Okuda Takeshi, Kimoto Sohei, Kawabata Rika, Bian Yufan, Tsubomoto Makoto, Okamura Kazuya, Enwright John F, Kikuchi Mitsuru, Lewis David A, Hashimoto Takanori
Department of Psychiatry and Behavioral Science, Kanazawa University Graduate School of Medical Sciences, Kanazawa, 920-8640, Japan.
Department of Psychiatry, Nara Medical University School of Medicine, Kashihara, 634-8521, Japan.
Psychol Med. 2024 Oct 31;54(14):1-10. doi: 10.1017/S0033291724002344.
In schizophrenia (SZ), impairments in cognitive functions, such as working memory, have been associated with alterations in certain types of inhibitory neurons that utilize the neurotransmitter -aminobutyric acid (GABA) in the dorsolateral prefrontal cortex (DLPFC). For example, GABA neurons that express parvalbumin (PV) or somatostatin (SST) have more prominent gene expression alterations than those that express vasoactive intestinal peptide (VIP). In bipolar disorder (BD) and major depression (MD), which exhibit similar, but less severe, cognitive impairments than SZ, alterations of transcript levels in GABA neurons have also been reported. However, the extent to which GABA neuron subtype-selective transcripts in the DLPFC are affected, and the relative magnitudes of the diagnosis-associated effects, have not been directly compared across SZ, BD, and MD in the same study.
We used quantitative polymerase chain reaction to examine levels of GABA neuron subtype-selective transcripts (PV, potassium voltage-gated channel modifier subfamily-S member-3, SST, VIP, and calretinin mRNAs), as well as the pan-GABA neuron marker 67 kDa glutamate decarboxylase mRNA, in DLPFC total gray matter of 160 individuals, including those with SZ, BD, or MD and unaffected comparison (UC) individuals.
Relative to UC individuals, individuals with SZ exhibited large deficits in levels of all transcripts except for calretinin mRNA, whereas individuals with BD or MD showed a marked deficit only for PV or SST mRNAs, respectively.
These findings suggest that broader and more severe alterations in DLPFC GABA neurons might contribute to the greater cognitive impairments in SZ relative to BD and MD.
在精神分裂症(SZ)中,认知功能障碍,如工作记忆,与背外侧前额叶皮质(DLPFC)中某些利用神经递质γ-氨基丁酸(GABA)的抑制性神经元的改变有关。例如,表达小白蛋白(PV)或生长抑素(SST)的GABA神经元比表达血管活性肠肽(VIP)的神经元有更显著的基因表达改变。在双相情感障碍(BD)和重度抑郁症(MD)中,也报道了GABA神经元转录水平的改变,它们表现出与SZ相似但程度较轻的认知障碍。然而,在同一研究中,尚未直接比较SZ、BD和MD中DLPFC中GABA神经元亚型选择性转录本受影响的程度以及与诊断相关的效应的相对大小。
我们使用定量聚合酶链反应来检测160名个体的DLPFC总灰质中GABA神经元亚型选择性转录本(PV、钾电压门控通道修饰子亚家族-S成员-3、SST、VIP和钙视网膜蛋白mRNA)以及泛GABA神经元标志物67 kDa谷氨酸脱羧酶mRNA的水平,这些个体包括SZ、BD或MD患者以及未受影响的对照(UC)个体。
相对于UC个体,SZ患者除钙视网膜蛋白mRNA外,所有转录本水平均有大幅下降,而BD或MD患者仅分别在PV或SST mRNA水平上有明显下降。
这些发现表明,相对于BD和MD,DLPFC中GABA神经元更广泛、更严重的改变可能导致SZ中更严重的认知障碍。