PMID- 26013316 OWN - NLM STAT- MEDLINE DCOM- 20170110 LR - 20201125 IS - 1440-1614 (Electronic) IS - 0004-8674 (Print) IS - 0004-8674 (Linking) VI - 50 IP - 3 DP - 2016 Mar TI - Changes in cortical N-methyl-D-aspartate receptors and post-synaptic density protein 95 in schizophrenia, mood disorders and suicide. PG - 275-83 LID - 10.1177/0004867415586601 [doi] AB - OBJECTIVES: In humans, depending on dose, blocking the N-methyl-D-aspartate receptor (NMDAR) with ketamine can cause psychomimetic or antidepressant effects. The overall outcome for drugs such as ketamine depends on dose and the number of its available binding sites in the central nervous system, and to understand something of the latter variable we measure NMDAR in the frontal pole, dorsolateral prefrontal, anterior cingulate and parietal cortices from people with schizophrenia, bipolar disorder, major depressive disorders and age/sex matched controls. METHOD: We measured levels of NMDARs (using [(3)H]MK-801 binding) and NMDAR sub-unit mRNAs (GRINs: using in situ hybridisation) as well as post-synaptic density protein 95 (anterior cingulate cortex only; not major depressive disorders: an NMDAR post-synaptic associated protein) in bipolar disorder, schizophrenia and controls. RESULTS: Compared to controls, levels of NMDAR were lower in the outer laminae of the dorsolateral prefrontal cortex (-17%, p = 0.01) in people with schizophrenia. In bipolar disorder, levels of NMDAR binding (laminae IV-VI; -19%, p < 0.01) and GRIN2C mRNA (laminae I-VI; -27%, p < 0.05) were lower in the anterior cingulate cortex and NMDAR binding was lower in the outer lamina IV of the dorsolateral prefrontal cortex (-19%, p < 0.01). In major depressive disorders, levels of GRIN2D mRNA were higher in frontal pole (+22%, p < 0.05). In suicide completers, levels of GRIN2B mRNA were higher in parietal cortex (+20%, p < 0.01) but lower (-35%, p = 0.02) in dorsolateral prefrontal cortex while post-synaptic density protein 95 was higher (+26%, p < 0.05) in anterior cingulate cortex. CONCLUSION: These data suggest that differences in cortical NMDAR expression and post-synaptic density protein 95 are present in psychiatric disorders and suicide completion and may contribute to different responses to ketamine. CI - (c) The Royal Australian and New Zealand College of Psychiatrists 2015. FAU - Dean, Brian AU - Dean B AD - Molecular Psychiatry Laboratory, The Florey Institute for Neuroscience and Mental Health, Parkville, VIC, Australia Psychiatric Neuropathology Laboratory, Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia brian.dean@florey.edu.au. FAU - Gibbons, Andrew S AU - Gibbons AS AD - Molecular Psychiatry Laboratory, The Florey Institute for Neuroscience and Mental Health, Parkville, VIC, Australia Psychiatric Neuropathology Laboratory, Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia. FAU - Boer, Simone AU - Boer S AD - Molecular Psychiatry Laboratory, The Florey Institute for Neuroscience and Mental Health, Parkville, VIC, Australia. FAU - Uezato, Akihito AU - Uezato A AD - Department of Psychiatry and Behavioral Sciences, Tokyo Medical and Dental University, Tokyo, Japan. FAU - Meador-Woodruff, James AU - Meador-Woodruff J AD - Department of Psychiatry, University of Alabama Birmingham, Birmingham, AL, USA. FAU - Scarr, Elizabeth AU - Scarr E AD - Molecular Psychiatry Laboratory, The Florey Institute for Neuroscience and Mental Health, Parkville, VIC, Australia Psychiatric Neuropathology Laboratory, Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia. FAU - McCullumsmith, Robert E AU - McCullumsmith RE AD - Department of Psychiatry, University of Cincinnati, Cincinnati, OH, USA. LA - eng GR - R01 MH094445/MH/NIMH NIH HHS/United States GR - R01 MH107487/MH/NIMH NIH HHS/United States GR - R21 MH107916/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150526 PL - England TA - Aust N Z J Psychiatry JT - The Australian and New Zealand journal of psychiatry JID - 0111052 RN - 0 (Biomarkers) RN - 0 (DLG4 protein, human) RN - 0 (Disks Large Homolog 4 Protein) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (Membrane Proteins) RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - 690G0D6V8H (Ketamine) SB - IM MH - Adult MH - Biomarkers MH - Bipolar Disorder/drug therapy/*genetics MH - Depressive Disorder, Major/drug therapy/*genetics MH - Disks Large Homolog 4 Protein MH - Female MH - Gyrus Cinguli/metabolism MH - Humans MH - Intracellular Signaling Peptides and Proteins/*genetics MH - Ketamine/*therapeutic use MH - Male MH - Membrane Proteins/*genetics MH - Middle Aged MH - Prefrontal Cortex/metabolism MH - Receptors, N-Methyl-D-Aspartate/*genetics MH - Schizophrenia/drug therapy/*genetics MH - Suicide PMC - PMC7683009 MID - NIHMS1583387 OTO - NOTNLM OT - NMDA OT - Schizophrenia OT - bipolar disorders OT - cortex OT - major depressive disorders COIS- Declaration of interest None of the authors have any conflict of interest, and the research described in this manuscript was completed in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. E.S. has previously received honorarium from Astra-Zeneca and travel support from GSK that were unrelated to this research. EDAT- 2015/05/28 06:00 MHDA- 2017/01/11 06:00 PMCR- 2020/11/23 CRDT- 2015/05/28 06:00 PHST- 2015/05/28 06:00 [entrez] PHST- 2015/05/28 06:00 [pubmed] PHST- 2017/01/11 06:00 [medline] PHST- 2020/11/23 00:00 [pmc-release] AID - 0004867415586601 [pii] AID - 10.1177/0004867415586601 [doi] PST - ppublish SO - Aust N Z J Psychiatry. 2016 Mar;50(3):275-83. doi: 10.1177/0004867415586601. Epub 2015 May 26.