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Glutamatergic dysfunction linked to energy and membrane lipid metabolism in frontal and anterior cingulate cortices of never treated first-episode schizophrenia patients.

Identifieur interne : 001D22 ( Main/Exploration ); précédent : 001D21; suivant : 001D23

Glutamatergic dysfunction linked to energy and membrane lipid metabolism in frontal and anterior cingulate cortices of never treated first-episode schizophrenia patients.

Auteurs : Stefan Smesny [Allemagne] ; Alexander Gussew [Allemagne] ; Natalie Joan Biesel [Allemagne] ; Stephan Schack [Allemagne] ; Mario Walther [Allemagne] ; Reinhard Rzanny [Allemagne] ; Berko Milleit [Allemagne] ; Christian Gaser [Allemagne] ; Thomas Sobanski [Allemagne] ; Carl Christoph Schultz [Allemagne] ; Paul Amminger [Australie] ; Uta-Christina Hipler [Allemagne] ; Heinrich Sauer [Allemagne] ; Jürgen R. Reichenbach [Allemagne]

Source :

RBID : pubmed:26255566

Descripteurs français

English descriptors

Abstract

BACKGROUND

Glutamatergic dysfunction and altered membrane lipid and energy metabolism have been repeatedly demonstrated in the frontal/prefrontal and anterior cingulate cortex (ACC) in schizophrenia. Though having been already studied in animals, the presumed link between glutamatergic function and structural plasticity has not been investigated directly in the human brain yet. We measured glutamate (Glu), focal energy metabolism, and membrane phospholipid turnover to investigate main pathologies in those key brain regions of schizophrenia.

METHODS

(1)H- and (31)P-Chemical Shift Imaging (CSI) was combined in a single session to assess Glu and markers of energy (PCr, ATP) and membrane lipid (PME, PDE) metabolism in 31 neuroleptic-naïve first acute onset psychosis patients and 31 matched healthy controls. Multivariate analyses of covariance were used to assess disease effects on Glu and to investigate the impact of Glu alterations on phospholipid and energy metabolites.

RESULTS

Glu levels of patients were increased in the frontal and prefrontal cortex bilaterally and in the ACC. Higher Glu was associated with increased left frontal/prefrontal PME and right frontal/prefrontal PDE in patients, which was not observed in healthy controls. In contrast, higher Glu levels were associated with lower PCr or ATP values in the frontal/prefrontal cortex bilaterally and in the right ACC of controls. This was not observed in the right ACC and left frontal/prefrontal cortex of patients.

CONCLUSION

Frontal glutamatergic hyperactivity is disconnected from physiologically regulated energy metabolism and is associated with increased membrane breakdown in right and increased membrane restoration in left frontal and prefrontal cortical regions. As indicated by previous findings, this pathology is likely dynamic during the course of first acute illness and possibly associated with negative symptoms and cognitive impairment. Our findings underline the importance of further research on neuroprotective treatment options during the early acute or even better for the ultra-high risk state of psychotic illness.


DOI: 10.1016/j.schres.2015.07.013
PubMed: 26255566


Affiliations:


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<nlm:affiliation>Department of Psychiatry, Jena University Hospital, Philosophenweg 3, D-07743 Jena, Germany.</nlm:affiliation>
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<name sortKey="Walther, Mario" sort="Walther, Mario" uniqKey="Walther M" first="Mario" last="Walther">Mario Walther</name>
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<country xml:lang="fr">Australie</country>
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<name sortKey="Hipler, Uta Christina" sort="Hipler, Uta Christina" uniqKey="Hipler U" first="Uta-Christina" last="Hipler">Uta-Christina Hipler</name>
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<country xml:lang="fr">Allemagne</country>
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<name sortKey="Sauer, Heinrich" sort="Sauer, Heinrich" uniqKey="Sauer H" first="Heinrich" last="Sauer">Heinrich Sauer</name>
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<nlm:affiliation>Department of Psychiatry, Jena University Hospital, Philosophenweg 3, D-07743 Jena, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry, Jena University Hospital, Philosophenweg 3, D-07743 Jena</wicri:regionArea>
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<name sortKey="Reichenbach, Jurgen R" sort="Reichenbach, Jurgen R" uniqKey="Reichenbach J" first="Jürgen R" last="Reichenbach">Jürgen R. Reichenbach</name>
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<nlm:affiliation>Medical Physics Group, Department of Diagnostic and Interventional Radiology, Jena University Hospital, Philosophenweg 3, D-07740 Jena, Germany.</nlm:affiliation>
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<title level="j">Schizophrenia research</title>
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<term>Adult (MeSH)</term>
<term>Analysis of Variance (MeSH)</term>
<term>Aspartic Acid (analogs & derivatives)</term>
<term>Aspartic Acid (metabolism)</term>
<term>Creatine (metabolism)</term>
<term>Female (MeSH)</term>
<term>Glutamic Acid (metabolism)</term>
<term>Gyrus Cinguli (metabolism)</term>
<term>Humans (MeSH)</term>
<term>Lipid Metabolism (MeSH)</term>
<term>Magnetic Resonance Imaging (MeSH)</term>
<term>Magnetic Resonance Spectroscopy (MeSH)</term>
<term>Male (MeSH)</term>
<term>Membrane Lipids (metabolism)</term>
<term>Phospholipids (metabolism)</term>
<term>Phosphorus Isotopes (pharmacokinetics)</term>
<term>Protons (MeSH)</term>
<term>Psychiatric Status Rating Scales (MeSH)</term>
<term>Schizophrenia (pathology)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Acide aspartique (analogues et dérivés)</term>
<term>Acide aspartique (métabolisme)</term>
<term>Acide glutamique (métabolisme)</term>
<term>Adulte (MeSH)</term>
<term>Analyse de variance (MeSH)</term>
<term>Créatine (métabolisme)</term>
<term>Femelle (MeSH)</term>
<term>Gyrus du cingulum (métabolisme)</term>
<term>Humains (MeSH)</term>
<term>Imagerie par résonance magnétique (MeSH)</term>
<term>Isotopes du phosphore (pharmacocinétique)</term>
<term>Jeune adulte (MeSH)</term>
<term>Lipides membranaires (métabolisme)</term>
<term>Mâle (MeSH)</term>
<term>Métabolisme lipidique (MeSH)</term>
<term>Phospholipides (métabolisme)</term>
<term>Protons (MeSH)</term>
<term>Schizophrénie (anatomopathologie)</term>
<term>Spectroscopie par résonance magnétique (MeSH)</term>
<term>Échelles d'évaluation en psychiatrie (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analogs & derivatives" xml:lang="en">
<term>Aspartic Acid</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en">
<term>Aspartic Acid</term>
<term>Creatine</term>
<term>Glutamic Acid</term>
<term>Membrane Lipids</term>
<term>Phospholipids</term>
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<term>Acide aspartique</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Schizophrénie</term>
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<term>Gyrus Cinguli</term>
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<term>Acide aspartique</term>
<term>Acide glutamique</term>
<term>Créatine</term>
<term>Gyrus du cingulum</term>
<term>Lipides membranaires</term>
<term>Phospholipides</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Schizophrenia</term>
</keywords>
<keywords scheme="MESH" qualifier="pharmacocinétique" xml:lang="fr">
<term>Isotopes du phosphore</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="pharmacokinetics" xml:lang="en">
<term>Phosphorus Isotopes</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Analysis of Variance</term>
<term>Female</term>
<term>Humans</term>
<term>Lipid Metabolism</term>
<term>Magnetic Resonance Imaging</term>
<term>Magnetic Resonance Spectroscopy</term>
<term>Male</term>
<term>Protons</term>
<term>Psychiatric Status Rating Scales</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Analyse de variance</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Métabolisme lipidique</term>
<term>Protons</term>
<term>Spectroscopie par résonance magnétique</term>
<term>Échelles d'évaluation en psychiatrie</term>
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<p>
<b>BACKGROUND</b>
</p>
<p>Glutamatergic dysfunction and altered membrane lipid and energy metabolism have been repeatedly demonstrated in the frontal/prefrontal and anterior cingulate cortex (ACC) in schizophrenia. Though having been already studied in animals, the presumed link between glutamatergic function and structural plasticity has not been investigated directly in the human brain yet. We measured glutamate (Glu), focal energy metabolism, and membrane phospholipid turnover to investigate main pathologies in those key brain regions of schizophrenia.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>(1)H- and (31)P-Chemical Shift Imaging (CSI) was combined in a single session to assess Glu and markers of energy (PCr, ATP) and membrane lipid (PME, PDE) metabolism in 31 neuroleptic-naïve first acute onset psychosis patients and 31 matched healthy controls. Multivariate analyses of covariance were used to assess disease effects on Glu and to investigate the impact of Glu alterations on phospholipid and energy metabolites.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Glu levels of patients were increased in the frontal and prefrontal cortex bilaterally and in the ACC. Higher Glu was associated with increased left frontal/prefrontal PME and right frontal/prefrontal PDE in patients, which was not observed in healthy controls. In contrast, higher Glu levels were associated with lower PCr or ATP values in the frontal/prefrontal cortex bilaterally and in the right ACC of controls. This was not observed in the right ACC and left frontal/prefrontal cortex of patients.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>Frontal glutamatergic hyperactivity is disconnected from physiologically regulated energy metabolism and is associated with increased membrane breakdown in right and increased membrane restoration in left frontal and prefrontal cortical regions. As indicated by previous findings, this pathology is likely dynamic during the course of first acute illness and possibly associated with negative symptoms and cognitive impairment. Our findings underline the importance of further research on neuroprotective treatment options during the early acute or even better for the ultra-high risk state of psychotic illness.</p>
</div>
</front>
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<DateCompleted>
<Year>2016</Year>
<Month>07</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>10</Month>
<Day>01</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1573-2509</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>168</Volume>
<Issue>1-2</Issue>
<PubDate>
<Year>2015</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Schizophrenia research</Title>
<ISOAbbreviation>Schizophr Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Glutamatergic dysfunction linked to energy and membrane lipid metabolism in frontal and anterior cingulate cortices of never treated first-episode schizophrenia patients.</ArticleTitle>
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<MedlinePgn>322-9</MedlinePgn>
</Pagination>
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<ELocationID EIdType="pii" ValidYN="Y">S0920-9964(15)00352-7</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Glutamatergic dysfunction and altered membrane lipid and energy metabolism have been repeatedly demonstrated in the frontal/prefrontal and anterior cingulate cortex (ACC) in schizophrenia. Though having been already studied in animals, the presumed link between glutamatergic function and structural plasticity has not been investigated directly in the human brain yet. We measured glutamate (Glu), focal energy metabolism, and membrane phospholipid turnover to investigate main pathologies in those key brain regions of schizophrenia.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">(1)H- and (31)P-Chemical Shift Imaging (CSI) was combined in a single session to assess Glu and markers of energy (PCr, ATP) and membrane lipid (PME, PDE) metabolism in 31 neuroleptic-naïve first acute onset psychosis patients and 31 matched healthy controls. Multivariate analyses of covariance were used to assess disease effects on Glu and to investigate the impact of Glu alterations on phospholipid and energy metabolites.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Glu levels of patients were increased in the frontal and prefrontal cortex bilaterally and in the ACC. Higher Glu was associated with increased left frontal/prefrontal PME and right frontal/prefrontal PDE in patients, which was not observed in healthy controls. In contrast, higher Glu levels were associated with lower PCr or ATP values in the frontal/prefrontal cortex bilaterally and in the right ACC of controls. This was not observed in the right ACC and left frontal/prefrontal cortex of patients.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Frontal glutamatergic hyperactivity is disconnected from physiologically regulated energy metabolism and is associated with increased membrane breakdown in right and increased membrane restoration in left frontal and prefrontal cortical regions. As indicated by previous findings, this pathology is likely dynamic during the course of first acute illness and possibly associated with negative symptoms and cognitive impairment. Our findings underline the importance of further research on neuroprotective treatment options during the early acute or even better for the ultra-high risk state of psychotic illness.</AbstractText>
<CopyrightInformation>Copyright © 2015. Published by Elsevier B.V.</CopyrightInformation>
</Abstract>
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<LastName>Smesny</LastName>
<ForeName>Stefan</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Department of Psychiatry, Jena University Hospital, Philosophenweg 3, D-07743 Jena, Germany. Electronic address: Stefan.Smesny@med.uni-jena.de.</Affiliation>
</AffiliationInfo>
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<LastName>Gussew</LastName>
<ForeName>Alexander</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Medical Physics Group, Department of Diagnostic and Interventional Radiology, Jena University Hospital, Philosophenweg 3, D-07740 Jena, Germany.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Biesel</LastName>
<ForeName>Natalie Joan</ForeName>
<Initials>NJ</Initials>
<AffiliationInfo>
<Affiliation>Department of Psychiatry, Jena University Hospital, Philosophenweg 3, D-07743 Jena, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Schack</LastName>
<ForeName>Stephan</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Psychiatry, Jena University Hospital, Philosophenweg 3, D-07743 Jena, Germany.</Affiliation>
</AffiliationInfo>
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<LastName>Walther</LastName>
<ForeName>Mario</ForeName>
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<Affiliation>Institute of Medical Statistics, Computer Sciences and Documentation (IMSID), Jena University Hospital, Friedrich-Schiller University Jena, Bachstraße 18, D-07743 Jena, Germany.</Affiliation>
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<Affiliation>Medical Physics Group, Department of Diagnostic and Interventional Radiology, Jena University Hospital, Philosophenweg 3, D-07740 Jena, Germany.</Affiliation>
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