Cited by 590Tryptophan and brain disordersSchizophrenia research and treatmentAmino Acid Enzymes and Metabolism

Increased cortical kynurenate content in schizophrenia

Schwarcz, Robert, Rassoulpour, Arash, Wu, Hui-Qiu, Medoff, Deborah, Tamminga, Carol A, Roberts, Rosalinda C·2001·Biological Psychiatry

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.

Integrity signals

Registry

Crossref · 10.1016/s0006-3223(01)01078-2

Cites

69 of 69 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • 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] .”

Cites

Flagged first, then by citations

Cited by

Sorted by citations

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

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 ›

Are you an author, or do you see a problem with this page? Request a review