Dorph-Petersen Karl-Anton, Caric Damira, Saghafi Ramin, Zhang Wei, Sampson Allan R, Lewis David A
Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Acta Neuropathol. 2009 Apr;117(4):369-84. doi: 10.1007/s00401-008-0410-2. Epub 2008 Jul 19.
Subjects with schizophrenia show deficits in visual perception that suggest changes predominantly in the magnocellular pathway and/or the dorsal visual stream important for visiospatial perception. We previously found a substantial 25% reduction in neuron number of the primary visual cortex (Brodmann's area 17, BA17) in postmortem tissue from subjects with schizophrenia. Also, many studies have found reduced volume and neuron number of the pulvinar--the large thalamic association nucleus involved in higher-order visual processing. Here, we investigate if the lateral geniculate nucleus (LGN), the visual relay nucleus of the thalamus, has structural changes in schizophrenia. We used stereological methods based on unbiased principles of sampling (Cavalieri's principle and the optical fractionator) to estimate the total volume and neuron number of the magno- and parovocellular parts of the left LGN in postmortem brains from nine subjects with schizophrenia, seven matched normal comparison subjects and 13 subjects with mood disorders. No significant schizophrenia-related structural differences in volume or neuron number of the left LGN or its major subregions were found, but we did observe a significantly increased total volume of the LGN, and of the parvocellular lamina and interlaminar regions, in the mood group. These findings do not support the hypothesis that subjects with schizophrenia have structural changes in the LGN. Therefore, our previous observation of a schizophrenia-related reduction of the primary visual cortex is probably not secondary to a reduction in the LGN.
患有精神分裂症的受试者在视觉感知方面存在缺陷,这表明主要在大细胞通路和/或对视觉空间感知很重要的背侧视觉流中发生了变化。我们之前发现,精神分裂症受试者死后组织中初级视觉皮层(布罗德曼17区,BA17)的神经元数量大幅减少了25%。此外,许多研究发现,丘脑枕(参与高阶视觉处理的大型丘脑联合核)的体积和神经元数量减少。在这里,我们研究丘脑的视觉中继核外侧膝状体(LGN)在精神分裂症中是否存在结构变化。我们使用基于无偏抽样原则(卡瓦列里原理和光学分割器)的体视学方法,来估计9名精神分裂症受试者、7名匹配的正常对照受试者和13名情绪障碍受试者死后大脑中左侧LGN的大细胞和小细胞部分的总体积和神经元数量。未发现左侧LGN及其主要亚区域在体积或神经元数量上存在与精神分裂症相关的显著结构差异,但我们确实观察到情绪障碍组中LGN、小细胞层和层间区域的总体积显著增加。这些发现不支持精神分裂症受试者的LGN存在结构变化这一假设。因此,我们之前观察到的与精神分裂症相关的初级视觉皮层减少可能并非继发于LGN的减少。