PMID- 32796766 OWN - NLM STAT- MEDLINE DCOM- 20210614 LR - 20210614 IS - 2218-273X (Electronic) IS - 2218-273X (Linking) VI - 10 IP - 8 DP - 2020 Aug 11 TI - Multi-Scale Understanding of NMDA Receptor Function in Schizophrenia. LID - 10.3390/biom10081172 [doi] LID - 1172 AB - Schizophrenia is a chronic and disabling psychiatric disorder characterized by disturbances of thought, cognition, and behavior. Despite massive research efforts to date, the etiology and pathophysiology of schizophrenia remain largely unknown. The difficulty of brain research is largely a result of complex interactions between contributory factors at different scales: susceptible gene variants (molecular scale), synaptopathies (synaptic, dendritic, and cell scales), and alterations in neuronal circuits (circuit scale), which together result in behavioral manifestations (individual scale). It is likely that each scale affects the others, from the microscale to the mesoscale to the macroscale, and vice versa. Thus, to consider the intricate complexity of schizophrenia across multiple layers, we introduce a multi-scale, hierarchical view of the nature of this disorder, focusing especially on N-methyl-D-aspartate-type glutamate receptors (NMDARs). The reason for placing emphasis on NMDAR is its clinical relevance to schizophrenia, as well as its diverse functions in neurons, including the robust supralinear synaptic integration provided by N-methyl-D-aspartate-type glutamate (NMDA) spikes and the Ca(2+) permeability of the NMDAR, which facilitates synaptic plasticity via various calcium-dependent proteins. Here, we review recent evidence implicating NMDARs in the pathophysiology of schizophrenia from the multi-scale perspective. We also discuss recent advances from optical techniques, which provide a powerful tool for uncovering the mechanisms of NMDAR synaptic pathology and their relationships, with subsequent behavioral manifestations. FAU - Hyun, Jo Soo AU - Hyun JS AUID- ORCID: 0000-0002-1587-745X AD - Laboratory for Multi-scale Biological Psychiatry, Center for Brain Science, RIKEN, 2-1 Hirosawa, Wako City, Saitama Prefecture 351-0106, Japan. AD - Department of Life Science and Medical Bioscience, School of Advanced Science and Engineering, Waseda University, Tokyo 162-8480, Japan. FAU - Inoue, Takafumi AU - Inoue T AD - Department of Life Science and Medical Bioscience, School of Advanced Science and Engineering, Waseda University, Tokyo 162-8480, Japan. FAU - Hayashi-Takagi, Akiko AU - Hayashi-Takagi A AD - Laboratory for Multi-scale Biological Psychiatry, Center for Brain Science, RIKEN, 2-1 Hirosawa, Wako City, Saitama Prefecture 351-0106, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200811 PL - Switzerland TA - Biomolecules JT - Biomolecules JID - 101596414 RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - SY7Q814VUP (Calcium) SB - IM MH - Animals MH - Calcium/metabolism MH - Humans MH - Neuronal Plasticity MH - Receptors, N-Methyl-D-Aspartate/*metabolism MH - Schizophrenia/*metabolism PMC - PMC7465114 OTO - NOTNLM OT - multi-scale OT - schizophrenia OT - synaptic optogenetics OT - synaptic pathology COIS- The authors declare no conflict of interest. EDAT- 2020/08/17 06:00 MHDA- 2021/06/16 06:00 PMCR- 2020/08/01 CRDT- 2020/08/16 06:00 PHST- 2020/05/20 00:00 [received] PHST- 2020/08/06 00:00 [revised] PHST- 2020/08/07 00:00 [accepted] PHST- 2020/08/16 06:00 [entrez] PHST- 2020/08/17 06:00 [pubmed] PHST- 2021/06/16 06:00 [medline] PHST- 2020/08/01 00:00 [pmc-release] AID - biom10081172 [pii] AID - biomolecules-10-01172 [pii] AID - 10.3390/biom10081172 [doi] PST - epublish SO - Biomolecules. 2020 Aug 11;10(8):1172. doi: 10.3390/biom10081172.