Young Jared W, Kamenski Mary E, Higa Kerin K, Light Gregory A, Geyer Mark A, Zhou Xianjin
Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
Research Service, VA San Diego Healthcare System, San Diego, CA, USA.
Neuropsychopharmacology. 2015 Nov;40(12):2715-26. doi: 10.1038/npp.2015.120. Epub 2015 Apr 24.
Serious mental illness occurs in 25% of the general population, with many disorders being neurodevelopmental, lifelong, and debilitating. The wide variation and overlap in symptoms across disorders increases the difficulty of research and treatment development. The NIMH Research Domain of Criteria initiative aims to improve our understanding of the molecular and behavioral consequences of specific neurodevelopmental mechanisms across disorders, enabling targeted treatment development. The transcription factor Specificity Protein 4 (SP4) is important for neurodevelopment and is genetically associated with both schizophrenia and bipolar disorder. Reduced Sp4 expression in mice (hypomorphic) reproduces several characteristics of psychiatric disorders. We further tested the utility of Sp4 hypomorphic mice as a model organism relevant to psychiatric disorders by assessing cognitive control plus effort and decision-making aspects of approach motivation using cross-species-relevant tests. Sp4 hypomorphic mice exhibited impaired attention as measured by the 5-Choice Continuous Performance Test, an effect that was attenuated by glycine type-1 transporter (GlyT-1) inhibition. Hypomorphic mice also exhibited reduced motivation to work for a reward and impaired probabilistic learning. These deficits may stem from affected anticipatory reward, analogous to anhedonia in patients with schizophrenia and other psychiatric disorders. Neither positive valence deficit was attenuated by GlyT-1 treatment, suggesting that these and the attentional deficits stem from different underlying mechanisms. Given the association of SP4 gene with schizophrenia and bipolar disorder, the present studies provide support that personalized GlyT-1 inhibition may treat attentional deficits in neuropsychiatric patients with low SP4 levels.
严重精神疾病在普通人群中的发病率为25%,许多疾病属于神经发育性、终身性且使人衰弱。不同疾病症状的广泛差异和重叠增加了研究和治疗开发的难度。美国国立精神卫生研究所(NIMH)的研究领域标准倡议旨在增进我们对特定神经发育机制在不同疾病中的分子和行为后果的理解,从而推动针对性治疗的开发。转录因子特异性蛋白4(SP4)对神经发育很重要,并且在基因上与精神分裂症和双相情感障碍相关。小鼠中Sp4表达降低(低表达型)再现了精神疾病的几个特征。我们通过使用跨物种相关测试评估认知控制以及趋近动机的努力和决策方面,进一步测试了Sp4低表达型小鼠作为与精神疾病相关的模式生物的效用。通过5选连续操作测试测量,Sp4低表达型小鼠表现出注意力受损,甘氨酸1型转运体(GlyT-1)抑制可减弱这种效应。低表达型小鼠还表现出为获得奖励而工作的动机降低以及概率学习受损。这些缺陷可能源于预期奖励受到影响,类似于精神分裂症和其他精神疾病患者的快感缺失。GlyT-1治疗并未减弱正性效价缺陷,这表明这些缺陷和注意力缺陷源于不同的潜在机制。鉴于SP4基因与精神分裂症和双相情感障碍的关联,本研究支持个性化的GlyT-1抑制可能治疗SP4水平低的神经精神疾病患者的注意力缺陷。