Haroutunian Vahram, Davis Kenneth L
Department of Psychiatry, The Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY, USA.
Int J Neuropsychopharmacol. 2007 Aug;10(4):499-502. doi: 10.1017/S1461145706007449.
A central tenet of modern views of the neurobiology of schizophrenia is that the symptoms of schizophrenia arise from a failure of adequate communication between different brain regions and disruption of the circuitry that underlies behaviour and perception. Historically this disconnectivity syndrome has been approached from a neurotransmitter-based perspective. However, efficient communication between brain circuits is also contingent on saltatory signal propagation and salubrious myelination of axons. The papers in this Special Section examine the neuroanatomical and molecular biological evidence for abnormal myelination and oligodendroglial function in schizophrenia through studies of post-mortem brain tissue and animal model systems. The picture that emerges from the studies described suggests that although schizophrenia is not characterized by gross abnormalities of white matter such as those evident in multiple sclerosis, it does involve a profound dysregulation of myelin-associated gene expression, reductions in oligodendrocyte numbers, and marked abnormalities in the ultrastructure of myelin sheaths.
精神分裂症神经生物学现代观点的一个核心原则是,精神分裂症的症状源于不同脑区之间缺乏充分的交流,以及行为和感知背后的神经回路遭到破坏。从历史角度来看,这种脱节综合征一直是从基于神经递质的角度来探讨的。然而,脑回路之间的有效通信还取决于跳跃式信号传播以及轴突的健康髓鞘形成。本专题中的论文通过对死后脑组织和动物模型系统的研究,考察了精神分裂症中髓鞘形成异常和少突胶质细胞功能异常的神经解剖学和分子生物学证据。这些研究所呈现出的情况表明,尽管精神分裂症不像多发性硬化症那样具有明显的白质粗大异常特征,但它确实涉及髓鞘相关基因表达的严重失调、少突胶质细胞数量的减少以及髓鞘超微结构的显著异常。