Research Topics
Genomes and Genes
Species | R A SweetSummaryAffiliation: University of Pittsburgh Country: USA Publications
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Detail Information
Publications
Pharmacologic profile of perphenazine's metabolitesR A Sweet
Geriatric Psychopharmacology, Department of Psychiatry, University of Pittsburgh School of Medicine, Pennsylvania, USA
J Clin Psychopharmacol 20:181-7. 2000..Further exploration of atypical properties of DAPZ should include de novo administration of this metabolite in animal models...
Increased familial risk of the psychotic phenotype of Alzheimer diseaseR A Sweet
Division of Geriatrics and Neuropsychiatry, School of Medicine, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA
Neurology 58:907-11. 2002..Psychotic symptoms in patients with AD (AD with psychosis [AD+P]) define a phenotype characterized by more rapid cognitive and functional decline and a liability to aggressive behaviors...
The 5-HTTPR polymorphism confers liability to a combined phenotype of psychotic and aggressive behavior in Alzheimer diseaseR A Sweet
Department of Psychiatry, School of Medicine, University of Pittsburgh, Pennsylvania, USA
Int Psychogeriatr 13:401-9. 2001..We recently found that AD subjects homozygous for long alleles (l) of an insertion/deletion polymorphism in the promoter region of the serotonin transporter (5-HTTPR) had elevated rates of aggressive behavior...
Antipsychotic radioreceptor assay: a modification identifying selective receptor effectsR A Sweet
Geriatric Psychopharmacology Program, Division of Geriatrics and Neuropsychiatry, Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Ther Drug Monit 23:421-6. 2001..Valid receptor-selective antipsychotic assays can be established and may have utility for dissecting the in vivo activity of atypical antipsychotics in relation to specific outcomes in clinical trials...
Psychotic symptoms in Alzheimer's disease are not associated with more severe neuropathologic featuresR A Sweet
Department of Psychiatry, University of Pittsburgh School of Medicine, Pennsylvania, USA
Int Psychogeriatr 12:547-58. 2000..The association of AD+P with a more rapidly progressive course of AD appears to be mediated by a neuropathologic process other than increased severity of plaque and tangle formation...
Alterations of striatal dopamine receptor binding in Alzheimer disease are associated with Lewy body pathology and antemortem psychosisR A Sweet
University of Pittsburgh, Division of Geriatrics and Neuropsychiatry, Western Psychiatric Institute and Clinic, 3811 O Hara St, Pittsburgh, PA 15213, USA
Arch Neurol 58:466-72. 2001..Lewy bodies (LB) are present in at least 20% to 30% of persons with Alzheimer disease (AD) and contribute to the risk of psychosis and to excess cognitive burden...
Psychosis in Alzheimer disease: postmortem magnetic resonance spectroscopy evidence of excess neuronal and membrane phospholipid pathologyRobert A Sweet
Department of Psychiatry, Division of Geriatrics, Neuropsychiatry, University of Pittsburgh School of Medicine, PA, USA
Neurobiol Aging 23:547-53. 2002..Although AD+P has been inconsistently associated with more severe neuropathology, no prior studies have examined measures of neuronal and synaptic integrity...
Psychotic symptoms in Alzheimer disease: evidence for a distinct phenotypeR A Sweet
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15231, USA
Mol Psychiatry 8:383-92. 2003..We discuss possible genetic models of psychotic symptoms in AD, and suggest strategies for further investigation. Identification of such genetic factors may facilitate gene-mapping studies for both AD and idiopathic psychoses...
Dopamine receptor genetic variation, psychosis, and aggression in Alzheimer diseaseR A Sweet
Department of Psychiatry, University of Pittsburgh School of Medicine, PA, USA
Arch Neurol 55:1335-40. 1998..To examine if selected polymorphisms in the dopamine receptor genes DRD1, DRD2, DRD3, and DRD4 are associated with the presence of psychosis or aggressive behavior in patients with Alzheimer disease (AD)...
Determinants of spontaneous extrapyramidal symptoms in elderly psychiatric inpatients diagnosed with Alzheimer's disease, major depressive disorder, or psychotic disordersR A Sweet
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pennsylvania, USA
J Neuropsychiatry Clin Neurosci 10:68-77. 1998..These findings suggest that rigidity is associated with DAT independently of any concurrent psychotic or depressive process, whereas bradykinesia does not appear to be specific to DAT among late-life neuropsychiatric illnesses...
The 5-HTTPR*S/*L polymorphism and aggressive behavior in Alzheimer diseaseD L Sukonick
Division of Geriatrics and Neuropsychiatry, Department of Psychiatry, University of Pittsburgh, PA, USA
Arch Neurol 58:1425-8. 2001....
A double-blind randomized comparison of nortriptyline plus perphenazine versus nortriptyline plus placebo in the treatment of psychotic depression in late lifeB H Mulsant
Intervention Research Center for the Study of Late Life Mood Disorders, Department of Psychiatry, University of Pittsburgh School of Medicine, PA, USA
J Clin Psychiatry 62:597-604. 2001..To conduct the first randomized study comparing the efficacy of an antidepressant alone versus an antidepressant plus a neuroleptic in the treatment of late-life psychotic depression...
Catechol-O-methyltransferase haplotypes are associated with psychosis in Alzheimer diseaseR A Sweet
Division of Geriatrics and Neuropsychiatry, Department of Psychiatry, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15213, USA
Mol Psychiatry 10:1026-36. 2005..Examination of variation at ERE6 in subjects with schizophrenia, and further examination of the independent and additive effects of variations in COMT on gene expression, is warranted...
Genome-wide association analysis of age-at-onset in Alzheimer's diseaseM I Kamboh
Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
Mol Psychiatry 17:1340-6. 2012..These findings need to be confirmed in additional well-powered samples...
A twelve-week, double-blind, randomized comparison of nortriptyline and paroxetine in older depressed inpatients and outpatientsB H Mulsant
Intervention Research Center for the Study of Late Life Mood Disorders, Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
Am J Geriatr Psychiatry 9:406-14. 2001....
Methodological issues in characterizing treatment response in demented patients with behavioral disturbancesB H Mulsant
Department of Psychiatry, University of Pittsburgh, PA, USA
Int J Geriatr Psychiatry 12:537-47. 1997....
Allelic variation in the serotonin transporter promoter affects onset of paroxetine treatment response in late-life depressionB G Pollock
Intervention Research Center for Late Life Mood Disorders and the Geriatric Psychopharmacology Program, Graduate School of Public Health, Pittsburgh, PA 15213, USA
Neuropsychopharmacology 23:587-90. 2000..Onset of response to nortriptyline was not affected. Allelic variation of 5-HTTLPR may contribute to the variable initial response of patients treated with a selective serotonin reuptake inhibitor...
Plasma amyloid levels and the risk of AD in normal subjects in the Cardiovascular Health StudyO L Lopez
Department of Psychiatry and Neurology, University of Pittsburgh, PA, USA
Neurology 70:1664-71. 2008....
The effects of perphenazine on the concentration of nortriptyline and its hydroxymetabolites in older patientsB H Mulsant
Geriatric Psychopharmacology Program, Department of Psychiatry, University of Pittsburgh School of Medicine, PA, USA
J Clin Psychopharmacol 17:318-21. 1997....
Long-term effects of the concomitant use of memantine with cholinesterase inhibition in Alzheimer diseaseO L Lopez
Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
J Neurol Neurosurg Psychiatry 80:600-7. 2009..There are no long-term studies of the effects of memantine in combination with ChEIs use in Alzheimer disease (AD). This study was conducted to examine the effects of ChEIs and memantine on time to death and time to NH admission...
Linkage analysis of Alzheimer disease with psychosisS A Bacanu
Department of Psychiatry, University of Pittsburgh, School of Medicine, PA, USA
Neurology 59:118-20. 2002..Linkage analysis of families with LOAD+P identified one significant and several suggestive novel linkage signals, which bolsters the conjecture of greater etiologic homogeneity...
Lewy bodies in the amygdala increase risk for major depression in subjects with Alzheimer diseaseO L Lopez
Alzheimer s Disease Research Center, Department of Neurology, University of Pittsburgh School of Medicine, PA, USA
Neurology 67:660-5. 2006..To determine the relationship between major depression and the presence of Lewy bodies (LBs) in patients with Alzheimer disease (AD)...
Regional specificity of chandelier neuron axon terminal alterations in schizophreniaG T Konopaske
Department of Psychiatry, University of Pittsburgh, PA 15213, USA
Neuroscience 138:189-96. 2006....
Genome-wide association study of Alzheimer's diseaseM I Kamboh
Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA
Transl Psychiatry 2:e117. 2012..43. This is a potential candidate gene for AD as this is expressed in the brain and is involved in lipid metabolism. These findings need to be confirmed in additional samples...
Test-retest variability of serotonin 5-HT2A receptor binding measured with positron emission tomography and [18F]altanserin in the human brainG S Smith
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA
Synapse 30:380-92. 1998..These findings support the usefulness of [18F]altanserin as a radioligand for PET studies of 5-HT2A receptors...
Managing antipsychotic-induced parkinsonismD C Mamo
Department of Psychiatry, University of Pittsburgh School of Medicine, Philadelphia, USA
Drug Saf 20:269-75. 1999..An individualised risk-benefit assessment is necessary for the younger patient in whom prophylactic use of anticholinergic drugs is considered...
Anatomical evidence of impaired feedforward auditory processing in schizophreniaRobert A Sweet
Department of Psychiatry, University of Pittsburgh, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania 15213, USA
Biol Psychiatry 61:854-64. 2007....
Alzheimer disease subjects with psychosis have increased schizotypal symptoms before dementia onsetElise A Eror
Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
Biol Psychiatry 58:325-30. 2005..Subsyndromal psychosis might be useful for classifying AD+P families for genetic mapping studies. Prospective confirmation is required...
Heritability of psychosis in Alzheimer diseaseSilviu-Alin Bacanu
Dept. of Psychiatry, Univ. of Pittsburgh School of Medicine, 3811 O'Hara Street, Pittsburgh, PA 15213, USA
Am J Geriatr Psychiatry 13:624-7. 2005..CONCLUSION: Multiplicity of symptoms may represent a useful means for defining a genetically determined LOAD+P phenotype...
Neuregulin-1 polymorphism in late onset Alzheimer's disease families with psychosesRodney C P Go
University of Alabama at Birmingham, Birmingham, AL 35294, USA
Am J Med Genet B Neuropsychiatr Genet 139:28-32. 2005..Our results suggest that NRG1 plays a role in increasing the genetic risk to positive symptoms of psychosis in a proportion of LOAD families...
Mapping auditory core, lateral belt, and parabelt cortices in the human superior temporal gyrusRobert A Sweet
Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
J Comp Neurol 491:270-89. 2005..Variability of regional volume estimates was readily constrained using a multifaceted approach to reduce potential sources of variability in regional delineation...
Effect of chronic antipsychotic exposure on astrocyte and oligodendrocyte numbers in macaque monkeysGlenn T Konopaske
Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
Biol Psychiatry 63:759-65. 2008..Consequently, in this study we sought to determine whether the lower glial cell number was due to fewer oligodendrocytes as opposed to lower numbers of astrocytes...
Prediction of psychosis onset in Alzheimer disease: The role of cognitive impairment, depressive symptoms, and further evidence for psychosis subtypesPatricia A Wilkosz
Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Am J Geriatr Psychiatry 14:352-60. 2006..Further exploration of the relationship between depressive symptoms and psychosis in patients with AD is warranted...
Prediction of psychosis onset in Alzheimer disease: the role of depression symptom severity and the HTR2A T102C polymorphismPatricia A Wilkosz
Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Am J Med Genet B Neuropsychiatr Genet 144:1054-62. 2007..This did not result from an interaction of HTR2A genotype with antidepressant use. Psychosis onset in AD is strongly associated with severity of depressive symptoms, an association that may be modified by HTR2A genotype...
Incidence of dementia in mild cognitive impairment in the cardiovascular health study cognition studyOscar L Lopez
Departments of Neurology and Psychiatry, University of Pittsburgh School of Medicine, 3501 Forbes Ave, Suite 830, Oxford Bldg, Pittsburgh, PA 15213 3323, USA
Arch Neurol 64:416-20. 2007..To examine the incidence of dementia in subjects with mild cognitive impairment (MCI) in the Cardiovascular Health Study Cognition Study...
Non-cognitive symptoms in mild cognitive impairment subjectsOscar L Lopez
Alzheimer s Disease Research Center, University of Pittsburgh, Pittsburgh, PA 15213, USA
Neurocase 11:65-71. 2005....
Alteration of a clinically meaningful outcome in the natural history of Alzheimer's disease by cholinesterase inhibitionOscar L Lopez
Alzheimer s Disease Research Center and Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
J Am Geriatr Soc 53:83-7. 2005..To describe the effect of cholinesterase inhibitors (CEIs) on the natural course of Alzheimer's disease (AD) using clinically meaningful outcomes...
Comparison of citalopram, perphenazine, and placebo for the acute treatment of psychosis and behavioral disturbances in hospitalized, demented patientsBruce G Pollock
Department of Psychiatry, University of Pittsburgh School of Medicine, PA, USA
Am J Psychiatry 159:460-5. 2002....
Apolipoprotein E and alpha-1-antichymotrypsin genotypes do not predict time to psychosis in Alzheimer's diseaseRobert A Sweet
Department of Psychiatry, School of Medicine, Graduate School of Public Health, University of Pittsburgh, Pennsylvania, USA
J Geriatr Psychiatry Neurol 15:24-30. 2002..The findings support the hypothesis that these two genetic determinants of AD risk do not contribute to the risk of development of psychotic symptoms in AD...
Cognitive and behavioral correlates of low vitamin B12 levels in elderly patients with progressive dementiaEllen M Whyte
Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Am J Geriatr Psychiatry 10:321-7. 2002..In AD, the prevalence of low vitamin B12 serum levels is consistent with that found in community-dwelling elderly persons in general but is associated with greater overall cognitive impairment...
Effect of nortriptyline and paroxetine on CYP2D6 activity in depressed elderly patientsLalithKumar K Solai
Mental Health Intervention Research Center for the Study of Late Life Mood Disorders, University of Pittsburgh School of Medicine, Pennsylvania, USA
J Clin Psychopharmacol 22:481-6. 2002..CYP2D6 inhibition by paroxetine, which effectively converted 59% of patients to phenotypic PMs, may be especially relevant for elderly patients given their generally higher concentration of paroxetine...
The effect of age on the pharmacological management of ambulatory patients treated with depot neuroleptic medications for schizophrenia and related psychotic disordersDavid C Mamo
Centre for Addiction and Mental Health, Toronto, Canada
Int J Geriatr Psychiatry 17:1012-7. 2002..CONCLUSION: The results of this study highlight the need for prospective assessments of depot neuroleptic dose requirements in older patients suffering from primary psychotic disorders...
Patterns of change in the treatment of psychiatric symptoms in patients with probable Alzheimer's disease from 1983 to 2000Oscar L Lopez
Alzheimer s Disease Research Center, University of Pittsburgh School of Medicine, Pennsylvania, USA
J Neuropsychiatry Clin Neurosci 15:67-73. 2003..g., aggression, agitation) and sleep disorders in AD. Although the use of SHA has a proven deleterious effect on patients with AD, their use has increased over the past two decades...
Reduced pyramidal cell somal volume in auditory association cortex of subjects with schizophreniaRobert A Sweet
Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15213, USA
Neuropsychopharmacology 28:599-609. 2003..This reduction may contribute to impairment in auditory function. The correlated reductions of somal volume in BA42 and BA9 suggest that a common factor may affect deep layer 3 pyramidal cells in both regions...
Psychotic symptoms in Alzheimer disease: evidence for subtypesSarah E Cook
Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA
Am J Geriatr Psychiatry 11:406-13. 2003..Longitudinal study is needed to determine whether these proposed subtypes remain stable and independent over time or merge into a single group over the course of illness...
Psychiatric symptoms vary with the severity of dementia in probable Alzheimer's diseaseOscar L Lopez
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
J Neuropsychiatry Clin Neurosci 15:346-53. 2003..Education and race were independently associated with psychosis. However, while education was associated with psychosis in mild/moderate stages, race was associated with psychosis in moderate/severe stages...
APOE is associated with age-of-onset, but not cognitive functioning, in late-life depressionMeryl A Butters
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
Int J Geriatr Psychiatry 18:1075-81. 2003..We also predicted that APOE4 allele frequency would be increased among subjects with LLD...
Altered cortical glutamate neurotransmission in schizophrenia: evidence from morphological studies of pyramidal neuronsDavid A Lewis
Department of Psychiatry, University of Pittsburgh, Pennsylvania 15213, USA
Ann N Y Acad Sci 1003:102-12. 2003....
Pyramidal cell size reduction in schizophrenia: evidence for involvement of auditory feedforward circuitsRobert A Sweet
Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Biol Psychiatry 55:1128-37. 2004..This pattern of abnormalities is consistent with impairments of auditory feedforward projection neurons...
Alzheimer disease with psychosis: excess cognitive impairment is restricted to the misidentification subtypeGina Perez-MadriƱan
Dept of Psychiatry, Univ of Pittsburgh, PA, USA
Am J Geriatr Psychiatry 12:449-56. 2004..We hypothesized that these two groups differed in their patterns of cognitive impairment, compared with AD subjects without psychosis...
Neuropathologic correlates of late-onset major depressionRobert A Sweet
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Neuropsychopharmacology 29:2242-50. 2004..These preliminary findings suggest that AD is the predominant neuropathologic condition in LLMD subjects with dementia. Further assessment of the role of comorbid cerebrovascular disease and comorbid DLB is needed...
Research evaluation and prospective diagnosis of dementia with Lewy bodiesOscar L Lopez
Alzheimer's Disease Research Center, University of Pittsburgh, PA, USA
Arch Neurol 59:43-6. 2002..We believe that current criteria for DLBs are useful when DLBs occur in isolation, but have low sensitivity when Lewy bodies coexist with the pathological abnormalities of Alzheimer disease...
Risperidone and 9-hydroxyrisperidone concentrations are not dependent on age or creatinine clearance among elderly subjectsRae Ann Maxwell
Pharmacy Department, Western Psychiatric Institute and Clinic, VA Pittsburgh Health System, Pennsylvania, USA
J Geriatr Psychiatry Neurol 15:77-81. 2002..These results were unchanged when concentrations were corrected for total daily risperidone dose. Among elderly subjects, risperidone and 9-OH clearance do not decline with increasing age or declining CrCl...
