist (HCL-32)
Rating of symptoms on HCL-32
Time frame: 4 hours post-infusion
Blood pressure
Measurement of blood pressure.
Time frame: 4 hours post-infusion
Heart rate
Heart rate change from baseline
Time frame: 4 hours post-infusion
Respiratory rate
change in respiratory rate from baseline.
Time frame: 4 hours post-infusion
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