Kryszkowski Waldemar, Boczek Tomasz
General Psychiatric Ward, Babinski Memorial Hospital in Lodz, 91229 Lodz, Poland.
Department of Molecular Neurochemistry, Medical University of Lodz, 92215 Lodz, Poland.
J Clin Med. 2021 Apr 2;10(7):1475. doi: 10.3390/jcm10071475.
Schizophrenia is a severe neuropsychiatric disease with an unknown etiology. The research into the neurobiology of this disease led to several models aimed at explaining the link between perturbations in brain function and the manifestation of psychotic symptoms. The glutamatergic hypothesis postulates that disrupted glutamate neurotransmission may mediate cognitive and psychosocial impairments by affecting the connections between the cortex and the thalamus. In this regard, the greatest attention has been given to ionotropic NMDA receptor hypofunction. However, converging data indicates metabotropic glutamate receptors as crucial for cognitive and psychomotor function. The distribution of these receptors in the brain regions related to schizophrenia and their regulatory role in glutamate release make them promising molecular targets for novel antipsychotics. This article reviews the progress in the research on the role of metabotropic glutamate receptors in schizophrenia etiopathology.
精神分裂症是一种病因不明的严重神经精神疾病。对该疾病神经生物学的研究产生了几种模型,旨在解释脑功能紊乱与精神症状表现之间的联系。谷氨酸能假说假定,谷氨酸神经传递的破坏可能通过影响皮质与丘脑之间的连接来介导认知和社会心理障碍。在这方面,离子型N-甲基-D-天冬氨酸(NMDA)受体功能减退受到了最多关注。然而,越来越多的数据表明,代谢型谷氨酸受体对认知和精神运动功能至关重要。这些受体在与精神分裂症相关的脑区中的分布及其对谷氨酸释放的调节作用,使其成为新型抗精神病药物有前景的分子靶点。本文综述了代谢型谷氨酸受体在精神分裂症病因学中作用的研究进展。