Department of Psychiatry, University of Pittsburgh, PA 15213, USA.
Am J Psychiatry. 2010 Dec;167(12):1489-98. doi: 10.1176/appi.ajp.2010.10030318. Epub 2010 Oct 1.
Certain cognitive deficits in individuals with schizophrenia have been linked to disturbed gamma-aminobutyric acid (GABA) and glutamate neurotrans-mission in the prefrontal cortex. Thus, it is important to understand how the mechanisms that regulate GABA and glutamate neurotransmission are altered in schizophrenia. For example, group I metabo-tropic glutamate receptors (mGluR1α, mGluR5) modulate both GABA and gluta-mate systems. In addition, regulator of G protein signaling 4 (RGS4) reduces intra-cellular signaling through several different G protein-coupled receptors, including group I mGluRs. Finally, the endocannabinoid system plays an important role in regulating GABA and glutamate neurotrans-mission. The status of endocannabinoid ligands, such as 2-arachidonoylglycerol, can be inferred in part through measures of diacylglycerol lipase and monoglyceride lipase, which synthesize and degrade 2-arachidonoylglycerol, respectively.
Quantitative polymerase chain reaction was used to measure mRNA levels for group I mGluRs, RGS4, and markers of the endocannabinoid system in the prefrontal cortex Brodmann's area 9 of 42 schizophrenia subjects and matched normal comparison subjects. Similar analyses in monkeys chronically exposed to haloperidol, olanzapine, or placebo were also conducted.
Schizophrenia subjects had higher mRNA levels for mGluR1α and lower mRNA levels for RGS4, and these differences did not appear to be attributable to antipsychotic medications or other potential confounds. In contrast, no differences between subject groups were found in mRNA levels for endocannabinoid synthesizing and metabolizing enzymes.
Together, higher mGluR1α and lower RGS4 mRNA levels may represent a disturbed "molecular hub" in schizophrenia that may disrupt the function of prefrontal cortical networks, including both GABA and glutamate systems.
个体精神分裂症患者存在某些认知缺陷,与前额叶皮层中γ-氨基丁酸(GABA)和谷氨酸神经递质传递紊乱有关。因此,了解调节 GABA 和谷氨酸神经递质传递的机制在精神分裂症中是如何改变的非常重要。例如,I 型代谢型谷氨酸受体(mGluR1α、mGluR5)调节 GABA 和谷氨酸系统。此外,G 蛋白信号调节因子 4(RGS4)通过几种不同的 G 蛋白偶联受体,包括 I 型 mGluRs,减少细胞内信号转导。最后,内源性大麻素系统在调节 GABA 和谷氨酸神经递质传递中起着重要作用。内源性大麻素配体(如 2-花生四烯酸甘油)的状态可以部分通过二酰基甘油脂肪酶和单酰基甘油脂肪酶的测量来推断,这两种酶分别合成和降解 2-花生四烯酸甘油。
采用定量聚合酶链反应检测 42 例精神分裂症患者和匹配的正常对照组前额叶皮层布罗德曼 9 区 I 型 mGluR、RGS4 和内源性大麻素系统标志物的 mRNA 水平。还对慢性暴露于氟哌啶醇、奥氮平或安慰剂的猴子进行了类似的分析。
精神分裂症患者 mGluR1α 的 mRNA 水平较高,RGS4 的 mRNA 水平较低,这些差异似乎与抗精神病药物或其他潜在混杂因素无关。相比之下,两组受试者的内源性大麻素合成和代谢酶的 mRNA 水平没有差异。
mGluR1α 升高和 RGS4 降低的 mRNA 水平可能代表精神分裂症中的一个紊乱的“分子枢纽”,可能破坏前额叶皮层网络的功能,包括 GABA 和谷氨酸系统。