Mueller Helena T, Haroutunian Vahram, Davis Kenneth L, Meador-Woodruff James H
Department of Psychiatry and Mental Health Research Institute, University of Michigan, Medical School, 205 Zina Pitcher Place, Ann Arbor, MI 48109-0720, USA.
Brain Res Mol Brain Res. 2004 Feb 5;121(1-2):60-9. doi: 10.1016/j.molbrainres.2003.11.004.
Multiple neurotransmitter systems have been implicated in the pathophysiology of schizophrenia. Dopamine hyperactivity has often been implicated in this illness. More recently, the glutamate hypothesis of schizophrenia suggests that NMDA receptor (NMDAR) hypofunction may also play a role in this illness. This is based primarily on studies showing that phencyclidine, an NMDAR antagonist, can induce a schizophreniform psychosis. While NMDAR dysfunction is most often implicated in schizophrenia, other components of the glutamate system, such as the AMPA and kainate receptors, as well as NMDAR-associated intracellular proteins, may also play a role in regulating NMDA receptor activity and glutamate neurotransmission. There is growing interest in the hypothesis that the pathophysiology of schizophrenia involves alterations in dopamine-glutamate interactions. The glutamate system is anatomically and functionally linked to the dopamine system, and glutamate can modulate dopaminergic activity and release by stimulating various glutamate receptor subtypes expressed by dopaminergic neurons in the substantia nigra/ventral tegmental area. In this study, we investigated dopamine-glutamate interactions by measuring the expression of transcripts encoding the subunits for the ionotropic glutamate receptors (NMDA, AMPA and kainate) and five NMDAR-associated intracellular proteins, PSD-93, PSD-95, SAP102, NF-L and yotiao in the dopaminergic neurons in the substantia nigra pars compacta (SNc) of subjects with schizophrenia and a comparison group. Tyrosine hydroxylase (TH, a marker of dopamine-synthesizing cells), NR1 (an NMDA receptor subunit) and GluR5 (a kainate subunit) transcript levels were significantly increased in the SNc in schizophrenia. These data support the hypothesis that schizophrenia may involve alterations in dopamine-glutamate interactions.
多种神经递质系统与精神分裂症的病理生理学有关。多巴胺功能亢进常被认为与这种疾病有关。最近,精神分裂症的谷氨酸假说表明,N-甲基-D-天冬氨酸受体(NMDAR)功能低下也可能在这种疾病中起作用。这主要基于研究表明,NMDAR拮抗剂苯环己哌啶可诱发精神分裂症样精神病。虽然NMDAR功能障碍最常与精神分裂症有关,但谷氨酸系统的其他成分,如α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)和海人藻酸受体,以及与NMDAR相关的细胞内蛋白,也可能在调节NMDAR活性和谷氨酸神经传递中起作用。越来越多的人关注精神分裂症的病理生理学涉及多巴胺-谷氨酸相互作用改变的假说。谷氨酸系统在解剖学和功能上与多巴胺系统相连,谷氨酸可通过刺激黑质/腹侧被盖区多巴胺能神经元表达的各种谷氨酸受体亚型来调节多巴胺能活性和释放。在本研究中,我们通过测量精神分裂症患者和对照组黑质致密部(SNc)多巴胺能神经元中离子型谷氨酸受体(NMDAR、AMPA和海人藻酸)亚基以及五种与NMDAR相关的细胞内蛋白PSD-93、PSD-95、SAP102、神经丝轻链蛋白(NF-L)和Yo-1的转录本表达,来研究多巴胺-谷氨酸相互作用。精神分裂症患者SNc中的酪氨酸羟化酶(TH,多巴胺合成细胞的标志物)、NR1(NMDAR亚基)和GluR5(海人藻酸亚基)转录水平显著升高。这些数据支持精神分裂症可能涉及多巴胺-谷氨酸相互作用改变的假说。