Vostrikov Victor M, Uranova Natalya A, Orlovskaya Diana D
Laboratory of Clinical Neuropathology, Mental Health Research Center, Zagorodnoe shosse 2, Moscow 117152, Russia.
Schizophr Res. 2007 Aug;94(1-3):273-80. doi: 10.1016/j.schres.2007.04.014. Epub 2007 Jun 13.
A deficit of oligodendrocytes has been reported in the prefrontal cortex (PFC) in schizophrenia (SCH), bipolar disorder (BPD) and major depression (MDD). Also, a decreased size of pyramidal neurons has been detected in layer III in SCH and in mood disorders. Since oligodendrocytes have a trophic influence on neurons, reduced neuronal size reported in these disorders might be associated with the deficit in subpopulation of perineuronal oligodendrocytes. We hypothesized that deficit of perineuronal oligodendrocytes might occur in SCH and mood disorders.
We estimated the number of oligodendroglial satellites of pyramidal neurons and the size of pyramidal neurons in layer III (Brodmann's area 9) in Nissl stained sections in SCH, BPD, MDD and normal controls. The Stanley Foundation Neuropathology Consortium brain collection consisted of 15 cases in each of four groups was used.
We detected a prominent and significant reduction in the number of perineuronal oligodendrocytes in the sublayers IIIa, IIIb and IIIc in SCH, BPD and MDD as compared to controls. The BPD group differed significantly from SCH group and from MDD group. There were no significant differences in somal sizes of pyramidal neurons in the sublayers IIIa, IIIb, IIIc between each of the psychiatric groups and the control group. Only BPD group showed significantly smaller neuronal size in sublayer IIIc as compared to controls.
Our data provide evidence for a deficit of perineuronal oligodendrocytes in severe mental disorders that may play a key role in the pathophysiology of SCH, BPD and MDD.
据报道,精神分裂症(SCH)、双相情感障碍(BPD)和重度抑郁症(MDD)患者的前额叶皮质(PFC)中少突胶质细胞数量不足。此外,在精神分裂症和情绪障碍患者的III层中检测到锥体细胞体积减小。由于少突胶质细胞对神经元具有营养作用,这些疾病中报道的神经元体积减小可能与神经元周围少突胶质细胞亚群的缺乏有关。我们假设神经元周围少突胶质细胞的缺乏可能发生在精神分裂症和情绪障碍中。
我们在尼氏染色切片中估计了精神分裂症、双相情感障碍、重度抑郁症患者及正常对照者III层(布罗德曼9区)锥体细胞的少突胶质卫星细胞数量和锥体细胞大小。使用了由斯坦利基金会神经病理学联盟提供的脑标本,每组15例。
与对照组相比,我们在精神分裂症、双相情感障碍和重度抑郁症患者的IIIa、IIIb和IIIc亚层中检测到神经元周围少突胶质细胞数量显著减少。双相情感障碍组与精神分裂症组和重度抑郁症组有显著差异。各精神疾病组与对照组之间,IIIa、IIIb、IIIc亚层中锥体细胞的胞体大小无显著差异。只有双相情感障碍组在IIIc亚层中的神经元大小与对照组相比显著更小。
我们的数据为严重精神障碍中神经元周围少突胶质细胞的缺乏提供了证据,这可能在精神分裂症、双相情感障碍和重度抑郁症的病理生理学中起关键作用。