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精神分裂症患者前额叶皮层V层锥体神经元的病理学

Pathology of layer V pyramidal neurons in the prefrontal cortex of patients with schizophrenia.

作者信息

Black James E, Kodish Ian M, Grossman Aaron W, Klintsova Anna Y, Orlovskaya Diana, Vostrikov Victor, Uranova Natalya, Greenough William T

机构信息

Department of Psychiatry, University of Illinois at Urbana-Champaign, Urbana, 61801, USA.

出版信息

Am J Psychiatry. 2004 Apr;161(4):742-4. doi: 10.1176/appi.ajp.161.4.742.

Abstract

OBJECTIVE

Morphological indications of abnormal circuitry have been detected in the prefrontal neuropil of patients with schizophrenia. The authors tested the hypothesis that schizophrenia is associated with smaller dendritic field size in layer V pyramidal neurons in the prefrontal cortex.

METHOD

Tissue from area 10 with a mean postmortem interval of 5.7 hours was obtained from 15 subjects with chronic schizophrenia and 18 normal comparison subjects. After Golgi impregnation, basilar dendritic field size was estimated for layer V pyramidal neurons by ring intersection analysis.

RESULTS

The schizophrenia subjects had 40% fewer total ring intersections per neuron than comparison subjects. Smaller basilar dendritic field size was evident in proximal and distal branches.

CONCLUSIONS

These results indicate that abnormal dendritic outgrowth or maintenance contributes to reduced neuropil and prefrontal connectivity in schizophrenia. Short postmortem intervals and resulting high tissue quality suggest that these dystrophic changes reflect schizophrenia pathology rather than postmortem artifact.

摘要

目的

在精神分裂症患者的前额叶神经毡中已检测到异常神经回路的形态学指征。作者检验了以下假设:精神分裂症与前额叶皮质第V层锥体神经元的树突野尺寸较小有关。

方法

从15例慢性精神分裂症患者和18例正常对照受试者获取平均死后间隔时间为5.7小时的10区组织。在高尔基染色后,通过环交点分析估计第V层锥体神经元的基底树突野尺寸。

结果

与对照受试者相比,精神分裂症受试者每个神经元的总环交点少40%。在近端和远端分支中,基底树突野尺寸明显较小。

结论

这些结果表明,异常的树突生长或维持导致了精神分裂症中神经毡减少和前额叶连接性降低。较短的死后间隔时间以及由此产生的高质量组织表明,这些营养不良性变化反映的是精神分裂症病理学,而非死后假象。

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