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D 2 antagonists such as haloperidol facilitate NMDA receptor activity in the striatum by an intracellular mechanism. A: The medium-size spiny neurons in the striatum receive glutamate inputs from the cortex and dopamine inputs from the midbrain. Inhibition of D 2 receptors on the spiny neurons facilitates NMDA receptor activity and promotes a signal transduction pathway to the nucleus. B: D 2 antagonists activate an intracellular signal transduction pathway, including protein kinase A (PKA), which leads to the phosphorylation of the NR1 subtype of the NMDA receptor (Leveque et al., 2000). This phosphorylation increases the sensitivity of the NMDA receptor to glutamate and stimulates a signal transduction pathway that reaches the cell body. Gene expression enables the neuron to adjust its structure and function. Strong and persistent inhibition of D 2 receptors can overstimulate NMDA receptors and cause neurotoxicity. P, phosphate residue. 

D 2 antagonists such as haloperidol facilitate NMDA receptor activity in the striatum by an intracellular mechanism. A: The medium-size spiny neurons in the striatum receive glutamate inputs from the cortex and dopamine inputs from the midbrain. Inhibition of D 2 receptors on the spiny neurons facilitates NMDA receptor activity and promotes a signal transduction pathway to the nucleus. B: D 2 antagonists activate an intracellular signal transduction pathway, including protein kinase A (PKA), which leads to the phosphorylation of the NR1 subtype of the NMDA receptor (Leveque et al., 2000). This phosphorylation increases the sensitivity of the NMDA receptor to glutamate and stimulates a signal transduction pathway that reaches the cell body. Gene expression enables the neuron to adjust its structure and function. Strong and persistent inhibition of D 2 receptors can overstimulate NMDA receptors and cause neurotoxicity. P, phosphate residue. 

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