| Pivotal Brain Processor, DARPP-32, Decreased in People with Schizophrenia | |
The findings suggest that the processor, which helps regulate key
neurotransmitters in an area of the brain linked to schizophrenia, could
eventually play a key role in reversing the brain dysfunctions associated with
the disease. The study appears in the August issue of Archives of General
Psychiatry.
Dr. William Bunney, the Della Martin professor of psychiatry at UCI; Dr. Paul
Greengard, professor of neuroscience at Rockefeller University; and Dr. Hugh
Hemmings, professor of anesthesiology at Weill Cornell, and their colleagues
found the processor, a chemical called DARPP-32, was reduced in the brains of
deceased victims of schizophrenia.
DARPP-32 is the subject of increasing scientific scrutiny. The neurotransmitters
dopamine, glutamate, and serotonin; the antidepressant Prozac; and even drugs of
abuse like cocaine, opiates, and nicotine all have been found to work on the
brain through the actions of DARPP-32. The molecule is suspected of integrating
information throughout the brain and providing a blueprint for physiological
activity. Dr. Greengard won the Nobel Prize for Medicine in 2000 for his work on
DARPP-32.
"DARPP-32 is a key regulatory protein, involved in controlling receptors, ion
channels, and other physiological factors, and is activated and de-activated
ultimately by neurotransmitters that are implicated in the development of
schizophrenia," Dr. Greengard said. "A reduction of DARPP-32 required for
functions in the brain could contribute to the cognitive dysfunction seen in the
disease."
The researchers studied the brains of 14 deceased people who had schizophrenia
before they died. DARPP-32 was found to be reduced significantly in an area of
the brain called the dorsolateral prefrontal cortex, which has consistently been
associated with the symptoms of schizophrenia. The researchers found low levels
of DARPP-32 in people who had had schizophrenia, but normal levels in people who
did not have the disease. DARPP-32 was not found to be reduced in another area
of the brain also associated with schizophrenia.
"This is the first study to show reduced levels of this important regulatory
molecule in schizophrenia," said Dr. Bunney. "If DARPP-32 plays such a key role
in controlling physiological activity in this part of the brain, perhaps there
could be methods we could use to eventually maintain normal levels of the
molecule."
The DARPP-32 molecule is known to control the actions of two neurotransmitters
linked to schizophrenia -- dopamine and glutamate. Schizophrenia affects about
two million people in the United States; its cause is unknown. The dysfunctions
in schizophrenia often result in severe social problems, delusions,
hallucinations, reduced emotional responses, and grossly disorganized behavior,
according to the National Association for Research on Schizophrenia and
Depression.
"This study showed us the DARPP-32 is reduced in an area of the brain most often
linked to schizophrenia," Dr. Hemmings said. "But it does not tell us that
DARPP-32 causes this disease. We need to study whether it is a cause or another
adaptation of the existing disease, and gain a more detailed understanding of
its regulatory effects in the brains of schizophrenic patients and of people
without the disease."
The researchers' work was supported by a number of gifts and grants, including
those from the National Association for Research on Schizophrenia and Depression
and the National Institutes of Health.
The researchers' colleagues in the study included Katherine Albert and Anna
Adamo of Cornell, and Steven Potkin, Schahram Akbarian, Curt Sandman, and Carl
Cotman of UCI.
---Rockefeller University
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