PMID- 37674553 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230919 IS - 1664-0640 (Print) IS - 1664-0640 (Electronic) IS - 1664-0640 (Linking) VI - 14 DP - 2023 TI - Evidence for increased DNA damage repair in the postmortem brain of the high stress-response group of schizophrenia. PG - 1183696 LID - 10.3389/fpsyt.2023.1183696 [doi] LID - 1183696 AB - BACKGROUND: Schizophrenia (SZ) is a disorder diagnosed by specific symptoms and duration and is highly heterogeneous, clinically and pathologically. Although there are an increasing number of studies on the association between genetic and environmental factors in the development of SZ, the actual distribution of the population with different levels of influence of these factors has not yet been fully elucidated. In this study, we focused on stress as an environmental factor and stratified SZ based on the expression levels of stress-responsive molecules in the postmortem prefrontal cortex. METHODS: We selected the following stress-responsive molecules: interleukin (IL) -1beta, IL-6, IL-10, tumor necrosis factor-alpha, interferon-gamma, glucocorticoid receptor, brain-derived neurotrophic factor, synaptophysin, S100 calcium-binding protein B, superoxide dismutase, postsynaptic density protein 95, synuclein, apolipoprotein A1 (ApoA1), ApoA2, and solute carrier family 6 member 4. We performed RNA sequencing in the prefrontal gray matter of 25 SZ cases and 21 healthy controls and conducted a hierarchical cluster analysis of SZ based on the gene expression levels of stress-responsive molecules, which yielded two clusters. After assessing the validity of the clusters, they were designated as the high stress-response SZ group and the low stress-response SZ group, respectively. Ingenuity Pathway Analysis of differentially expressed genes (DEGs) between clusters was performed, and Terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) staining was conducted on four cases each in the high and low stress-response SZ groups to validate DNA damage. RESULTS: We found higher prevalence of family history of SZ in the low stress-response SZ group (0/3 vs. 5/4, p = 0.04). Pathway analysis of DEGs between clusters showed the highest enrichment for DNA double-strand break repair. TUNEL staining showed a trend toward a lower percentage of TUNEL-positive cells in the high stress-response SZ group. CONCLUSION: Our results suggest that there are subgroups of SZ with different degrees of stress impact. Furthermore, the pathophysiology of these subgroups may be associated with DNA damage repair. These results provide new insights into the interactions and heterogeneity between genetic and environmental factors. CI - Copyright (c) 2023 Shishido, Kunii, Hino, Izumi, Nagaoka, Hayashi, Kakita, Tomita and Yabe. FAU - Shishido, Risa AU - Shishido R AD - Department of Neuropsychiatry, School of Medicine, Fukushima Medical University, Fukushima, Japan. FAU - Kunii, Yasuto AU - Kunii Y AD - Department of Neuropsychiatry, School of Medicine, Fukushima Medical University, Fukushima, Japan. AD - Department of Disaster Psychiatry, International Research Institute of Disaster Science, Tohoku University, Sendai, Japan. FAU - Hino, Mizuki AU - Hino M AD - Department of Neuropsychiatry, School of Medicine, Fukushima Medical University, Fukushima, Japan. AD - Department of Disaster Psychiatry, International Research Institute of Disaster Science, Tohoku University, Sendai, Japan. FAU - Izumi, Ryuta AU - Izumi R AD - Department of Neuropsychiatry, School of Medicine, Fukushima Medical University, Fukushima, Japan. FAU - Nagaoka, Atsuko AU - Nagaoka A AD - Department of Neuropsychiatry, School of Medicine, Fukushima Medical University, Fukushima, Japan. FAU - Hayashi, Hideki AU - Hayashi H AD - Department of Pathology, Brain Research Institute, Niigata University, Niigata, Japan. FAU - Kakita, Akiyoshi AU - Kakita A AD - Department of Pathology, Brain Research Institute, Niigata University, Niigata, Japan. FAU - Tomita, Hiroaki AU - Tomita H AD - Department of Disaster Psychiatry, International Research Institute of Disaster Science, Tohoku University, Sendai, Japan. FAU - Yabe, Hirooki AU - Yabe H AD - Department of Neuropsychiatry, School of Medicine, Fukushima Medical University, Fukushima, Japan. LA - eng PT - Journal Article DEP - 20230822 PL - Switzerland TA - Front Psychiatry JT - Frontiers in psychiatry JID - 101545006 PMC - PMC10478254 OTO - NOTNLM OT - DNA double-strand break OT - DNA double-strand break repair by homologous recombination OT - RNA-Seq OT - environmental factor OT - heterogeneity OT - postmortem brain OT - schizophrenia OT - stress COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/09/07 06:42 MHDA- 2023/09/07 06:43 PMCR- 2023/08/22 CRDT- 2023/09/07 03:59 PHST- 2023/03/10 00:00 [received] PHST- 2023/06/12 00:00 [accepted] PHST- 2023/09/07 06:43 [medline] PHST- 2023/09/07 06:42 [pubmed] PHST- 2023/09/07 03:59 [entrez] PHST- 2023/08/22 00:00 [pmc-release] AID - 10.3389/fpsyt.2023.1183696 [doi] PST - epublish SO - Front Psychiatry. 2023 Aug 22;14:1183696. doi: 10.3389/fpsyt.2023.1183696. eCollection 2023.