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抗精神病药物对精神分裂症患者死后脑组织中 II 型代谢型谷氨酸受体表达和表观遗传控制的影响。

Effect of antipsychotic drugs on group II metabotropic glutamate receptor expression and epigenetic control in postmortem brains of schizophrenia subjects.

机构信息

Department of Pharmacology, University of the Basque Country, UPV/EHU, Leioa, Spain.

Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.

出版信息

Transl Psychiatry. 2024 Feb 23;14(1):113. doi: 10.1038/s41398-024-02832-z.

Abstract

Antipsychotic-induced low availability of group II metabotropic glutamate receptors (including mGluR and mGluR) in brains of schizophrenia patients may explain the limited efficacy of mGluR ligands in clinical trials. Studies evaluating mGluR levels in well-designed, large postmortem brain cohorts are needed to address this issue. Postmortem samples from the dorsolateral prefrontal cortex of 96 schizophrenia subjects and matched controls were collected. Toxicological analyses identified cases who were (AP+) or were not (AP-) receiving antipsychotic treatment near the time of death. Protein and mRNA levels of mGluR and mGluR, as well as GRM2 and GRM3 promoter-attached histone posttranslational modifications, were quantified. Experimental animal models were used to compare with data obtained in human tissues. Compared to matched controls, schizophrenia cortical samples had lower mGluR protein amounts, regardless of antipsychotic medication. Downregulation of mGluR was observed in AP- schizophrenia subjects only. Greater predicted occupancy values of dopamine D and serotonin 5HT receptors correlated with higher density of mGluR, but not mGluR. Clozapine treatment and maternal immune activation in rodents mimicked the mGluR, but not mGluR regulation observed in schizophrenia brains. mGluR and mGluR mRNA levels, and the epigenetic control mechanisms did not parallel the alterations at the protein level, and in some groups correlated inversely. Insufficient cortical availability of mGluR and mGluR may be associated with schizophrenia. Antipsychotic treatment may normalize mGluR, but not mGluR protein levels. A model in which epigenetic feedback mechanisms controlling mGluR expression are activated to counterbalance mGluR loss of function is described.

摘要

抗精神病药诱导的精神分裂症患者大脑中 II 型代谢型谷氨酸受体(包括 mGluR 和 mGluR)的低可用性可能解释了 mGluR 配体在临床试验中的有限疗效。需要进行评估 mGluR 水平的研究,这些研究应设计良好且基于大的尸检脑队列,以解决这一问题。收集了 96 名精神分裂症患者和匹配对照的背外侧前额叶皮层的尸检样本。毒理学分析确定了在接近死亡时正在(AP+)或未接受(AP-)抗精神病治疗的病例。量化了 mGluR 和 mGluR 的蛋白和 mRNA 水平,以及 GRM2 和 GRM3 启动子附着组蛋白翻译后修饰。使用实验动物模型与从人类组织中获得的数据进行比较。与匹配对照相比,无论是否接受抗精神病药物治疗,精神分裂症皮质样本中的 mGluR 蛋白含量均较低。仅在 AP-精神分裂症患者中观察到 mGluR 的下调。多巴胺 D 和 5HT 受体的更大预测占有率与更高密度的 mGluR 相关,但与 mGluR 无关。氯氮平治疗和啮齿动物的母体免疫激活模拟了精神分裂症大脑中观察到的 mGluR 调节,但不是 mGluR。mGluR 和 mGluR mRNA 水平以及表观遗传控制机制与蛋白质水平的改变不一致,并且在某些组中呈反比相关。mGluR 和 mGluR 的皮质可用性不足可能与精神分裂症有关。抗精神病药物治疗可能使 mGluR 但不能使 mGluR 蛋白水平正常化。描述了一种模型,其中控制 mGluR 表达的表观遗传反馈机制被激活以抵消 mGluR 功能丧失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5c7/10891050/a0c1ebdb9e03/41398_2024_2832_Fig1_HTML.jpg

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