de Jonge Jeroen C, Vinkers Christiaan H, Hulshoff Pol Hilleke E, Marsman Anouk
Brain Center Rudolf Magnus, Department of Psychiatry, University Medical Center Utrecht, Utrecht, Netherlands.
Danish Research Centre for Magnetic Resonance, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
Front Psychiatry. 2017 Aug 11;8:118. doi: 10.3389/fpsyt.2017.00118. eCollection 2017.
Schizophrenia is a psychiatric disorder characterized by hallucinations, delusions, disorganized thinking, and impairments in cognitive functioning. Evidence from postmortem studies suggests that alterations in cortical γ-aminobutyric acid (GABAergic) neurons contribute to the clinical features of schizophrenia. measurement of brain GABA levels using magnetic resonance spectroscopy (MRS) offers the possibility to provide more insight into the relationship between problems in GABAergic neurotransmission and clinical symptoms of schizophrenia patients. This study reviews and links alterations in the GABA system in postmortem studies, animal models, and human studies in schizophrenia. Converging evidence implicates alterations in both presynaptic and postsynaptic components of GABAergic neurotransmission in schizophrenia, and GABA may thus play an important role in the pathophysiology of schizophrenia. MRS studies can provide direct insight into the GABAergic mechanisms underlying the development of schizophrenia as well as changes during its course.
精神分裂症是一种精神障碍,其特征为幻觉、妄想、思维紊乱以及认知功能受损。尸检研究的证据表明,皮质γ-氨基丁酸(GABA能)神经元的改变与精神分裂症的临床特征有关。使用磁共振波谱(MRS)测量脑内GABA水平,为更深入了解GABA能神经传递问题与精神分裂症患者临床症状之间的关系提供了可能性。本研究回顾并联系了精神分裂症尸检研究、动物模型和人体研究中GABA系统的改变。越来越多的证据表明,精神分裂症中GABA能神经传递的突触前和突触后成分均发生了改变,因此GABA可能在精神分裂症的病理生理学中起重要作用。MRS研究可以直接深入了解精神分裂症发生发展的GABA能机制及其病程中的变化。