The antipsychotic drug, haloperidol, elicits the expression of neurotensin and c-fos mRNA in the dorsal lateral region of the striatum and produces an acute cataleptic response in rodents that correlates with the motor side effects of haloperidol in humans. Mice harboring a targeted disruption of the RII subunit of protein kinase A have a profound deficit in cAMP-stimulated kinase activity in the striatum. When treated with haloperidol, RII mutant mice fail to induce either c-fos or neurotensin mRNA and the acute cataleptic response is blocked. However, both wild-type and mutant mice become cataleptic when neurotensin peptide is directly injected into the lateral ventricle, demonstrating that the kinase deficiency does not interfere with the action of neurotensin but rather its synthesis and release. These results establish a direct role for protein kinase A as a mediator of haloperidol induced gene induction and cataleptic behavior.Antipsychotic drugs are a group of chemically diverse compounds that are used in the treatment of severe psychiatric disorders. The efficacy of haloperidol, the prototypic antipsychotic agent, in the treatment of the symptoms of schizophrenia is thought to result, at least in part, from its ability to bind to and antagonize dopamine D2-like receptors (1, 2) leading to an increase in cAMP (3). However, the pathways that connect the changes in cAMP levels to either therapeutic or toxic effects remain unclear.Medium spiny neurons in the striatum express either D1 or D2 receptors (4). The D1 receptor is coupled via Gs to a stimulation of cAMP synthesis whereas the D2 receptor is Gi coupled and could lead to an inhibition of adenylate cyclase activity and a decrease in intracellular cAMP. D2 receptors are also coupled to the activation of K ϩ channels via the ␥ subunits (5). Acute haloperidol administration leads to changes in neuropeptide gene expression in the striatum. One of the genes affected is that coding for neurotensin (NT), a tridecapeptide that is heterogeneously distributed in the central nervous system of many mammals including humans, where it functions as a neurotransmitter or neuromodulator (6, 7). Several lines of evidence suggest that NT may play an important role in the etiology and͞or pharmacotherapy of schizophrenia and other neuropsychiatric disorders. NT regulates the dopaminergic neuronal systems, increasing the firing rate of nigrostriatal neurons as well as attenuating dopamine autoinhibition of nigrostriatal neurons. NT levels have been reported reduced in the cerebrospinal fluid of drug-free schizophrenic patients, but return to normal levels following haloperidol treatment (8).Previous studies have shown that 7 h following a single dose of haloperidol, a dramatic increase in NT mRNA occurs in neurons of the dorsolateral striatum (DLST) of the rat brain, a component of the basal ganglia circuitry that has been implicated in the regulation of motor output (9, 10). Haloperidol administration also leads to the induction of c-fos mRNA within 30 min in DL...