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[持续性精神分裂症白质中微胶质细胞与少突胶质细胞之间的特定相互作用]

[Specific interactions between microglia and oligodendrocytes in white matter in continuous schizophrenia].

作者信息

Uranova N A, Vikhreva O V, Rakhmanova V I

机构信息

Mental Health Research Center, Moscow, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2022;122(12):128-137. doi: 10.17116/jnevro2022122121128.

Abstract

OBJECTIVE

To study the ultrastructure of microglia adjacent to oligodendrocytes in white matter of the prefrontal cortex in continuous schizophrenia (CSch) as compared to controls and attack-like schizophrenia (ASch) and to perform correlation analysis between the parameters of microglia and adjacent oligodendrocytes previously detected in both clinical types of schizophrenia.

MATERIAL AND METHODS

Electron microscopic morphometric study of microglia adjacent to oligodendrocytes was performed in postmortem white matter of the prefrontal cortex (BA10) in 9 cases of CSch, 8 cases of ASch and 20 healthy controls. Group comparisons were made by ANCOVA and Pearson correlation analyses.

RESULTS

The reduction of volume fraction (Vv) and the number of mitochondria in microglia was found in elderly subjects (>50 y.o.) as compared to young controls (60%, 0.05), and the increase in these parameters of lipofuscin granules were detected in elderly subjects as compared to elderly controls in CSch (470%, 606%, 0.001). Vv and the number of mitochondria in microglia correlated negatively with area of heterochromatin in microglia (≥-0.7, 0.05), and area of lipofuscin correlated positively with area of heterochromatin in microglia (0.76, 0.05) and with illness duration (0.7, 0.05) only in the CSch group. The numerical density of microglia was not changed in both schizophrenia groups. Area of heterochromatin was increased in both groups as compared to controls (0.05) and correlated negatively with the numerical density of microglia in the CSch group. The number of mitochondria in oligodendrocytes (reduced in CSch) correlated positively with the number of mitochondria in microglia and negatively with Vv of lipofuscin granules in microglia and with area of microglial nucleus only in the CSch group.

CONCLUSION

Specific features of CSch as compared to ASch might be associated with the disturbances of mitochondrial and lipid metabolism in microglia, dysfunction of nucleus and accelerated aging of microglia that might lead to alterations of mitochondrial metabolism in oligodendrocytes.

摘要

目的

研究持续性精神分裂症(CSch)患者前额叶皮质白质中与少突胶质细胞相邻的小胶质细胞的超微结构,并与对照组及发作样精神分裂症(ASch)患者进行比较,同时对两种临床类型精神分裂症中先前检测到的小胶质细胞和相邻少突胶质细胞的参数进行相关性分析。

材料与方法

对9例CSch患者、8例ASch患者及20名健康对照者的前额叶皮质(BA10)死后白质中与少突胶质细胞相邻的小胶质细胞进行电子显微镜形态计量学研究。采用协方差分析和Pearson相关性分析进行组间比较。

结果

与年轻对照组相比,老年受试者(>50岁)小胶质细胞的体积分数(Vv)和线粒体数量减少(60%,P<0.05);与CSch老年对照组相比,老年受试者脂褐素颗粒的这些参数增加(470%,606%,P<0.001)。小胶质细胞的Vv和线粒体数量与小胶质细胞中异染色质面积呈负相关(≥-0.7,P<0.05),仅在CSch组中脂褐素面积与小胶质细胞中异染色质面积呈正相关(0.76,P<0.05),且与病程呈正相关(0.7,P<0.05)。在两个精神分裂症组中,小胶质细胞的数值密度均未改变。与对照组相比,两组中小胶质细胞异染色质面积均增加(P<0.05),且在CSch组中与小胶质细胞的数值密度呈负相关。仅在CSch组中,少突胶质细胞中的线粒体数量(CSch组减少)与小胶质细胞中的线粒体数量呈正相关,与小胶质细胞中脂褐素颗粒的Vv及小胶质细胞核面积呈负相关。

结论

与ASch相比,CSch的特异性特征可能与小胶质细胞线粒体和脂质代谢紊乱、细胞核功能障碍以及小胶质细胞加速衰老有关,这可能导致少突胶质细胞线粒体代谢改变。

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