PMID- 12814864 OWN - NLM STAT- MEDLINE DCOM- 20030725 LR - 20190815 IS - 0006-3223 (Print) IS - 0006-3223 (Linking) VI - 53 IP - 12 DP - 2003 Jun 15 TI - Elevated cerebrospinal fluid SNAP-25 in schizophrenia. PG - 1132-7 AB - BACKGROUND: Research suggests an association between abnormal exocytosis and schizophrenia. We previously demonstrated increased synaptosomal associated protein, 25 kDa (SNAP-25), a member of the exocytotic mechanism, in the cerebrospinal fluid (CSF) of schizophrenia subjects. In this study, we explored SNAP-25 level and clinical variables in a new group of subjects. METHODS: Twenty-five haloperidol-treated subjects with chronic schizophrenia and twenty-five healthy control subjects participated in the study. Subjects received haloperidol treatment for at least 3 months and then had a lumbar puncture (n = 19). Medication was replaced by placebo, and the lumbar puncture was repeated (n = 25) after 6 weeks or sooner if limited psychotic symptoms occurred. We measured the level of SNAP-25 in the CSF and symptoms with the Brief Psychiatric Rating Scale (BPRS). RESULTS: In both haloperidol (p =.001) and placebo (p =.001) treatment conditions, SNAP-25 was elevated. There was no significant difference in SNAP-25 level between conditions. We identified significant positive correlations among SNAP-25 and the BPRS total score and psychosis and thinking disturbance subscales in subjects on haloperidol. CONCLUSIONS: These observations confirm our previous report of elevated CSF SNAP-25 and suggest that synaptic pathology may be linked with the pathophysiology of schizophrenia. FAU - Thompson, Peter M AU - Thompson PM AD - Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA. FAU - Kelley, Mary AU - Kelley M FAU - Yao, Jeffrey AU - Yao J FAU - Tsai, Guochuan AU - Tsai G FAU - van Kammen, Daniel P AU - van Kammen DP LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Biol Psychiatry JT - Biological psychiatry JID - 0213264 RN - 0 (Antipsychotic Agents) RN - 0 (Biomarkers) RN - 0 (Dopamine Antagonists) RN - 0 (Membrane Proteins) RN - 0 (Nerve Tissue Proteins) RN - 0 (SNAP25 protein, human) RN - 0 (Synaptosomal-Associated Protein 25) RN - J6292F8L3D (Haloperidol) SB - IM MH - Adult MH - Antipsychotic Agents/administration & dosage MH - Biomarkers/cerebrospinal fluid MH - Case-Control Studies MH - Dopamine Antagonists/administration & dosage MH - Exocytosis MH - Haloperidol/administration & dosage MH - Humans MH - Membrane Proteins/*cerebrospinal fluid MH - Middle Aged MH - Nerve Tissue Proteins/*cerebrospinal fluid MH - Psychiatric Status Rating Scales MH - Schizophrenia/*cerebrospinal fluid/drug therapy/physiopathology MH - Spinal Puncture MH - Synaptic Transmission MH - Synaptosomal-Associated Protein 25 EDAT- 2003/06/20 05:00 MHDA- 2003/07/26 05:00 CRDT- 2003/06/20 05:00 PHST- 2003/06/20 05:00 [pubmed] PHST- 2003/07/26 05:00 [medline] PHST- 2003/06/20 05:00 [entrez] AID - S0006322302015998 [pii] AID - 10.1016/s0006-3223(02)01599-8 [doi] PST - ppublish SO - Biol Psychiatry. 2003 Jun 15;53(12):1132-7. doi: 10.1016/s0006-3223(02)01599-8.