PMID- 36555487 OWN - NLM STAT- MEDLINE DCOM- 20221226 LR - 20230308 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 24 DP - 2022 Dec 13 TI - Dorsolateral Prefrontal Cortex Glutamate/Gamma-Aminobutyric Acid (GABA) Alterations in Clinical High Risk and First-Episode Schizophrenia: A Preliminary 7-T Magnetic Resonance Spectroscopy Imaging Study. LID - 10.3390/ijms232415846 [doi] LID - 15846 AB - Converging lines of evidence suggest that an imbalance between excitation and inhibition is present in the dorsolateral prefrontal cortex (DLPFC) of schizophrenia (SCZ). Gamma-aminobutyric-acid (GABA) and, to a lesser extent, glutamate (Glu) abnormalities were reported in the DLPFC of SCZ patients, especially on the right hemisphere, by post-mortem studies. However, in vivo evidence of GABA, Glu, and Glu/GABA DLPFC abnormalities, particularly on the right side and the early stages of illness, is limited. In this preliminary study, we utilized 7-Tesla magnetic resonance spectroscopic imaging (MRSI) to investigate bilateral Glu/Creatine (Cre), GABA/Cre, and Glu/GABA in the DLPFC of sixteen first episode schizophrenia (FES), seventeen clinical high risk (CHR), and twenty-six healthy comparison (HC) subjects. FES and CHR had abnormal GABA/Cre and Glu/GABA in the right DLPFC (rDLPFC) compared with HC participants, while no differences were observed in the left DLPFC (lDLPFC) among the three groups. Furthermore, HC had higher Glu/GABA in rDLPFC compared to lDLPFC (R > L), whereas the opposite relationship (R < L) was observed in the DLPFC Glu/GABA of FES patients. Altogether, these findings indicate that GABA/Cre and Glu/GABA DLPFC alterations are present before illness manifestation and worsen in FES patients, thus representing a putative early pathophysiological biomarker for SCZ and related psychotic disorders. FAU - Mayeli, Ahmad AU - Mayeli A AUID- ORCID: 0000-0002-2084-5559 AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15213, USA. FAU - Sonnenschein, Susan F AU - Sonnenschein SF AUID- ORCID: 0000-0003-4486-3206 AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15213, USA. FAU - Yushmanov, Victor E AU - Yushmanov VE AD - Department of Radiology, University of Pittsburgh, Pittsburgh, PA 15213, USA. FAU - Wilson, James D AU - Wilson JD AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15213, USA. FAU - Blazer, Annie AU - Blazer A AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15213, USA. FAU - Foran, William AU - Foran W AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15213, USA. FAU - Perica, Maria AU - Perica M AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15213, USA. FAU - Calabro, Finnegan J AU - Calabro FJ AUID- ORCID: 0000-0002-8092-3942 AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15213, USA. FAU - Luna, Beatriz AU - Luna B AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15213, USA. FAU - Hetherington, Hoby P AU - Hetherington HP AD - Department of Radiology, University of Pittsburgh, Pittsburgh, PA 15213, USA. FAU - Sarpal, Deepak K AU - Sarpal DK AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15213, USA. FAU - Ferrarelli, Fabio AU - Ferrarelli F AUID- ORCID: 0000-0003-0560-0227 AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15213, USA. LA - eng GR - MH113827/MH/NIMH NIH HHS/United States PT - Journal Article DEP - 20221213 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 3KX376GY7L (Glutamic Acid) RN - 56-12-2 (gamma-Aminobutyric Acid) SB - IM MH - Humans MH - *Glutamic Acid MH - Dorsolateral Prefrontal Cortex MH - *Schizophrenia/diagnostic imaging MH - Prefrontal Cortex/diagnostic imaging MH - Magnetic Resonance Imaging MH - gamma-Aminobutyric Acid MH - Magnetic Resonance Spectroscopy/methods PMC - PMC9781166 OTO - NOTNLM OT - DLPFC OT - GABA OT - clinical high risk for psychosis OT - dorsolateral prefrontal cortex OT - excitation/inhibition OT - first episode schizophrenia OT - gamma-aminobutyric acid COIS- The authors declare no conflict of interest. EDAT- 2022/12/24 06:00 MHDA- 2022/12/27 06:00 PMCR- 2022/12/13 CRDT- 2022/12/23 01:34 PHST- 2022/10/08 00:00 [received] PHST- 2022/12/06 00:00 [revised] PHST- 2022/12/09 00:00 [accepted] PHST- 2022/12/23 01:34 [entrez] PHST- 2022/12/24 06:00 [pubmed] PHST- 2022/12/27 06:00 [medline] PHST- 2022/12/13 00:00 [pmc-release] AID - ijms232415846 [pii] AID - ijms-23-15846 [pii] AID - 10.3390/ijms232415846 [doi] PST - epublish SO - Int J Mol Sci. 2022 Dec 13;23(24):15846. doi: 10.3390/ijms232415846.