LaMantia A S
Department of Cell and Molecular Physiology, University of North Carolina at Chapel Hill, School of Medicine 27599-7545, USA.
Biol Psychiatry. 1999 Jul 1;46(1):19-30. doi: 10.1016/s0006-3223(99)00002-5.
Schizophrenia is thought to be a disease of early development that ultimately affects forebrain neurons and circuits. There may be a relationship between disrupted forebrain development; malformations of the limb, face, and heart; and signaling via the steroid-like hormone retinoic acid (RA) in some schizophrenic patients. The limbs, face, heart, and forebrain all develop from sites where neural crest-derived, RA-producing mesenchyme contributes to induction and differentiation of adjacent epithelia. Induction between neural crest-derived, RA-producing mesenchyme, the anterior neural tube, and the anterior surface epithelium of the embryo guides regional differentiation and pathway formation during forebrain development. Furthermore, there are at least two mouse mutations--in the Pax-6 and Gli-3 genes--that cause peripheral malformations and specifically disrupt neural crest mediated, RA-dependent induction and differentiation in the forebrain. These observations suggest that induction might provide a common target for genes that alter morphogenesis of peripheral structures, disrupt RA-signaling, and compromise forebrain development. In the forebrain, some of these disruptions might influence the numbers or cellular properties of neurons and circuits. Such changes might be reflected in the aberrant forebrain function that characterizes schizophrenia.
精神分裂症被认为是一种早期发育疾病,最终会影响前脑神经元和神经回路。在一些精神分裂症患者中,前脑发育紊乱、肢体、面部和心脏畸形与类类固醇激素视黄酸(RA)信号传导之间可能存在关联。肢体、面部、心脏和前脑均由神经嵴衍生的、产生RA的间充质部位发育而来,该间充质有助于相邻上皮的诱导和分化。神经嵴衍生的、产生RA的间充质、胚胎前神经管和胚胎前表面上皮之间的诱导作用在前脑发育过程中引导区域分化和通路形成。此外,至少有两种小鼠突变——Pax - 6和Gli - 3基因的突变——会导致外周畸形,并特别破坏神经嵴介导的、前脑中RA依赖的诱导和分化。这些观察结果表明,诱导作用可能是那些改变外周结构形态发生、破坏RA信号传导并损害前脑发育的基因的共同靶点。在前脑中,其中一些干扰可能会影响神经元和神经回路的数量或细胞特性。此类变化可能反映在精神分裂症所特有的异常前脑功能中。