Clinton Sarah M, Ibrahim Hisham M, Frey Kirk A, Davis Kenneth L, Haroutunian Vahram, Meador-Woodruff James H
Mental Health Research Institute, University of Michigan, 205 Zina Pitcher Place, Ann Arbor, MI 48109-0720, USA.
Am J Psychiatry. 2005 Oct;162(10):1859-71. doi: 10.1176/appi.ajp.162.10.1859.
While both thalamic abnormalities and dopaminergic dysregulation have been separately implicated in the pathophysiology of schizophrenia, little is known about the possible dysfunction of molecules associated with dopaminergic neurotransmission in the thalamus in this illness. In this study, the authors studied this question by measuring in postmortem brain the expression of molecules associated with dopaminergic neurotransmission.
Using in situ hybridization and receptor autoradiography, the authors determined in schizophrenia and comparison subjects 1) thalamic expression of the transcripts encoding the five dopamine receptors; 2) binding to the dopamine D(1), D(2), and D(3) receptors; 3) monoaminergic innervation as assessed by binding to the vesicular monoamine transporter; and 4) transcripts encoding three dopamine receptor-associated intracellular proteins (calcyon, spinophilin, and DARPP-32) that mediate integration of dopaminergic signaling with other neurotransmitter systems.
Both calcyon and spinophilin transcripts were significantly elevated in schizophrenia subjects. Monoaminergic innervation, as well as dopamine receptor transcripts and binding sites, were unaffected in this illness.
These data indicate that there are dopaminergic abnormalities in the thalamus in schizophrenia but that they are at the level of intracellular integration of dopamine signaling with other neurotransmitter systems, likely including glutamate, in thalamic neurons.
虽然丘脑异常和多巴胺能调节紊乱分别与精神分裂症的病理生理学相关,但对于该疾病中丘脑与多巴胺能神经传递相关分子的可能功能障碍知之甚少。在本研究中,作者通过测量死后大脑中与多巴胺能神经传递相关分子的表达来研究这个问题。
作者使用原位杂交和受体放射自显影技术,在精神分裂症患者及对照受试者中测定:1)编码五种多巴胺受体的转录本在丘脑中的表达;2)与多巴胺D(1)、D(2)和D(3)受体的结合;3)通过与囊泡单胺转运体结合评估单胺能神经支配;4)编码三种与多巴胺受体相关的细胞内蛋白(钙调蛋白、亲嗜素和多巴胺和腺苷酸环化酶相关磷酸蛋白-32)的转录本,这些蛋白介导多巴胺能信号与其他神经递质系统的整合。
在精神分裂症患者中,钙调蛋白和亲嗜素的转录本均显著升高。单胺能神经支配以及多巴胺受体转录本和结合位点在该疾病中未受影响。
这些数据表明,精神分裂症患者丘脑中存在多巴胺能异常,但这些异常处于丘脑神经元中多巴胺信号与其他神经递质系统(可能包括谷氨酸)细胞内整合的水平。