正常产后人类发育和精神分裂症中的前额叶 GABA(A) 受体 α-亚单位表达。

Prefrontal GABA(A) receptor alpha-subunit expression in normal postnatal human development and schizophrenia.

机构信息

Schizophrenia Research Institute, Sydney 2021, Australia.

出版信息

J Psychiatr Res. 2010 Jul;44(10):673-81. doi: 10.1016/j.jpsychires.2009.12.007. Epub 2010 Jan 25.

Abstract

Cortical GABA deficits that are consistently reported in schizophrenia may reflect an etiology of failed normal postnatal neurotransmitter maturation. Previous studies have found prefrontal cortical GABA(A) receptor alpha subunit alterations in schizophrenia, yet their relationship to normal developmental expression profiles in the human cortex has not been determined. The aim of this study was to quantify GABA(A) receptor alpha-subunit mRNA expression patterns in human dorsolateral prefrontal cortex (DLPFC) during normal postnatal development and in schizophrenia cases compared to controls. Transcript levels of GABA(A) receptor alpha subunits were measured using microarray and qPCR analysis of 60 normal individuals aged 6weeks to 49years and in 37 patients with schizophrenia/schizoaffective disorder and 37 matched controls. We detected robust opposing changes in cortical GABA(A) receptor alpha1 and alpha5 subunits during the first few years of postnatal development, with a 60% decrease in alpha5 mRNA expression and a doubling of alpha1 mRNA expression with increasing age. In our Australian schizophrenia cohort we detected decreased GAD67 mRNA expression (p=0.0012) and decreased alpha5 mRNA expression (p=0.038) in the DLPFC with no significant change of other alpha subunits. Our findings confirm that GABA deficits (reduced GAD67) are a consistent feature of schizophrenia postmortem brain studies. Our study does not confirm alterations in cortical alpha1 or alpha2 mRNA levels in the schizophrenic DLPFC, as seen in previous studies, but instead we report a novel down-regulation of alpha5 subunit mRNA suggesting that post-synaptic alterations of inhibitory receptors are an important feature of schizophrenia but may vary between cohorts.

摘要

在精神分裂症中经常报道的皮质 GABA 缺陷可能反映了神经递质成熟失败的病因。先前的研究发现精神分裂症患者前额叶皮质 GABA(A) 受体 α 亚单位发生改变,但它们与人类皮质正常发育表达谱的关系尚未确定。本研究的目的是在正常的产后发育过程中以及与对照组相比,在人类背外侧前额叶皮层 (DLPFC) 中定量 GABA(A) 受体 α 亚单位 mRNA 表达模式。使用微阵列和 qPCR 分析了 60 名年龄在 6 周至 49 岁的正常个体和 37 名精神分裂症/分裂情感障碍患者和 37 名匹配对照者的 GABA(A) 受体 α 亚单位的转录水平。我们在出生后的前几年检测到皮质 GABA(A) 受体 α1 和 α5 亚单位的强烈相反变化,α5 mRNA 表达减少 60%,α1 mRNA 表达增加一倍,年龄增加。在我们的澳大利亚精神分裂症队列中,我们在 DLPFC 中检测到 GAD67 mRNA 表达减少(p=0.0012)和 α5 mRNA 表达减少(p=0.038),但其他 α 亚单位没有明显变化。我们的研究结果证实 GABA 缺乏症(减少 GAD67)是精神分裂症死后大脑研究的一个一致特征。我们的研究没有证实在精神分裂症 DLPFC 中存在皮质 α1 或 α2 mRNA 水平的改变,如先前的研究所示,而是报告了 α5 亚单位 mRNA 的新下调,表明抑制性受体的突触后改变是精神分裂症的一个重要特征,但在不同队列中可能有所不同。

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