Increased cortical kynurenate content in schizophrenia
Abstract
Background Metabolites of the kynurenine pathway of tryptophan degradation may play a role in the pathogenesis of several human brain diseases. One of the key metabolites in this pathway, kynurenine, is either transaminated to form the glutamate receptor antagonist, kynurenate, or hydroxylated to 3-hydroxykynurenine, which in turn is further degraded to the excitotoxic N-methyl-D-aspartate receptor agonist quinolinate. Because a hypoglutamatergic tone may be involved in the pathophysiology of schizophrenia, it is conceivable that alterations in kynurenine pathway metabolism may play a role in the disease.Methods The tissue levels of kynurenine, kynurenate, and 3-hydroxykynurenine were measured in brain tissue specimens obtained from the Maryland Brain Collection. All three metabolites were determined in the same samples from three cortical brain regions (Brodmann areas 9, 10, and 19), obtained from 30 schizophrenic and 31 matched control subjects.Results Kynurenate levels were significantly increased in schizophrenic cases in Brodmann area 9 (2.9 +/- 2.2 vs. 1.9 +/- 1.3 pmol/mg protein, p <.05), but not in Brodmann areas 10 and 19. Kynurenine levels were elevated in schizophrenic cases in Brodmann areas 9 (35.2 +/- 28.0 vs. 22.4 +/- 14.3 pmol/mg protein; p <.05) and 19 (40.3 +/- 23.4 vs. 30.9 +/- 10.8; p <.05). No significant differences in 3-hydroxykynurenine content were observed between the two groups. In both groups, significant (p <.05) correlations were found in all three brain areas between kynurenine and kynurenate, but not between kynurenine and 3-hydroxykynurenine (p >.05). In rats, chronic (6-months) treatment with haloperidol did not cause an increase in kynurenate levels in the frontal cortex, indicating that the elevation observed in schizophrenia is not due to antipsychotic medication.Conclusions The data demonstrate an impairment of brain kynurenine pathway metabolism in schizophrenia, resulting in elevated kynurenate levels and suggesting a possible concomitant reduction in glutamate receptor function.
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Post-mortem studies of schizophrenia brains revealed lower GRIN1 expression, increases in kynurenate, and reductions in D-serine and D-serine racemase.
“Post-mortem studies of the brain of patients with schizophrenia have revealed lower levels of expression of the obligate NMDAR subunit GRIN1 (glutamate receptor ionotropic, NMDA 1), increases in the expression of the endogenous NMDAR antagonist kynurenate, and a reduction in levels of the NMDAR co-agonist D-serine and the enzyme that catalyses its production, D-serine racemase 10,[16][17][18] .”
From Linking early-life NMDAR hypofunction and oxidative stress in schizophrenia pathogenesis (2016) · cites this paper as [16]
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- Authors
- Schwarcz, R., Rassoulpour, A., Wu, H.-Q., Medoff, D., Tamminga, C. A., & Roberts, R. C.
- Affiliations
- University of Maryland, Baltimore (US)
- Corresponding author
- Schwarcz, Robert
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2001-10
- Volume
- 50
- Issue
- 7
- Pages
- 521-530
- ISSN
- 0006-3223 (ISSN-L)
- OpenAlex
- W2017661386
- Cited by
- 590
- References
- 69
- Citations by year
- 2026: 15 · 2025: 13 · 2024: 20 · 2023: 24 · 2022: 20 · 2021: 25 · 2020: 32 · 2019: 17 · 2018: 24 · 2017: 32 · 2016: 35 · 2015: 45 · 2014: 42 · 2013: 25 · 2012: 29
- FWCI
- 4.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh053494-03)
- National Institute of Mental Health (MH53494)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD16596, P01HD016596)
- Topics
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Amino Acid Enzymes and Metabolism
- Keywords
- schizophrenia, kynurenine pathway, kynurenic acid, 3-hydroxykynurenine, tryptophan metabolism, Brodmann area 9, glutamatergic dysfunction, NMDA receptor, quinolinic acid, haloperidol, antipsychotic effects, brain metabolites
- MeSH terms
- Adult, Aged, Aged, 80 and over, Animals, Female, Frontal Lobe, Haloperidol, Humans, Kynurenic Acid, Kynurenine, Male, Middle Aged, Occipital Lobe, Schizophrenia, Antipsychotic Agents, Rats, Sprague-Dawley, Rats
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