Hoftman Gil D, Datta Dibyadeep, Lewis David A
Department of Psychiatry, School of Arts and Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania.
Department of Psychiatry, School of Arts and Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania; School of Medicine, and the Department of Neuroscience, School of Arts and Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania.
Biol Psychiatry. 2017 May 15;81(10):862-873. doi: 10.1016/j.biopsych.2016.05.022. Epub 2016 Jun 4.
Convergent evidence suggests that schizophrenia is a disorder of neurodevelopment with alterations in both early and late developmental processes hypothesized to contribute to the disease process. Abnormalities in certain clinical features of schizophrenia, such as working memory impairments, depend on distributed neural circuitry including the dorsolateral prefrontal cortex (DLPFC) and appear to arise during the protracted maturation of this circuitry across childhood and adolescence. In particular, the neural circuitry substrate for working memory in primates involves the coordinated activity of excitatory pyramidal neurons and a specific population of inhibitory gamma-aminobutyric acid neurons (i.e., parvalbumin-containing basket cells) in layer 3 of the DLPFC. Understanding the relationships between the normal development of-and the schizophrenia-associated alterations in-the DLPFC circuitry that subserves working memory could provide new insights into the nature of schizophrenia as a neurodevelopmental disorder. Consequently, we review the following in this article: 1) recent findings regarding alterations of DLPFC layer 3 circuitry in schizophrenia, 2) the developmental refinements in this circuitry that occur during the period when the working memory alterations in schizophrenia appear to arise and progress, and 3) how various adverse environmental exposures could contribute to developmental disturbances of this circuitry in individuals with schizophrenia.
越来越多的证据表明,精神分裂症是一种神经发育障碍,早期和晚期发育过程的改变都被认为与疾病进程有关。精神分裂症某些临床特征的异常,如工作记忆受损,依赖于包括背外侧前额叶皮质(DLPFC)在内的分布式神经回路,并且似乎在儿童期和青少年期该回路的长期成熟过程中出现。特别是,灵长类动物中工作记忆的神经回路基础涉及DLPFC第3层中兴奋性锥体神经元和特定群体的抑制性γ-氨基丁酸神经元(即含小白蛋白的篮状细胞)的协同活动。了解服务于工作记忆的DLPFC回路的正常发育与精神分裂症相关改变之间的关系,可能为作为神经发育障碍的精神分裂症的本质提供新的见解。因此,我们在本文中综述以下内容:1)关于精神分裂症中DLPFC第3层回路改变的最新发现,2)在精神分裂症中工作记忆改变似乎出现和进展的时期该回路发生的发育完善,以及3)各种不良环境暴露如何导致精神分裂症患者该回路的发育障碍。