Tracing the development of psychosis and its prevention: what can be learned from animal models
Abstract
Schizophrenia (SCZ) is a neurodevelopmental disorder manifested symptomatically after puberty whose pharmacotherapy remains unsatisfactory. In recent years, longitudinal structural neuroimaging studies have revealed that neuroanatomical aberrations occur in this disorder and in fact precede symptom onset, raising the exciting possibility that SCZ can be prevented. There is some evidence that treatment with atypical antipsychotic drugs (APDs) prior to the development of the full clinical phenotype reduces the risk of transition to psychosis, but results remain controversial. It remains unknown whether progressive structural brain aberrations can be halted. Given the diagnostic, ethical, clinical and methodological problems of pharmacological and imaging studies in patients, getting such information remains a major challenge. Animal neurodevelopmental models of SCZ are invaluable for investigating such questions because they capture the notion that the effects of early brain damage are progressive. In recent years, data derived from such models have converged on key neuropathological and behavioral deficits documented in SCZ attesting to their strong validity, and making them ideal tools for evaluating progression of pathology following in-utero insults as well as its prevention. We review here our recent studies that use longitudinal in vivo structural imaging to achieve this aim in the prenatal immune stimulation model that is based on the association of prenatal infection and increased risk for SCZ. Pregnant rats were injected on gestational day 15 with the viral mimic polyriboinosinic-polyribocytidylic acid (poly I:C) or saline. Male and female offspring were imaged and tested behaviorally on postnatal days (PNDs) 35, 46, 56, 70 and 90. In other experiments, offspring of poly I:C- and saline-treated dams received the atypical antipsychotic drugs (APDs) clozapine or risperidone in two developmental windows: PND 34-47 and PND 48-61, and underwent behavioral testing and imaging at adulthood. Prenatal poly I:C-induced interference with fetal brain development led to aberrant postnatal brain development as manifested in structural abnormalities in the hippocampus, the striatum, the prefrontal cortex and lateral ventricles (LV), as seen in SCZ. The specific trajectories were region-, age- and sex-specific, with females having delayed onset of pathology compared to males. Brain pathology was accompanied by development of behavioral abnormalities phenotypic of SCZ, attentional deficit and hypersensitivity to amphetamine, with same sex difference. Hippocampal volume loss and LV volume expansion as well as behavioral abnormalities were prevented in the offspring of poly I:C mothers who received clozapine or risperidone during the asymptomatic period of adolescence (PND 34-47). Administration at a later window, PNDs 48-61, exerted sex-, region- and drug- specific effects. Our data show that prenatal insult leads to progressive postnatal brain pathology, which gradually gives rise to "symptoms"; that treatment with atypical APDs can prevent both brain and behavioral pathology; and that the earlier the intervention, the more pathological outcomes can be prevented.
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Prenatal poly(I:C) exposure reduced hippocampus volume in adult mice.
“and reduced the volume of the hippocampus in adult mice.”
From Neuroinflammation as a risk factor for attention deficit hyperactivity disorder (2019) · cites this paper as Piontkewitz et al., 2012
Prenatal poly(I:C) exposure reduced prefrontal cortex volume in adult mice.
“Prenatal exposure to poly(I:C) (Piontkewitz et al., 2012) reduced the volume of the prefrontal cortex”
From Neuroinflammation as a risk factor for attention deficit hyperactivity disorder (2019) · cites this paper as Piontkewitz et al., 2012
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Prenatal Poly(I:C) Exposure and Other Developmental Immune Activation Models in Rodent Systems
Meyer, U. (2014) · Biological Psychiatry · doi:10.1016/j.biopsych.2013.07.011 · Cited by 626 · see citing works
Immune–neural connections: how the immune system’s response to infectious agents influences behavior
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Maternal immune activation and autism spectrum disorder: From rodents to nonhuman and human primates
Careaga, M., Murai, T., & Bauman, M. D. (2017) · Biological Psychiatry · doi:10.1016/j.biopsych.2016.10.020 · Cited by 348 · see citing works
Neuroinflammation as a risk factor for attention deficit hyperactivity disorder
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An Overview of Animal Models Related to Schizophrenia
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Viral infection, inflammation and schizophrenia
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Maternal immune activation, central nervous system development and behavioral phenotypes
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Gestational cytokine concentrations and neurocognitive development at 7 years
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Self-citationMaternal immune activation during pregnancy in rats impairs working memory capacity of the offspring
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Biase, M. A. D., Katabi, G., Piontkewitz, Y., Karayumak, S. C., Weiner, I., & Pasternak, O. (2019) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2019.09.010 · Cited by 41 · see citing works
Self-citationBauman, M. D., Lesh, T. A., Rowland, D. J., Schumann, C. M., Smucny, J., Kukis, D. L., Cherry, S. R., McAllister, A. K., & Carter, C. S. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0449-y · Cited by 41 · see citing works
Pre-clinical models of neurodevelopmental disorders: focus on the cerebellum
Shevelkin, A. V., Ihenatu, C., & Pletnikov, M. V. (2014) · Reviews in the Neurosciences · doi:10.1515/revneuro-2013-0049 · Cited by 40 · see citing works
Behavioral Animal Models of Antipsychotic Drug Actions
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Stress, depression, and hippocampus: from biochemistry to electrophysiology
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Animal Models of Schizophrenia
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Self-citationSexual dimorphism of the cerebellar vermis in schizophrenia
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Human latent inhibition: Problems with the stimulus exposure effect
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Developmental Immune Activation Models with Relevance to Schizophrenia
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- Authors
- Piontkewitz, Y., Arad, M., & Weiner, I.
- Affiliations
- Tel Aviv University (IL)
- Corresponding author
- Weiner, Ina
- Venue
- Neuropharmacology
- Publisher
- Elsevier BV
- Published
- 2012-03
- Volume
- 62
- Issue
- 3
- Pages
- 1273-1289
- ISSN
- 0028-3908 (ISSN-L)
- OpenAlex
- W1979322945
- Cited by
- 108
- References
- 271
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 5 · 2022: 7 · 2021: 9 · 2020: 8 · 2019: 7 · 2018: 15 · 2017: 7 · 2016: 12 · 2015: 11 · 2014: 9 · 2013: 5 · 2012: 7
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropharmacology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- United States-Israel Binational Science Foundation (BSF 2007188)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- schizophrenia, neurodevelopmental model, poly(I:C), atypical antipsychotics, clozapine, risperidone, psychosis prevention, hippocampal atrophy, lateral ventricle enlargement, sex differences, attention deficits, prenatal infection, structural neuroimaging, longitudinal brain development, striatum, prefrontal cortex
- MeSH terms
- Age Factors, Animals, Disease Models, Animal, Female, Hippocampus, Humans, Male, Pregnancy, Prenatal Exposure Delayed Effects, Psychotic Disorders, Early Diagnosis, Rats
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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