PMID- 18486103 OWN - NLM STAT- MEDLINE DCOM- 20090408 LR - 20211020 IS - 1873-2402 (Electronic) IS - 0006-3223 (Print) IS - 0006-3223 (Linking) VI - 64 IP - 9 DP - 2008 Nov 1 TI - Decreased neurotrophic response to birth hypoxia in the etiology of schizophrenia. PG - 797-802 LID - 10.1016/j.biopsych.2008.04.012 [doi] AB - BACKGROUND: Obstetric complications, particularly fetal hypoxia, are associated with increased risk for schizophrenia later in life. Such factors are also related to increased severity of certain neuropathological features of schizophrenia, including hippocampal and cortical gray matter reduction, among individuals with a genetic susceptibility to the disorder. However, the molecular mechanisms underlying these associations are unknown. Here, we sought to determine whether neurotrophic factors, which are stimulated as part of a neuroprotective response to fetal distress, are differentially expressed in cord blood samples at the time of birth following fetal hypoxia, maternal hypertension/small for gestational age status, and/or prematurity among individuals who developed schizophrenia as adults, as compared with control subjects. METHODS: One hundred eleven cases with psychotic disorders (70 with schizophrenia) and 333 control subjects matched for gender, race, and date of birth were drawn from the Philadelphia cohort of the National Collaborative Perinatal Project in a nested case-control study. Brain-derived neurotrophic factor (BDNF) was assayed from cord and maternal blood samples taken at delivery and stored at -20 degrees C for 45 to 50 years. RESULTS: Among control subjects, birth hypoxia was associated with a significant (10%) increase in BDNF in cord samples, while among cases, hypoxia was associated with a significant (20%) decrease in BDNF. This differential response to fetal hypoxia was specific to schizophrenia and was not explained by other obstetric complications or by the BDNF valine (val) to methionine (met) polymorphism at codon 66 (val66met). CONCLUSIONS: These findings provide serologically based prospective evidence of disrupted neurotrophic signaling in response to birth hypoxia in the molecular pathogenesis of schizophrenia. FAU - Cannon, Tyrone D AU - Cannon TD AD - Department of Psychology, University of California Los Angeles, Los Angeles, California 90095-1563, USA. cannon@psych.ucla.edu FAU - Yolken, Robert AU - Yolken R FAU - Buka, Stephen AU - Buka S FAU - Torrey, E Fuller AU - Torrey EF CN - Collaborative Study Group on the Perinatal Origins of Severe Psychiatric Disorders LA - eng GR - RL1 MH083269/MH/NIMH NIH HHS/United States GR - RL1 MH083269-02/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20080516 PL - United States TA - Biol Psychiatry JT - Biological psychiatry JID - 0213264 RN - 0 (Brain-Derived Neurotrophic Factor) RN - AE28F7PNPL (Methionine) RN - HG18B9YRS7 (Valine) SB - IM MH - Brain-Derived Neurotrophic Factor/*genetics/*metabolism MH - Case-Control Studies MH - Cohort Studies MH - Female MH - Fetal Hypoxia/*complications MH - Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Male MH - Methionine/genetics MH - Middle Aged MH - Risk Factors MH - Schizophrenia/*etiology/*metabolism/pathology MH - Valine/genetics PMC - PMC2655104 MID - NIHMS74199 FIR - Goldstein, J IR - Goldstein J FIR - Seidman, L IR - Seidman L FIR - Tsuang, M IR - Tsuang M FIR - Hadley, T IR - Hadley T FIR - Bearden, C IR - Bearden C FIR - Rosso, I IR - Rosso I FIR - Dhavale, D IR - Dhavale D EDAT- 2008/05/20 09:00 MHDA- 2009/04/09 09:00 PMCR- 2009/11/01 CRDT- 2008/05/20 09:00 PHST- 2008/01/25 00:00 [received] PHST- 2008/03/27 00:00 [revised] PHST- 2008/04/11 00:00 [accepted] PHST- 2008/05/20 09:00 [pubmed] PHST- 2009/04/09 09:00 [medline] PHST- 2008/05/20 09:00 [entrez] PHST- 2009/11/01 00:00 [pmc-release] AID - S0006-3223(08)00434-4 [pii] AID - 10.1016/j.biopsych.2008.04.012 [doi] PST - ppublish SO - Biol Psychiatry. 2008 Nov 1;64(9):797-802. doi: 10.1016/j.biopsych.2008.04.012. Epub 2008 May 16.