PMID- 34163013 OWN - NLM STAT- MEDLINE DCOM- 20220405 LR - 20230205 IS - 1476-5578 (Electronic) IS - 1359-4184 (Print) IS - 1359-4184 (Linking) VI - 27 IP - 1 DP - 2022 Jan TI - Aberrant maturation and connectivity of prefrontal cortex in schizophrenia-contribution of NMDA receptor development and hypofunction. PG - 731-743 LID - 10.1038/s41380-021-01196-w [doi] AB - The neurobiology of schizophrenia involves multiple facets of pathophysiology, ranging from its genetic basis over changes in neurochemistry and neurophysiology, to the systemic level of neural circuits. Although the precise mechanisms associated with the neuropathophysiology remain elusive, one essential aspect is the aberrant maturation and connectivity of the prefrontal cortex that leads to complex symptoms in various stages of the disease. Here, we focus on how early developmental dysfunction, especially N-methyl-D-aspartate receptor (NMDAR) development and hypofunction, may lead to the dysfunction of both local circuitry within the prefrontal cortex and its long-range connectivity. More specifically, we will focus on an "all roads lead to Rome" hypothesis, i.e., how NMDAR hypofunction during development acts as a convergence point and leads to local gamma-aminobutyric acid (GABA) deficits and input-output dysconnectivity in the prefrontal cortex, which eventually induce cognitive and social deficits. Many outstanding questions and hypothetical mechanisms are listed for future investigations of this intriguing hypothesis that may lead to a better understanding of the aberrant maturation and connectivity associated with the prefrontal cortex. CI - (c) 2021. The Author(s), under exclusive licence to Springer Nature Limited. FAU - Gao, Wen-Jun AU - Gao WJ AUID- ORCID: 0000-0002-8585-3082 AD - Department of Neurobiology and Anatomy, Drexel University College of Medicine, Philadelphia, PA, 19129, USA. wg38@drexel.edu. FAU - Yang, Sha-Sha AU - Yang SS AD - Department of Neurobiology and Anatomy, Drexel University College of Medicine, Philadelphia, PA, 19129, USA. FAU - Mack, Nancy R AU - Mack NR AD - Department of Neurobiology and Anatomy, Drexel University College of Medicine, Philadelphia, PA, 19129, USA. FAU - Chamberlin, Linda A AU - Chamberlin LA AD - Department of Neurobiology and Anatomy, Drexel University College of Medicine, Philadelphia, PA, 19129, USA. LA - eng GR - R21 MH121836/MH/NIMH NIH HHS/United States GR - R21 MH097623/MH/NIMH NIH HHS/United States GR - R01 MH085666/MH/NIMH NIH HHS/United States GR - R21 MH129989/MH/NIMH NIH HHS/United States GR - R21 MH079117/MH/NIMH NIH HHS/United States GR - R21 MH111609/MH/NIMH NIH HHS/United States GR - R21 MH110678/MH/NIMH NIH HHS/United States GR - P50 MH068789/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review DEP - 20210623 PL - England TA - Mol Psychiatry JT - Molecular psychiatry JID - 9607835 RN - 0 (Receptors, N-Methyl-D-Aspartate) SB - IM MH - Humans MH - Prefrontal Cortex/metabolism MH - *Receptors, N-Methyl-D-Aspartate/metabolism MH - *Schizophrenia/genetics MH - Signal Transduction PMC - PMC8695640 MID - NIHMS1714156 COIS- Conflict of Interest The authors declare no competing financial interests. EDAT- 2021/06/25 06:00 MHDA- 2022/04/05 06:00 PMCR- 2022/03/31 CRDT- 2021/06/24 06:24 PHST- 2020/10/24 00:00 [received] PHST- 2021/06/10 00:00 [accepted] PHST- 2021/06/02 00:00 [revised] PHST- 2021/06/25 06:00 [pubmed] PHST- 2022/04/05 06:00 [medline] PHST- 2021/06/24 06:24 [entrez] PHST- 2022/03/31 00:00 [pmc-release] AID - 10.1038/s41380-021-01196-w [pii] AID - 10.1038/s41380-021-01196-w [doi] PST - ppublish SO - Mol Psychiatry. 2022 Jan;27(1):731-743. doi: 10.1038/s41380-021-01196-w. Epub 2021 Jun 23.