Beasley Clare L, Zhang Zhi J, Patten Iain, Reynolds Gavin P
Department of Biomedical Science, University of Sheffield, United Kingdom.
Biol Psychiatry. 2002 Oct 1;52(7):708-15. doi: 10.1016/s0006-3223(02)01360-4.
Postmortem studies have provided evidence for abnormalities of the gamma-aminobutyric acid (GABA)-ergic system in schizophrenia, including deficits of GABA-containing interneurons. The calcium-binding proteins parvalbumin, calbindin, and calretinin can be used as markers for specific subpopulations of cortical GABAergic interneurons.
Following our previous observation of a reduction in the density of parvalbumin- but not calretinin-immunoreactive cells in the prefrontal cortex (Brodmann area 10) in schizophrenia, we have quantified the laminar density of neurons immunoreactive for the calcium-binding proteins parvalbumin, calbindin, and calretinin in a further prefrontal cortical region (Brodmann area 9) in patients with schizophrenia, bipolar disorder, major depression, and in matched control subjects (each group n = 15).
Initial statistical analysis revealed reductions in the total cortical density of parvalbumin- and calbindin- but not calretinin-immunoreactive neurons in schizophrenia relative to control subjects. Further analysis comparing individual laminar densities between groups indicated that, following correction for multiple comparisons, only a reduction in calbindin-immunoreactive neurons in cortical layer II in the schizophrenic group attained statistical significance.
These findings suggest that deficits of specific GABAergic neurons, defined by the presence of calcium-binding proteins, are present in schizophrenia. Trends toward similar reductions are observed in bipolar disorder.
尸检研究为精神分裂症中γ-氨基丁酸(GABA)能系统异常提供了证据,包括含GABA的中间神经元数量减少。钙结合蛋白小白蛋白、钙结合蛋白和钙视网膜蛋白可作为皮质GABA能中间神经元特定亚群的标志物。
根据我们之前的观察,精神分裂症患者前额叶皮质(布罗德曼10区)中小白蛋白免疫反应性细胞密度降低,而钙视网膜蛋白免疫反应性细胞密度未降低。我们对精神分裂症、双相情感障碍、重度抑郁症患者以及匹配的对照受试者(每组n = 15)的另一个前额叶皮质区域(布罗德曼9区)中对钙结合蛋白小白蛋白、钙结合蛋白和钙视网膜蛋白免疫反应的神经元的层状密度进行了量化。
初步统计分析显示,与对照受试者相比,精神分裂症患者中小白蛋白和钙结合蛋白免疫反应性神经元的总皮质密度降低,而钙视网膜蛋白免疫反应性神经元未降低进一步比较各组之间的单个层状密度分析表明,在进行多重比较校正后,只有精神分裂症组皮质II层中钙结合蛋白免疫反应性神经元的减少具有统计学意义。
这些发现表明,精神分裂症中存在由钙结合蛋白定义的特定GABA能神经元缺陷。双相情感障碍中也观察到类似减少的趋势。