School of Biomedical Sciences, University of Edinburgh, George Square, Edinburgh EH8 9XD, UK.
Department of Psychiatry, Center of Psychiatric Neuroscience, Centre Hospitalier Universitaire Vaudois and University of Lausanne, CH-1008, Prilly-Lausanne, Switzerland.
Nat Rev Neurosci. 2016 Feb;17(2):125-34. doi: 10.1038/nrn.2015.19. Epub 2016 Jan 14.
Molecular, genetic and pathological evidence suggests that deficits in GABAergic parvalbumin-positive interneurons contribute to schizophrenia pathophysiology through alterations in the brain's excitation-inhibition balance that result in impaired behaviour and cognition. Although the factors that trigger these deficits are diverse, there is increasing evidence that they converge on a common pathological hub that involves NMDA receptor hypofunction and oxidative stress. These factors have been separately linked to schizophrenia pathogenesis, but evidence now suggests that they are mechanistically interdependent and contribute to a common schizophrenia-associated pathology.
分子、遗传和病理学证据表明,GABA 能中间神经元的功能缺失导致了脑内兴奋-抑制平衡的改变,进而损害了行为和认知能力,这可能是精神分裂症病理生理学的原因之一。虽然引发这些功能缺失的因素多种多样,但越来越多的证据表明,它们汇聚到一个共同的病理枢纽,其中包括 NMDA 受体功能低下和氧化应激。这些因素已分别与精神分裂症的发病机制相关联,但现在有证据表明,它们在机制上是相互依存的,并导致共同的与精神分裂症相关的病理变化。