前额叶皮层抑制性神经元亚型选择性转录本的改变:精神分裂症和情绪障碍的比较。

IF 5.9 2区 医学 Q1 PSYCHIATRY Psychological Medicine Pub Date : 2024-10-31 DOI:10.1017/S0033291724002344
Takeshi Okuda, Sohei Kimoto, Rika Kawabata, Yufan Bian, Makoto Tsubomoto, Kazuya Okamura, John F Enwright, Mitsuru Kikuchi, David A Lewis, Takanori Hashimoto
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引用次数: 0

摘要

背景:在精神分裂症(SZ)患者中,认知功能(如工作记忆)的损害与背外侧前额叶皮层(DLPFC)中利用神经递质γ-氨基丁酸(GABA)的某些抑制性神经元类型的改变有关。例如,与表达血管活性肠肽(VIP)的神经元相比,表达副阀素(PV)或体生长抑素(SST)的 GABA 神经元具有更显著的基因表达改变。在双相情感障碍(BD)和重度抑郁症(MD)中,GABA 神经元的转录物水平也发生了改变,这两种疾病表现出类似的认知障碍,但不如 SZ 严重。然而,DLPFC中GABA神经元亚型选择性转录本受影响的程度以及诊断相关影响的相对大小,尚未在同一研究中对SZ、BD和MD进行直接比较:方法:我们使用定量聚合酶链反应检测了160名个体(包括SZ、BD或MD患者和未受影响的对比个体(UC))的DLPFC总灰质中GABA神经元亚型选择性转录物(PV、钾电压门控通道修饰亚家族-S成员-3、SST、VIP和钙调素mRNA)以及泛GABA神经元标记物67 kDa谷氨酸脱羧酶mRNA的水平:与UC患者相比,SZ患者除钙网蛋白mRNA外,所有转录本的水平都表现出严重的缺陷,而BD或MD患者分别仅在PV或SST mRNA方面表现出明显的缺陷:这些研究结果表明,相对于BD和MD而言,DLPFC GABA神经元更广泛和更严重的改变可能是导致SZ患者出现更大认知障碍的原因。
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Alterations in inhibitory neuron subtype-selective transcripts in the prefrontal cortex: comparisons across schizophrenia and mood disorders.

Background: In schizophrenia (SZ), impairments in cognitive functions, such as working memory, have been associated with alterations in certain types of inhibitory neurons that utilize the neurotransmitter γ-aminobutyric acid (GABA) in the dorsolateral prefrontal cortex (DLPFC). For example, GABA neurons that express parvalbumin (PV) or somatostatin (SST) have more prominent gene expression alterations than those that express vasoactive intestinal peptide (VIP). In bipolar disorder (BD) and major depression (MD), which exhibit similar, but less severe, cognitive impairments than SZ, alterations of transcript levels in GABA neurons have also been reported. However, the extent to which GABA neuron subtype-selective transcripts in the DLPFC are affected, and the relative magnitudes of the diagnosis-associated effects, have not been directly compared across SZ, BD, and MD in the same study.

Methods: We used quantitative polymerase chain reaction to examine levels of GABA neuron subtype-selective transcripts (PV, potassium voltage-gated channel modifier subfamily-S member-3, SST, VIP, and calretinin mRNAs), as well as the pan-GABA neuron marker 67 kDa glutamate decarboxylase mRNA, in DLPFC total gray matter of 160 individuals, including those with SZ, BD, or MD and unaffected comparison (UC) individuals.

Results: Relative to UC individuals, individuals with SZ exhibited large deficits in levels of all transcripts except for calretinin mRNA, whereas individuals with BD or MD showed a marked deficit only for PV or SST mRNAs, respectively.

Conclusions: These findings suggest that broader and more severe alterations in DLPFC GABA neurons might contribute to the greater cognitive impairments in SZ relative to BD and MD.

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来源期刊
Psychological Medicine
Psychological Medicine 医学-精神病学
CiteScore
11.30
自引率
4.30%
发文量
711
审稿时长
3-6 weeks
期刊介绍: Now in its fifth decade of publication, Psychological Medicine is a leading international journal in the fields of psychiatry, related aspects of psychology and basic sciences. From 2014, there are 16 issues a year, each featuring original articles reporting key research being undertaken worldwide, together with shorter editorials by distinguished scholars and an important book review section. The journal''s success is clearly demonstrated by a consistently high impact factor.
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