P. K. Anokhin Institute of Normal Physiology, Moscow, Russia.
Center of Psychosomatic Medicine and Psychotherapy "Alvian", Moscow, Russia.
Clin Neurophysiol. 2024 Oct;166:142-151. doi: 10.1016/j.clinph.2024.08.001. Epub 2024 Aug 8.
Glutamic acid decarboxylase, an enzyme in GABA biosynthesis, is encoded by the GAD1 gene, the transcriptional activity of which is affected by the rs3749034 polymorphism. The aim was to investigate the effects of rs3749034 on cognitive event-related potentials (P300) in healthy subjects and schizophrenic patients.
Determination of rs3749034 polymorphism was performed in 89 healthy volunteers and 109 schizophrenic patients (males). Two-stimulus oddball task performance and P300 auditory evoked potentials were analyzed and patient symptomatology was assessed using the Positive and Negative Syndrome Scale (PANSS).
An increased frequency of C allele carriers was disclosed in patients. In controls, superior task performance was observed in cytosine-thymine carriers, while a greater P300 amplitude and shorter latency were found in C/C carriers. Analogous effects were found in patients with a disease onset before 25 years of age. Higher N5 and lower P3 and G5 PANSS scales were revealed in C/C homozygotes.
The findings substantiate an involvement of GABA-ergic mechanisms in maintaining an optimal excitatory-inhibitory balance and an association of rs3749034 with early-onset disorder and negative symptoms of schizophrenia.
These results are important for understanding underlying mechanisms and the development of evidence-based methods for assessing the risk of schizophrenia.
谷氨酸脱羧酶是 GABA 生物合成中的一种酶,由 GAD1 基因编码,其转录活性受 rs3749034 多态性影响。本研究旨在探讨 rs3749034 对健康受试者和精神分裂症患者认知事件相关电位(P300)的影响。
在 89 名健康志愿者和 109 名精神分裂症患者(男性)中检测 rs3749034 多态性。分析二刺激Oddball 任务表现和 P300 听觉诱发电位,并使用阳性和阴性综合征量表(PANSS)评估患者的症状。
患者中 C 等位基因携带者的频率增加。在对照组中,胞嘧啶-胸腺嘧啶携带者的任务表现更好,而 C/C 携带者的 P300 振幅更大,潜伏期更短。在发病年龄在 25 岁以下的患者中也发现了类似的影响。C/C 纯合子的 N5 较高,P3 和 G5PANSS 较低。
这些发现证实了 GABA 能机制在维持最佳兴奋-抑制平衡中的作用,以及 rs3749034 与精神分裂症的早发和阴性症状有关。
这些结果对于理解潜在机制和开发基于证据的方法评估精神分裂症风险具有重要意义。