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Alteration of thalamocortical circuitry in schizophrenia

1998, Schizophrenia Research

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This paper investigates the alteration of thalamocortical circuitry in schizophrenia through the collection and analysis of post-mortem brain tissues. The study reveals significant reductions in parvalbumin-immunoreactive thalamocortical projection neurons in the anterior thalamic nucleus of schizophrenic patients compared to controls, suggesting a link between thalamocortical dysfunction and symptoms of schizophrenia. Additionally, implications for consciousness and synaptic pathology are discussed, contributing to an understanding of the neuroanatomical underpinnings of the disorder.

85 there may be in schizophrenia, they are not of so great a magnitude that a measure as crude as brain weight is likely to be informative. VII. Post-Mortem Studies A. Structural B. Neurochemical ALTERATION CIRCUITRY OF THALAMOCORTICAL IN SCHIZOPHRENIA P. D a n o s , B. B a u m a n n , H . G . Bernstein, G. N o r t h o f f , R. Stauch, B. Bogerts A. Structural Dept. oJ Ps2vehiato,, Universi O, q/' Magdeburg, Leipz~¢er Str. 44, 39120 Magdeburg, German)' POST-MORTEM SCHIZOPHRENIA BRAIN AND WEIGHT IN AFFECTIVE DISORDER L.B. Bigelow, E . F . Torrey Clinical Brain Disorders Branch, N I M H Neuroseienee Center at Saint Elizabeths, Washington, DC20032, USA The Stanley Foundation is supporting the collection of human post-mortem brains by funding pathologists at several medical examiners' offices. In any case where there appears to be a possibility that the deceased had a schizophrenic or affective disorder, or might be a person without any history of neuropsychiatric disorder, the nearest surviving relative is contacted and asked to give permission for a donation to the brain to the collection. The brain is removed and weighed in a standard manner before shipment to the Neuroscience Center. Clinical histories are assembled from all available sources and diagnosis established after independent review by two psychiatrists. As of this time over 200 brains have been collected. Diagnostic status has been determined for 181 of these. Results." Although the mean weight of the schizophrenic brains is less than any of the other groups, this result does not reach significance by analysis of variance. Nor is there any significant difference if those over 60 are left out of the analysis or if the sample is analyzed separately by gender. Female brain weight is significantly less than male in all groups using an independent groups t-test. The table summarizes the data for the 100 males and 38 females less than 60 years old at the time of death. Weights are m e a n ± S . D . Some hypotheses suggest that the thalamocortical circuitry is related to the generation of consciousness and that a disorder of consciousness might underlie symptoms of schizophrenia. Thalamic projection neurons belong to this circuitry and have not yet been studied in post-mortem studies in schizophrenia. Previous anatomical tracing studies have shown that parvalbumin, a calcium-binding protein, is a marker for thalamocortical projection neurons. Using Nissl-staining and immunocytochemical techniques, the densities of the total number of neurons and of parvalbumin-immunoreactive thalamocortical projection neurons were measured in the anterior thalamic nucleus (AN) of 14 schizophrenics (8 men, 6 women) and 12 age- and sex-matched normal controls. Analysis of variance (ANOVA) was then employed with age, sex, length of illness, length of fixation and shrinkage factor as covariates. The densities of parvalbumin-positive thalamocortical neurons in the left AN (-34.2%) and in the right AN (-36.1%) were significantly reduced in schizophrenics. The densities of Nisslstained neurons were reduced in both AN's of schizophrenics, however, these differences did not reach significance. There were no significant correlations between the length of disease and the neuronal densities. Since it has been proposed that the thalamocortical circuitry is involved in the generation of consciousness, the present results support the hypothesis of a link between schizophrenic symptoms and disturbances of conscious awareness. AN INVESTIGATION INTO THE SYNAPTIC PATHOLOGY OF SCHIZOPHRENIA R. Eva, J. Stevan, M . C . R o y s t o n Diagnosis Normal Schizophrenic Bipolar Depression n: Male/female 21/10 36/8 24/10 19/10 Weight (male) Weight (female) 1544_+ 177 1505_+ 132 1541 -+ 105 1546_+ 125 1420_+74 1396_+92 1357 _+ 166 1366-+85 Comment: There are many possible reasons why this sample does not indicate a lesser brain weight in schizophrenia. There is a large variance in all the groups, so to achieve significance there would have to be a large difference in means. It appears likely that whatever neuroanatomical losses Department q/"P.sTehiatJs,, Division o[Neuroseienee and Psychological Medieine, lmperial College School o[' Medieme, Fulham Palace Road, London 14/86RF, UK There is increasing evidence that schizophrenia is associated with a generalised disorder of cortical development in which an altered pattern of synaptic activity/connectivity gives rise to the characteristic clinical features of the illness. One investigative approach to evaluating this hypothesis is to utilise synaptic vesicle proteins as markers of the various functional components of the synaptic system since it has been demonstrated that they can be reliably visualised and quantified in post mortem material. This study reports on a group of 68 patients