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1.
BMC Oral Health ; 24(1): 1170, 2024 Oct 03.
Artículo en Inglés | MEDLINE | ID: mdl-39363256

RESUMEN

BACKGROUND: Schizophrenia is a chronic severe mental disorder characterized by impairment in cognition, emotion, perception, and other aspects of behavior. In light of the association of craniofacial dysmorphology with schizophrenia, mandibular morphology may provide clues about the role of neurodevelopment in the pathophysiology of schizophrenia. This retrospective cross-sectional study aimed to compare the mandibular morphology of patients with schizophrenia with controls using digital panoramic radiography (DPR). METHODS: 302 recorded diagnostic panoramic images obtained from 143 schizophrenia patients (98 males, 45 females), and 159 controls (73 males, 86 females), aged 18-45 years, were evaluated. Seven mandibular measurements consisting of ramus height, condylar height, gonial angle, antegonial angle, antegonial notch depth, ramal notch depth and bigonial width were measured from the DPRs in a double-blinded manner. Bivariate comparisons were carried out using the Independent t-test and Mann-Whitney U test. Logistic regression analysis was used for multivariate comparisons. RESULTS: Linear measurements were higher while angular measurements were lower in schizophrenia patients. Regression analyses indicated that female patients had greater ramus height (OR = 1.243; P = 0.001), condylar height (OR = 1.463; P = 0.048) and bigonial width (OR = 1.082; P < 0.001); male patients had greater ramus heights (OR = 1.216; P = 0.001) and bigonial width (OR = 1.076; P < 0.001) as well as lower antegonial angle (OR = 0.908; P = 0.012) compared to their respective controls. CONCLUSION: Quantitative differences in mandibular morphology in schizophrenia patients versus controls deserve attention and corroborate with the concept of abnormal neurodevelopment in schizophrenia.


Asunto(s)
Mandíbula , Radiografía Panorámica , Esquizofrenia , Humanos , Masculino , Femenino , Estudios Transversales , Esquizofrenia/diagnóstico por imagen , Esquizofrenia/patología , Adulto , Estudios Retrospectivos , Mandíbula/diagnóstico por imagen , Mandíbula/patología , Adolescente , Adulto Joven , Persona de Mediana Edad , Turquía , Estudios de Casos y Controles , Radiografía Dental Digital/métodos , Factores Sexuales
2.
Am J Psychiatry ; 181(10): 920-934, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39350613

RESUMEN

OBJECTIVE: In schizophrenia, impaired working memory is associated with transcriptome alterations in layer 3 pyramidal neurons (L3PNs) in the dorsolateral prefrontal cortex (DLPFC). Distinct subtypes of L3PNs that send axonal projections to the DLPFC in the opposite hemisphere (callosal projection [CP] neurons) or the parietal cortex in the same hemisphere (ipsilateral projection [IP] neurons) play critical roles in working memory. However, how the transcriptomes of these L3PN subtypes might shift during late postnatal development when working memory impairments emerge in individuals later diagnosed with schizophrenia is not known. The aim of this study was to characterize and compare the transcriptome profiles of CP and IP L3PNs across developmental transitions from prepuberty to adulthood in macaque monkeys. METHODS: The authors used retrograde labeling to identify CP and IP L3PNs in the DLPFC of prepubertal, postpubertal, and adult macaque monkeys, and used laser microdissection to capture these neurons for RNA sequencing. RESULTS: At all three ages, CP and IP L3PNs had distinct transcriptomes, with the number of genes differentially expressed between neuronal subtypes increasing with age. For IP L3PNs, age-related shifts in gene expression were most prominent between prepubertal and postpubertal animals, whereas for CP L3PNs such shifts were most prominent between postpubertal and adult animals. CONCLUSIONS: These findings demonstrate the presence of cell type-specific profiles and developmental trajectories of the transcriptomes of PPC-projecting IP and DLPFC-projecting CP L3PNs in monkey DLPFC. The evidence that IP L3PNs reach a mature transcriptome earlier than CP L3PNs suggests that these two subtypes differentially contribute to the maturation of working memory performance across late postnatal development and that they may be differentially vulnerable to the disease process of schizophrenia at specific stages of postnatal development.


Asunto(s)
Células Piramidales , Esquizofrenia , Transcriptoma , Animales , Esquizofrenia/genética , Esquizofrenia/patología , Esquizofrenia/metabolismo , Células Piramidales/metabolismo , Masculino , Memoria a Corto Plazo/fisiología , Corteza Prefontal Dorsolateral , Macaca mulatta , Corteza Prefrontal/metabolismo , Corteza Prefrontal/crecimiento & desarrollo , Femenino
3.
Sci Rep ; 14(1): 22755, 2024 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-39353988

RESUMEN

The caudate nucleus is a part of the striatum, and striatal hyperdopaminergia is considered central to the pathophysiology of schizophrenia. How caudate volume is affected in schizophrenia and what role antipsychotics play remains unclear. In early-onset schizophrenia (EOS), where psychosis emerges during a neurodevelopmentally critical phase, the caudate may exhibit a heightened vulnerability to the effects of antipsychotic medications. We hypothesized effects of both antipsychotic medication use and age of onset on caudate in schizophrenia. We included adult patients with EOS (n = 83) and adult-onset schizophrenia (AOS) (n = 246), adult healthy controls (HC, n = 774), adolescent patients with non-affective psychosis (n = 56) and adolescent HC (n = 97). We obtained T1-weighted MRI scans using a 1.5T Siemens scanner and General Electric 3T scanners. In our main analysis, we tested for main and interaction effects of diagnosis and current antipsychotic medication use on caudate volume. Adult patients with EOS (p < 0.001) and AOS (p = 0.002) had both larger caudate than HC. Age of onset (EOS/AOS) interacted with antipsychotic use (p = 0.004) which was associated with larger caudate in EOS (p < 0.001) but not in AOS (p = 0.654). Conversely, among medicated patients only, EOS had larger caudate than AOS (p < 0.001). No other subcortical structures showed differences between medicated EOS and AOS. Medicated adolescent patients with non-affective psychosis and medicated adult patients with EOS showed similar caudate volumes. The results may indicate a schizophrenia-related and a medication-induced caudate increase, the latter restricted to patients with EOS and possibly occurring already in adolescence shortly after disease onset.


Asunto(s)
Edad de Inicio , Antipsicóticos , Núcleo Caudado , Imagen por Resonancia Magnética , Esquizofrenia , Humanos , Núcleo Caudado/diagnóstico por imagen , Núcleo Caudado/patología , Núcleo Caudado/efectos de los fármacos , Esquizofrenia/tratamiento farmacológico , Esquizofrenia/diagnóstico por imagen , Esquizofrenia/patología , Adulto , Femenino , Masculino , Antipsicóticos/uso terapéutico , Antipsicóticos/efectos adversos , Adolescente , Adulto Joven , Tamaño de los Órganos/efectos de los fármacos , Estudios de Casos y Controles
5.
Psychiatry Res Neuroimaging ; 344: 111878, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39226869

RESUMEN

Significant evidence links obesity and schizophrenia (SZ), but the brain associations are still largely unclear. 48 people with SZ were divided into two subgroups: patients with lower waist circumference (SZ-LWC: n = 24) and patients with higher waist circumference (SZ-HWC: n = 24). Healthy controls (HC) were included for comparison (HC: n = 27). Using tract-based spatial statistics, we compared fractional anisotropy (FA) of the whole-brain white matter skeleton between these three groups (SZ-LWC, SZ-HWC, HC). Using Free Surfer, we compared whole-brain cortical thickness and the selected subcortical volumes between the three groups. FA of widespread white matter and the mean cortical thickness in the right temporal lobe and insular cortex were significantly lower in the SZ-HWC group than in the HC group. The FA of regional white matter was significantly lower in the SZ-LWC group than in the HC group. There were no significant differences in mean subcortical volumes between the groups. Additionally, the cognitive performances were worse in the SZ-HWC group, who had more severe triglycerides elevation. This study provides evidence for microstructural abnormalities of white matter, cortical thickness and neurocognitive deficits in SZ patients with excessive abdominal obesity.


Asunto(s)
Obesidad Abdominal , Esquizofrenia , Sustancia Blanca , Humanos , Esquizofrenia/diagnóstico por imagen , Esquizofrenia/patología , Masculino , Adulto , Femenino , Obesidad Abdominal/diagnóstico por imagen , Obesidad Abdominal/patología , Obesidad Abdominal/complicaciones , Sustancia Blanca/diagnóstico por imagen , Sustancia Blanca/patología , Imagen de Difusión Tensora , Persona de Mediana Edad , Circunferencia de la Cintura , Encéfalo/patología , Encéfalo/diagnóstico por imagen
6.
J Neuroinflammation ; 21(1): 239, 2024 Sep 27.
Artículo en Inglés | MEDLINE | ID: mdl-39334475

RESUMEN

Autophagy is crucial for synaptic plasticity and the architecture of dendritic spines. However, the role of autophagy in schizophrenia (SCZ) and the mechanisms through which it affects synaptic function remain unclear. In this study, we identified 995 single nucleotide polymorphisms (SNPs) across 19 autophagy-related genes that are associated with SCZ. Gene Set Enrichment Analysis (GSEA) of data from the Gene Expression Omnibus public database revealed defective autophagy in patients with SCZ. Using a maternal immune activation (MIA) rat model, we observed that autophagy was downregulated during the weaning period, and early-life activation of autophagy with rapamycin restored abnormal behaviors and electrophysiological deficits in adult rats. Additionally, inhibition of autophagy with 3-Methyladenine (3-MA) during the weaning period resulted in aberrant behaviors, abnormal electrophysiology, increased spine density, and reduced microglia-mediated synaptic pruning. Furthermore, 3-MA treatment significantly decreased the expression and synaptosomal content of complement, impaired the recognition of C3b and CR3, indicating that autophagy deficiency disrupts complement-mediated synaptic pruning. Our findings provide evidence for a significant association between SCZ and defective autophagy, highlighting a previously underappreciated role of autophagy in regulating the synaptic and behavioral deficits induced by MIA.


Asunto(s)
Autofagia , Plasticidad Neuronal , Ratas Sprague-Dawley , Destete , Animales , Autofagia/fisiología , Autofagia/efectos de los fármacos , Ratas , Plasticidad Neuronal/fisiología , Plasticidad Neuronal/efectos de los fármacos , Femenino , Masculino , Adenina/análogos & derivados , Adenina/farmacología , Humanos , Esquizofrenia/patología , Esquizofrenia/metabolismo , Esquizofrenia/genética , Proteínas del Sistema Complemento/metabolismo , Proteínas del Sistema Complemento/genética , Polimorfismo de Nucleótido Simple , Modelos Animales de Enfermedad , Sinapsis/patología , Sinapsis/metabolismo , Sinapsis/efectos de los fármacos , Embarazo
7.
Hum Genomics ; 18(1): 108, 2024 Sep 27.
Artículo en Inglés | MEDLINE | ID: mdl-39334510

RESUMEN

BACKGROUND: Treatment resistant schizophrenia (TRS) is broadly defined as inadequate response to adequate treatment and is associated with a substantial increase in disease burden. Clozapine is the only approved treatment for TRS, showing superior clinical effect on overall symptomatology compared to other drugs, and is the prototype of atypical antipsychotics. Risperidone, another atypical antipsychotic with a more distinctive dopamine 2 antagonism, is commonly used in treatment of schizophrenia. Here, we conducted a genome-wide association study on patients treated with clozapine (TRS) vs. risperidone (non-TRS) and investigated whether single variants and/or polygenic risk score for schizophrenia are associated with TRS status. We hypothesized that patients who are treated with clozapine and risperidone might exhibit distinct neurobiological phenotypes that match pharmacological profiles of these drugs and can be explained by genetic differences. The study population (n = 1286) was recruited from a routine therapeutic drug monitoring (TDM) service between 2005 and 2022. History of a detectable serum concentration of clozapine and risperidone (without TDM history of clozapine) defined the TRS (n = 478) and non-TRS (n = 808) group, respectively. RESULTS: We identified a suggestive association between TRS and a common variant within the LINC00523 gene with a significance just below the genome-wide threshold (rs79229764 C > T, OR = 4.89; p = 1.8 × 10-7). Polygenic risk score for schizophrenia was significantly associated with TRS (OR = 1.4, p = 2.1 × 10-6). In a large post-mortem brain sample from schizophrenia donors (n = 214; CommonMind Consortium), gene expression analysis indicated that the rs79229764 variant allele might be involved in the regulation of GPR88 and PUDP, which plays a role in striatal neurotransmission and intellectual disability, respectively. CONCLUSIONS: We report a suggestive genetic association at the rs79229764 locus with TRS and show that genetic liability for schizophrenia is positively associated with TRS. These results suggest a candidate locus for future follow-up studies to elucidate the molecular underpinnings of TRS. Our findings further demonstrate the value of both single variant and polygenic association analyses for TRS prediction.


Asunto(s)
Antipsicóticos , Clozapina , Estudio de Asociación del Genoma Completo , Herencia Multifactorial , Polimorfismo de Nucleótido Simple , Risperidona , Esquizofrenia Resistente al Tratamiento , Humanos , Clozapina/uso terapéutico , Herencia Multifactorial/genética , Risperidona/uso terapéutico , Masculino , Femenino , Antipsicóticos/uso terapéutico , Adulto , Polimorfismo de Nucleótido Simple/genética , Persona de Mediana Edad , Esquizofrenia Resistente al Tratamiento/genética , Esquizofrenia Resistente al Tratamiento/tratamiento farmacológico , Esquizofrenia Resistente al Tratamiento/patología , Predisposición Genética a la Enfermedad , Esquizofrenia/genética , Esquizofrenia/tratamiento farmacológico , Esquizofrenia/patología
8.
Adv Neurobiol ; 37: 457-495, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39207708

RESUMEN

This chapter will focus on microglial involvement in neurodevelopmental and neuropsychiatric disorders, particularly autism spectrum disorder (ASD), schizophrenia and major depressive disorder (MDD). We will describe the neuroimmune risk factors that contribute to the etiopathology of these disorders across the lifespan, including both in early life and adulthood. Microglia, being the resident immune cells of the central nervous system, could play a key role in triggering and determining the outcome of these disorders. This chapter will review preclinical and clinical findings where microglial morphology and function were examined in the contexts of ASD, schizophrenia and MDD. Clinical evidence points out to altered microglial morphology and reactivity, as well as increased expression of pro-inflammatory cytokines, supporting the idea that microglial abnormalities are involved in these disorders. Indeed, animal models for these disorders found altered microglial morphology and homeostatic functions which resulted in behaviours related to these disorders. Additionally, as microglia have emerged as promising therapeutic targets, we will also address in this chapter therapies involving microglial mechanisms for the treatment of neurodevelopmental and neuropsychiatric disorders.


Asunto(s)
Trastorno del Espectro Autista , Trastorno Depresivo Mayor , Microglía , Trastornos del Neurodesarrollo , Esquizofrenia , Humanos , Microglía/metabolismo , Microglía/patología , Trastorno del Espectro Autista/metabolismo , Trastorno del Espectro Autista/patología , Esquizofrenia/metabolismo , Esquizofrenia/patología , Trastornos del Neurodesarrollo/patología , Trastornos del Neurodesarrollo/metabolismo , Trastorno Depresivo Mayor/metabolismo , Trastorno Depresivo Mayor/patología , Animales , Trastornos Mentales/metabolismo , Trastornos Mentales/patología
9.
Neurol India ; 72(4): 817-823, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-39216040

RESUMEN

BACKGROUND: The intracranial fluid spaces (IFS), also known as "the extra-axial spaces," consist of the superficial cerebral sulci, the Sylvian fissures, the basal cisterns, the third ventricle, the fourth ventricle, and the two lateral ventricles. In diseases such as schizophrenia, Alzheimer's, Parkinson's, and especially hydrocephalus, IFS' enlargements are observed. OBJECTIVE: Our study aimed to determine the mean values of IFS measurements in patients with schizophrenia and compare them with healthy controls. MATERIAL AND METHODS: This work has been carried out on 188 cases, out of which 88 schizophrenia patients (56 men and 32 women) met the diagnostic criteria according to DSM-5 for schizophrenia and 100 healthy controls (50 men and 50 women). The 10 parameters have been used to evaluate IFS on magnetic resonance imaging (MRI) scans. RESULTS: The parameters showing statistically significant differences were higher in favor of the individual with schizophrenia. Except for the bifrontal index and Evan's index, most parameters (the bicaudate index, the fourth ventricle width, the fourth ventricle index, the maximum width of the anterior interhemispheric fissure, the maximum width of the right frontal subarachnoid space, the maximum width of the left frontal subarachnoid space, the maximum width of the right Sylvian fissure, and the maximum width of the left Sylvian fissure) were obtained statistically highly significant differences between the examined and control groups. CONCLUSIONS: In schizophrenia, it is more practical to evaluate brain atrophy using some parameters, especially the width of the Sylvian fissure and the bicaudate index.


Asunto(s)
Imagen por Resonancia Magnética , Esquizofrenia , Humanos , Esquizofrenia/diagnóstico por imagen , Esquizofrenia/patología , Masculino , Femenino , Adulto , Persona de Mediana Edad , Espacio Subaracnoideo/diagnóstico por imagen , Espacio Subaracnoideo/patología , Encéfalo/diagnóstico por imagen , Encéfalo/patología , Adulto Joven , Ventrículos Cerebrales/diagnóstico por imagen , Ventrículos Cerebrales/patología
10.
Neuroscience ; 558: 58-69, 2024 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-39159841

RESUMEN

Schizophrenia (SZ) is a complex mental illness characterized by disturbances in thinking, emotionality, and behavior, significantly impacting the quality of life for individuals affected and those around them. The etiology of SZ involves intricate interactions between genetic and environmental factors, although the precise mechanisms remain incompletely understood. Genetic predisposition, neurotransmitter dysregulation (particularly involving dopamine and serotonin), and structural brain abnormalities, including impaired prefrontal cortex function, have been implicated in SZ development. However, increasing evidence reveals the role of environmental factors, such as nutrition, during critical periods like pregnancy and lactation. Epidemiological studies suggest that early malnutrition significantly increases the risk of SZ symptoms manifesting in late adolescence, a crucial period coinciding with peak myelination and brain maturation. Prenatal undernutrition may disrupt myelin formation, rendering individuals more susceptible to SZ pathology. This review explores the potential relationship between prenatal undernutrition, myelin alterations, and susceptibility to SZ. By delineating the etiopathogenesis, examining genetic and environmental factors associated with SZ, and reviewing the relationship between SZ and myelination disorders, alongside the impact of malnutrition on myelination, we aim to examine how malnutrition might be linked to SZ by altering myelination processes, which contribute to increasing the understanding of SZ etiology and help identify targets for intervention and management.


Asunto(s)
Vaina de Mielina , Efectos Tardíos de la Exposición Prenatal , Esquizofrenia , Humanos , Esquizofrenia/metabolismo , Esquizofrenia/etiología , Esquizofrenia/patología , Femenino , Embarazo , Vaina de Mielina/patología , Vaina de Mielina/metabolismo , Efectos Tardíos de la Exposición Prenatal/metabolismo , Desnutrición/fisiopatología , Animales , Encéfalo/crecimiento & desarrollo , Encéfalo/metabolismo , Encéfalo/patología , Fenómenos Fisiologicos de la Nutrición Prenatal
11.
Int J Mol Sci ; 25(15)2024 Jul 30.
Artículo en Inglés | MEDLINE | ID: mdl-39125900

RESUMEN

The effects of exposure to environmental pollutants on neurological processes are of increasing concern due to their potential to induce oxidative stress and neurotoxicity. Considering that many industries are currently using different types of plastics as raw materials, packaging, or distribution pipes, microplastics (MPs) have become one of the biggest threats to the environment and human health. These consequences have led to the need to raise the awareness regarding MPs negative neurological effects and implication in neuropsychiatric pathologies, such as schizophrenia. The study aims to use three zebrafish models of schizophrenia obtained by exposure to ketamine (Ket), methionine (Met), and their combination to investigate the effects of MP exposure on various nervous system structures and the possible interactions with oxidative stress. The results showed that MPs can interact with ketamine and methionine, increasing the severity and frequency of optic tectum lesions, while co-exposure (MP+Met+Ket) resulted in attenuated effects. Regarding oxidative status, we found that all exposure formulations led to oxidative stress, changes in antioxidant defense mechanisms, or compensatory responses to oxidative damage. Met exposure induced structural changes such as necrosis and edema, while paradoxically activating periventricular cell proliferation. Taken together, these findings highlight the complex interplay between environmental pollutants and neurotoxicants in modulating neurotoxicity.


Asunto(s)
Encéfalo , Modelos Animales de Enfermedad , Microplásticos , Estrés Oxidativo , Esquizofrenia , Pez Cebra , Pez Cebra/metabolismo , Animales , Estrés Oxidativo/efectos de los fármacos , Microplásticos/toxicidad , Esquizofrenia/metabolismo , Esquizofrenia/inducido químicamente , Esquizofrenia/patología , Esquizofrenia/etiología , Encéfalo/metabolismo , Encéfalo/efectos de los fármacos , Encéfalo/patología , Síndromes de Neurotoxicidad/metabolismo , Síndromes de Neurotoxicidad/etiología , Síndromes de Neurotoxicidad/patología , Ketamina/efectos adversos , Ketamina/toxicidad , Metionina/metabolismo , Inmunohistoquímica
12.
Psychiatry Res Neuroimaging ; 344: 111863, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39151331

RESUMEN

Schizophrenia spectrum disorders (SSD) are debilitating, with auditory verbal hallucinations (AVHs) being a core characteristic. While gray matter volume (GMV) reductions are commonly replicated in SSD populations, the neural basis of AVHs remains unclear. Using previously published data, this study comprises two main analyses, one of GMV dissimilarities between SSD and healthy controls (HC), and one of GMV differences specifically associated with AVHs. Structural brain images from 71 adults with (n = 46) and without (n = 25) SSD were employed. Group differences in GMVs of the cortex, anterior cingulate (ACC), superior temporal gyrus (STG), hippocampi, and thalami were assessed. Additionally, volumes of left Heschl's gyrus (HG) in a subgroup experiencing AVHs (AVH+, n = 23) were compared with those of patients who did not (AVH-, n = 23). SSD patients displayed reduced GMVs of the cortex, ACC, STG, hippocampi, and thalami compared to HC. AVH+ had significantly reduced left HG volume when compared to AVH-. Finally, a right-lateralized ventral prefrontal cluster was found to be uniquely associated with AVH severity. This study corroborates previous findings of GMV reductions in SSD cohorts. Chiefly, our secondary analysis suggests that AVHs are associated with language areas and their contralateral homologues.


Asunto(s)
Sustancia Gris , Alucinaciones , Imagen por Resonancia Magnética , Esquizofrenia , Humanos , Alucinaciones/diagnóstico por imagen , Alucinaciones/patología , Alucinaciones/fisiopatología , Masculino , Femenino , Esquizofrenia/diagnóstico por imagen , Esquizofrenia/patología , Adulto , Sustancia Gris/diagnóstico por imagen , Sustancia Gris/patología , Encéfalo/diagnóstico por imagen , Encéfalo/patología , Persona de Mediana Edad
13.
Psychiatry Res ; 340: 116141, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39153291

RESUMEN

Increased activation of inflammatory macrophages and altered expression of dopamine markers are found in the midbrains of people with schizophrenia (SZ). The relationship of midbrain macrophages to dopamine neurons has not been explored, nor is it known if changes in midbrain macrophages are also present in bipolar disorder (BD) or major depressive disorder (MDD). Herein, we determined whether there were differences in CD163+ cell density in the Substantia Nigra (SN), and cerebral peduncles (CP) of SZ, BD, and MDD compared to controls (CTRL). We also analyzed whether CD163 protein and dopamine-synthesizing enzyme tyrosine hydroxylase (TH) mRNA levels differed among diagnostic groups and if they correlated with the density of macrophages. Overall, perivascular CD163+ cell density was higher in the gray matter (SN) than in the white matter (CP). Compared to CTRL, we found increased density of parenchymal CD163+ cells in the SN of the three psychiatric groups and increased CD163 protein levels in SZ. CD163 protein was positively correlated with density of perivascular CD163+ cells. TH mRNA was reduced in SZ and BD and negatively correlated with parenchymal CD163+ cell density. We provide the first quantitative and molecular evidence of an increase in the density of parenchymal macrophages in the midbrain of major mental illnesses and show that the presence of these macrophages may negatively impact dopaminergic neurons.


Asunto(s)
Trastorno Bipolar , Macrófagos , ARN Mensajero , Receptores de Superficie Celular , Esquizofrenia , Sustancia Negra , Tirosina 3-Monooxigenasa , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Antígenos CD/metabolismo , Antígenos de Diferenciación Mielomonocítica/metabolismo , Trastorno Bipolar/metabolismo , Trastorno Bipolar/patología , Trastorno Depresivo Mayor/metabolismo , Trastorno Depresivo Mayor/patología , Sustancia Gris/patología , Sustancia Gris/metabolismo , Macrófagos/metabolismo , Receptores de Superficie Celular/metabolismo , Receptores de Superficie Celular/genética , ARN Mensajero/metabolismo , Esquizofrenia/metabolismo , Esquizofrenia/patología , Esquizofrenia/genética , Sustancia Negra/metabolismo , Sustancia Negra/patología , Tirosina 3-Monooxigenasa/metabolismo , Tirosina 3-Monooxigenasa/genética , Sustancia Blanca/patología , Sustancia Blanca/metabolismo
14.
J Psychiatr Res ; 178: 397-404, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39216276

RESUMEN

Cognitive impairments affect functional capacity in individuals with schizophrenia (SZH), but their neural basis remains unclear. The Wisconsin Card Sorting Test (WCST), and the Stroop Task (SCWT), are paradigmatic tests which have been used extensively for examining executive function in SZH. However, few studies have explored how deficits on these tasks link to brain volume differences commonly seen in SZH. Here, for the first time, we tested associations between FreeSurfer-derived frontal brain volumes and performance on both WCST and SCWT, in a well-matched sample of 57 SZH and 32 control subjects. We also explored whether these associations were dissociable from links to symptom severity in SZH. Results revealed correlations between volumes and task performance which were unique to SZH. In SZH only, volumes of right middle frontal regions correlated with both WCST and Stroop performance: correlation coefficients were significantly different to those present in the control group, highlighting their specificity to the patient group. In the Stroop task, superior frontal regions also showed associations with Stroop interference scores which were unique to SZH. These findings provide important detail around how deficits on these two paradigmatic executive function tasks link to brain structural differences in SZH. Results align with converging evidence suggesting that neuropathology within right middle frontal regions (BA9 and BA46) might be of particular import in SZH. No volumetric associations with symptom severity were found, supporting the notion that the structural abnormalities underpinning cognitive deficits in SZH differ from those associated with symptomatology.


Asunto(s)
Función Ejecutiva , Lóbulo Frontal , Imagen por Resonancia Magnética , Esquizofrenia , Humanos , Masculino , Función Ejecutiva/fisiología , Esquizofrenia/fisiopatología , Esquizofrenia/diagnóstico por imagen , Esquizofrenia/patología , Femenino , Adulto , Lóbulo Frontal/patología , Lóbulo Frontal/diagnóstico por imagen , Lóbulo Frontal/fisiopatología , Persona de Mediana Edad , Test de Stroop , Pruebas Neuropsicológicas , Test de Clasificación de Tarjetas de Wisconsin , Psicología del Esquizofrénico
15.
16.
Artículo en Ruso | MEDLINE | ID: mdl-39113456

RESUMEN

OBJECTIVE: To study the ultrastructure of microglia and neurons in contact with each other in the head of the caudate nucleus in continuous schizophrenia (CS) and paroxysmal-progressive schizophrenia (PPS) as compared to controls and to analyze correlations between the parameters of microglia and neurons in the control and schizophrenia groups. MATERIAL AND METHODS: Post-mortem electron microscopic morphometric study of microglia and neurons in contact with each other was performed in the head of the caudate nucleus in 9 cases of CS, 10 cases of PPS and 20 controls without mental pathology. Group comparisons were made using analysis of covariance and Pearson correlation analysis. RESULTS: The PPS group showed increased numerical density of microglia in young (≤50 years old) patients compared to elderly (>50 years old) controls and increased area of endoplasmic reticulum vacuoles in microglia in young patients compared to young controls. Decreased numerical density of microglia was found in the CS group compared to the PPS group (p<0.05), and increased volume fraction (Vv) and the number of lipofuscin granules in microglia were found in the CS group in elderly patients compared with young and elderly controls. In this group, negative correlations were revealed between the numerical density of microglia, microglia nuclear area and the duration of disease (r= -0.72, p=0.03; r= -0.8; p=0.01). Decreased Vv and the number of mitochondria in microglia and increased area and perimeter of neurons were revealed in both groups compared to the control group. In neurons, increased vacuole area was found in the PPS group and mitochondrial area in the NTS group compared to the control group. Correlation violations were found between the parameters of mitochondria in microglia and neurons in both PPS and CS groups and between the area of mitochondria in neurons and the area of vacuoles in microglia in the CS group compared to the control group. CONCLUSION: Disturbed interactions between microglia and neurons in the caudate nucleus are associated with the types of course of schizophrenia and with microglial reactivity. They might be caused by the damage of energy metabolism in microglia in both types of schizophrenia course and by stress of endoplasmic reticulum in microglia in CS.


Asunto(s)
Núcleo Caudado , Microglía , Neuronas , Esquizofrenia , Humanos , Esquizofrenia/patología , Esquizofrenia/metabolismo , Núcleo Caudado/patología , Núcleo Caudado/metabolismo , Microglía/metabolismo , Microglía/patología , Neuronas/patología , Neuronas/metabolismo , Femenino , Masculino , Persona de Mediana Edad , Adulto , Anciano , Retículo Endoplásmico/metabolismo
17.
J Neurochem ; 168(9): 2227-2242, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39086020

RESUMEN

Schizophrenic individuals display disrupted myelination patterns, altered oligodendrocyte distribution, and abnormal oligodendrocyte morphology. Schizophrenia is linked with dysregulation of a variety of genes involved in oligodendrocyte function and myelin production. Single-nucleotide polymorphisms (SNPs) and rare mutations in myelination-related genes are observed in certain schizophrenic populations, representing potential genetic risk factors. Downregulation of myelination-related RNAs and proteins, particularly in frontal and limbic regions, is consistently associated with the disorder across multiple studies. These findings support the notion that disruptions in myelination may contribute to the cognitive and behavioral impairments experienced in schizophrenia, although further evidence of causation is needed.


Asunto(s)
Vaina de Mielina , Esquizofrenia , Esquizofrenia/genética , Esquizofrenia/patología , Esquizofrenia/metabolismo , Humanos , Vaina de Mielina/genética , Vaina de Mielina/patología , Vaina de Mielina/metabolismo , Animales , Oligodendroglía/metabolismo , Oligodendroglía/patología , Polimorfismo de Nucleótido Simple/genética , Proteínas de la Mielina/genética
18.
Artículo en Inglés | MEDLINE | ID: mdl-39154931

RESUMEN

BACKGROUND: Major depressive disorder (MDD) and schizophrenia (SCZ) are heritable brain disorders characterized by alterations in cortical thickness. However, the shared genetic basis for cortical thickness changes in these disorders remains unclear. METHODS: We conducted a systematic literature search on cortical thickness in MDD and SCZ through PubMed and Web of Science. A coordinate-based meta-analysis was performed to identify cortical thickness changes. Additionally, utilizing summary statistics from the largest genome-wide association studies for depression (Ncase = 268,615, Ncontrol = 667,123) and SCZ (Ncase = 53,386, Ncontrol = 77,258), we explored shared genomic loci using conjunctional false discovery rate (conjFDR) analysis. Transcriptome-neuroimaging association analysis was then employed to identify shared genes associated with cortical thickness alterations, and enrichment analysis was finally carried out to elucidate the biological significance of these genes. RESULTS: Our search yielded 34 MDD (Ncase = 1621, Ncontrol = 1507) and 19 SCZ (Ncase = 1170, Ncontrol = 1043) neuroimaging studies for cortical thickness meta-analysis. Specific alterations in the left supplementary motor area were observed in MDD, while SCZ exhibited widespread reductions in various brain regions, particularly in the frontal and temporal areas. The conjFDR approach identified 357 genomic loci jointly associated with MDD and SCZ. Within these loci, 55 genes were found to be associated with cortical thickness alterations in both disorders. Enrichment analysis revealed their involvement in nervous system development, apoptosis, and cell communication. CONCLUSION: This study revealed the shared genetic architecture underlying cortical thickness alterations in MDD and SCZ, providing insights into common neurobiological pathways. The identified genes and pathways may serve as potential transdiagnostic markers, informing precision medicine approaches in psychiatric care.


Asunto(s)
Corteza Cerebral , Trastorno Depresivo Mayor , Estudio de Asociación del Genoma Completo , Esquizofrenia , Humanos , Trastorno Depresivo Mayor/genética , Trastorno Depresivo Mayor/patología , Trastorno Depresivo Mayor/diagnóstico por imagen , Esquizofrenia/genética , Esquizofrenia/patología , Esquizofrenia/diagnóstico por imagen , Corteza Cerebral/diagnóstico por imagen , Corteza Cerebral/patología , Grosor de la Corteza Cerebral , Neuroimagen
19.
Cereb Cortex ; 34(7)2024 Jul 03.
Artículo en Inglés | MEDLINE | ID: mdl-39077921

RESUMEN

The hippocampus is one of the brain regions most vulnerable to inflammatory insults, and the relationships between peripheral inflammation and hippocampal subfields in patients with schizophrenia remain unclear. In this study, forty-six stably medicated patients with schizophrenia and 48 demographically matched healthy controls (HCs) were recruited. The serum levels of IL - 1ß, IL-6, IL-10, and IL-12p70 were measured, and 3D high-resolution T1-weighted magnetic resonance imaging was performed. The IL levels and hippocampal subfield volumes were both compared between patients and HCs. The associations of altered IL levels with hippocampal subfield volumes were assessed in patients. Patients with schizophrenia demonstrated higher serum levels of IL-6 and IL-10 but lower levels of IL-12p70 than HCs. In patients, the levels of IL-6 were positively correlated with the volumes of the left granule cell layer of the dentate gyrus (GCL) and cornu Ammonis (CA) 4, while the levels of IL-10 were negatively correlated with the volumes of those subfields. IL-6 and IL-10 might have antagonistic roles in atrophy of the left GCL and CA4. This suggests a complexity of peripheral cytokine dysregulation and the potential for its selective effects on hippocampal substructures, which might be related to the pathophysiology of schizophrenia.


Asunto(s)
Hipocampo , Imagen por Resonancia Magnética , Esquizofrenia , Humanos , Esquizofrenia/patología , Esquizofrenia/diagnóstico por imagen , Esquizofrenia/sangre , Masculino , Femenino , Hipocampo/patología , Hipocampo/diagnóstico por imagen , Adulto , Interleucinas/sangre , Interleucinas/metabolismo , Persona de Mediana Edad , Tamaño de los Órganos
20.
Sci Rep ; 14(1): 15239, 2024 07 02.
Artículo en Inglés | MEDLINE | ID: mdl-38956130

RESUMEN

Dysbindin-1, a protein encoded by the schizophrenia susceptibility gene DTNBP1, is reduced in the hippocampus of schizophrenia patients. It is expressed in various cellular populations of the brain and implicated in dopaminergic and glutamatergic transmission. To investigate the impact of reduced dysbindin-1 in excitatory cells on hippocampal-associated behaviors and synaptic transmission, we developed a conditional knockout mouse model with deletion of dysbindin-1 gene in CaMKIIα expressing cells. We found that dysbindin-1 reduction in CaMKII expressing cells resulted in impaired spatial and social memories, and attenuation of the effects of glutamate N-methyl-d-asparate receptor (NMDAR) antagonist MK801 on locomotor activity and prepulse inhibition of startle (PPI). Dysbindin-1 deficiency in CaMKII expressing cells also resulted in reduced protein levels of NMDAR subunit GluN1 and GluN2B. These changes were associated with increased expression of immature dendritic spines in basiliar dendrites and abnormalities in excitatory synaptic transmission in the ventral hippocampus. These results highlight the functional relevance of dysbindin-1 in excitatory cells and its implication in schizophrenia-related pathologies.


Asunto(s)
Disbindina , Hipocampo , Ratones Noqueados , Neuronas , Receptores de N-Metil-D-Aspartato , Transmisión Sináptica , Animales , Disbindina/metabolismo , Receptores de N-Metil-D-Aspartato/metabolismo , Receptores de N-Metil-D-Aspartato/genética , Hipocampo/metabolismo , Ratones , Neuronas/metabolismo , Esquizofrenia/metabolismo , Esquizofrenia/patología , Esquizofrenia/genética , Proteína Quinasa Tipo 2 Dependiente de Calcio Calmodulina/metabolismo , Masculino , Maleato de Dizocilpina/farmacología , Conducta Animal , Espinas Dendríticas/metabolismo , Proteínas del Tejido Nervioso
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