Younis Rabha Mussa, Al Saeedy Dalia Y, Dozmorov Mikhail G, Jahr Fay M, Malay Shravani, Mahdiani Sina, Idris Bashir, Castillo Joel, Beardsley Patrick M, McClay Joseph L
Department of Pharmacotherapy and Outcomes Science, School of Pharmacy, Virginia Commonwealth University, Richmond, VA, USA.
Department of Biostatistics, School of Public Health, Virginia Commonwealth University, Richmond, VA, USA.
Mol Neurobiol. 2025 Jul 21. doi: 10.1007/s12035-025-05199-4.
Clozapine is arguably the most effective antipsychotic drug for the treatment of schizophrenia, but the mechanisms underlying its efficacy are poorly understood. Therefore, we perform deep RNA sequencing to test for differential transcription and exon use resulting from clozapine's effects in the mouse frontal cortex, and integrate our findings with known schizophrenia risk genes. We used a dose (4 mg/kg/day, i.p.) and duration (21 days) to approximate clinical exposure, followed by a 24-h washout to determine persistent changes resulting from biological remodeling. We observed significant (FDR < 0.05) differential expression of both mRNAs and long noncoding RNAs (lncRNAs), which were enriched in RNA processing and splicing pathways. Among the most significant lncRNAs, showing 2.3-fold upregulation, was the microRNA 124 host gene (Mir124a-1hg), a major source of miR-124, one of the most abundant microRNAs in the brain. Quantitative PCR analysis of the mature microRNAs miR-124-3p and miR-124-5p revealed a significant dose-dependent upregulation of miR-124-3p following 21-day repeated clozapine administration. RNA splicing was also profoundly impacted by clozapine, as revealed by differential exon use analysis, with mouse orthologs of 50 schizophrenia risk genes from the Psychiatric Genomics Consortium among the genes affected. These genes were enriched in "apical dendrite" and "distal axon" ontologies, supporting prior evidence that clozapine may target cortical pyramidal neuron deficits implicated in schizophrenia. Overall, this study demonstrates the profound effect of clozapine on cortical gene expression, affecting abundance of splicing of coding and non-coding transcripts. Future studies are needed to fully characterize our findings as potential preclinical markers of clozapine response.
氯氮平可以说是治疗精神分裂症最有效的抗精神病药物,但其疗效背后的机制却知之甚少。因此,我们进行了深度RNA测序,以检测氯氮平对小鼠额叶皮质影响所导致的差异转录和外显子使用情况,并将我们的研究结果与已知的精神分裂症风险基因相结合。我们使用了一个剂量(4毫克/千克/天,腹腔注射)和持续时间(21天)来模拟临床暴露情况,随后进行24小时的洗脱期,以确定生物重塑所导致的持续性变化。我们观察到mRNA和长链非编码RNA(lncRNA)均有显著(FDR<0.05)的差异表达,这些差异表达在RNA加工和剪接途径中富集。在最显著的lncRNA中,微小RNA 124宿主基因(Mir124a-1hg)上调了2.3倍,它是miR-124的主要来源,而miR-124是大脑中最丰富的微小RNA之一。对成熟微小RNA miR-124-3p和miR-124-5p的定量PCR分析显示,在氯氮平21天重复给药后,miR-124-3p有显著的剂量依赖性上调。差异外显子使用分析表明,氯氮平对RNA剪接也有深远影响,受影响的基因中有来自精神基因组学联盟的50个精神分裂症风险基因的小鼠直系同源基因。这些基因在“顶端树突”和“远端轴突”本体中富集,支持了之前的证据,即氯氮平可能针对与精神分裂症相关的皮质锥体神经元缺陷。总体而言,这项研究证明了氯氮平对皮质基因表达有深远影响,影响编码和非编码转录本的丰度和剪接。未来需要进一步研究,以充分表征我们的研究结果作为氯氮平反应潜在临床前标志物的特征。
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