Redox Dysregulation in the Pathophysiology of Schizophrenia and Bipolar Disorder: Insights from Animal Models
Abstract
SIGNIFICANCE: Schizophrenia (SZ) and bipolar disorder (BD) are classified as two distinct diseases. However, accumulating evidence shows that both disorders share genetic, pathological, and epidemiological characteristics. Based on genetic and functional findings, redox dysregulation due to an imbalance between pro-oxidants and antioxidant defense mechanisms has been proposed as a risk factor contributing to their pathophysiology. RECENT ADVANCES: Altered antioxidant systems and signs of increased oxidative stress are observed in peripheral tissues and brains of SZ and BD patients, including abnormal prefrontal levels of glutathione (GSH), the major cellular redox regulator and antioxidant. Here we review experimental data from rodent models demonstrating that permanent as well as transient GSH deficit results in behavioral, morphological, electrophysiological, and neurochemical alterations analogous to pathologies observed in patients. Mice with GSH deficit display increased stress reactivity, altered social behavior, impaired prepulse inhibition, and exaggerated locomotor responses to psychostimulant injection. These behavioral changes are accompanied by N-methyl-D-aspartate receptor hypofunction, elevated glutamate levels, impairment of parvalbumin GABA interneurons, abnormal neuronal synchronization, altered dopamine neurotransmission, and deficient myelination. CRITICAL ISSUES: Treatment with the GSH precursor and antioxidant N-acetylcysteine normalizes some of those deficits in mice, but also improves SZ and BD symptoms when given as adjunct to antipsychotic medication. FUTURE DIRECTIONS: These data demonstrate the usefulness of GSH-deficient rodent models to identify the mechanisms by which a redox imbalance could contribute to the development of SZ and BD pathophysiologies, and to develop novel therapeutic approaches based on antioxidant and redox regulator compounds.
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PNNs consist of highly charged chondroitin sulfate proteoglycans, hyaluronan, tenascin, and link proteins.
“These PNNs consist of highly charged chondroitin sulfate proteoglycans (e.g., aggrecan, neurocan, brevican), hyaluronan, tenascin, and link proteins (31).”
From Perineuronal nets protect fast-spiking interneurons against oxidative stress (2013) · cites this paper as [31]
Multiple genetic and external factors collectively lead to redox dysregulation.
“several divergent genetic (e.g. Gclc, Gclm, Disc1, PRODH, G72, NRG1) (9–17) or external factors (e.g. stress, social isolation, ketamine, neonatal ventral hippocampal lesion) (18–24) collectively lead to redox dysregulation.”
From Prolonged Period of Cortical Plasticity upon Redox Dysregulation in Fast-Spiking Interneurons (2015) · cites this paper as [17]
A pharmacologically induced transient postnatal glutathione deficit causes both immediate and long-term decreased density of parvalbumin-immunoreactive cells in the anterior cingulate cortex.
“A pharmacologically induced transient postnatal deficit in GSH causes both immediate and long-term decreased density of parvalbumin-immunoreactive cells in the anterior cingulate cortex (ACC) (Cabungcal et al., 2006; Kulak et al., 2013; Steullet et al., 2011).”
From Redox dysregulation, neuroinflammation, and NMDA receptor hypofunction: A “central hub” in schizophrenia pathophysiology? (2016) · cites this paper as Kulak et al., 2013
This oligodendrocyte deficit recovers in adulthood and is accompanied by an increase in prefrontal N-acetylaspartate, suggesting impaired myelin lipid synthesis during prefrontal cortical maturation.
“This deficit, which recovers in adulthood, is accompanied by an increase in prefrontal N-acetylaspartate (das Neves Duarte et al., 2012), suggesting an impaired myelin lipid synthesis during prefrontal cortical maturation (Kulak et al., 2013).”
From Redox dysregulation, neuroinflammation, and NMDA receptor hypofunction: A “central hub” in schizophrenia pathophysiology? (2016) · cites this paper as Kulak et al., 2013
Other systems, such as the dopamine system, and their reciprocal interactions with the proposed hub certainly participate in schizophrenia pathology.
“Moreover, we have to emphasize that other systems such as the dopamine system known to be implicated in schizophrenia and their reciprocal interactions with the proposed “hub” (see: Avshalumov et al., 2007; Baker et al., 2002; Kulak et al., 2013; Lodge and Grace, 2011; Meiser et al., 2013; Meyer and Feldon, 2009; Moller et al., 2013; Steullet et al., 2008) certainly participate to the pathology.”
From Redox dysregulation, neuroinflammation, and NMDA receptor hypofunction: A “central hub” in schizophrenia pathophysiology? (2016) · cites this paper as Kulak et al., 2013
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The Cortisol Awakening Response in Bipolar Illness: A Pilot Study
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Spatial Learning and Memory Deficits Induced by Dopamine Administration with Decreased Glutathione
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Treatment of agitation in bipolar disorder across the life cycle.
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Common risk genes for affective and schizophrenic psychoses
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Assessing oxidative pathway genes as risk factors for bipolar disorder
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Psychomotor Effects of Dopamine Infusion Under Decreased Glutathione Conditions
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Co-occurring manic symptomatology influences HPA axis alterations in depression
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No association between glutathione‐synthesis‐related genes and Japanese schizophrenia
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Domain‐specific deficits in schizophrenia
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The Treatment of Acute Agitation in Schizophrenia
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Perineuronal nets protect fast-spiking interneurons against oxidative stress
Cabungcal, J.-H., Steullet, P., Morishita, H., Kraftsik, R., Cuenod, M., Hensch, T. K., & Do, K. Q. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1300454110 · Cited by 512 · see citing works
“, proline dehydrogenase (oxidase) 1 (PRODH), disrupted in schizophrenia 1 (DISC1), D-amino acid oxidase activator (DAOA or G72), dystrobrevin binding protein 1 (DTNBP1)] (23–27) could, together with oxidative stress generated by environmental insults, contribute to the pathophysiology of these disorders (28, 29).”
BackgroundSelf-citationSteullet, P., Cabungcal, J.-H., Coyle, J., Didriksen, M., Gill, K., Grace, A. A., Hensch, T. K., LaMantia, A.-S., Lindemann, L., Maynard, T. M., et al. (2017) · Molecular Psychiatry · doi:10.1038/mp.2017.47 · Cited by 360 · see citing works
Self-citationMarkers of Oxidative Stress and Neuroprogression in Depression Disorder
Vaváková, M., Ďuračková, Z., & Trebatická, J. (2015) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2015/898393 · Cited by 324 · see citing works
“Appraisal of antioxidant activity of natural substances is hindered by disagreement between results observed in vivo and in vitro [4, 7, 13, 61, 91].”
BackgroundROS and Brain Diseases: The Good, the Bad, and the Ugly
Popa-Wagner, A., Mitran, S., Sivanesan, S., Chang, E., & Buga, A.-M. (2013) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2013/963520 · Cited by 427 · see citing works
“Glutathione deficiency also contributes to abnormalities seen in autistic behavior [40, 103] as well as schizophrenia and bipolar disorders [104].”
BackgroundSteullet, P., Cabungcal, J. H., Monin, A., Dwir, D., O'Donnell, P., Cuenod, M., & Do, K. Q. (2016) · Schizophrenia Research · doi:10.1016/j.schres.2014.06.021 · Cited by 262 · see citing works
Self-citationGlutathione redox imbalance in brain disorders
Gu, F., Chauhan, V. P. S., & Chauhan, A. (2014) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0000000000000134 · Cited by 233 · see citing works
Oxidative Stress‐Related Mechanisms in Schizophrenia Pathogenesis and New Treatment Perspectives
Ermakov, E. A., Dmitrieva, E. M., Parshukova, D. A., Kazantseva, D. V., Vasilieva, A. R., & Smirnova, L. P. (2021) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2021/8881770 · Cited by 252 · see citing works
“Nevertheless, there is a decrease of canonical antioxidant systems, including peroxidases, oxidoreductases, oxidases, and dismutases, confirmed by multiple studies in schizophrenia [281, 282].”
BackgroundVitamin D cell signalling in health and disease
Berridge, M. J. (2015) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2015.01.008 · Cited by 214 · see citing works
Translational evaluation of translocator protein as a marker of neuroinflammation in schizophrenia
Notter, T., Coughlin, J. M., Gschwind, T., Weber-Stadlbauer, U., Wang, Y.-C., Kassiou, M., Vernon, A., Benke, D., Pomper, M., Sawa, A., et al. (2018) · Molecular Psychiatry · doi:10.1038/mp.2016.248 · Cited by 195 · see citing works
Glutathione-Dependent Detoxification Processes in Astrocytes
Dringen, R., Brandmann, M., Hohnholt, M. C., & Blumrich, E. (2014) · Neurochemical Research · doi:10.1007/s11064-014-1481-1 · Cited by 184 · see citing works
Vitamin D and Depression: Cellular and Regulatory Mechanisms
Berridge, M. J. (2017) · Pharmacological Reviews · doi:10.1124/pr.116.013227 · Cited by 186 · see citing works
“The elevation of ROS is enhanced by the fact that neurons from patients with depression have much reduced antioxidants such as glutathione (GSH) (Gawryluk et al., 2011; Kulak et al., 2013).”
BackgroundWang, A. M., Pradhan, S., Coughlin, J. M., Trivedi, A. M., DuBois, S. L., Crawford, J. L., Sedlak, T. W., Nucifora, F. C., Nestadt, G., Nucifora, L. G., et al. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.3637 · Cited by 158 · see citing works
Implications for reactive oxygen species in schizophrenia pathogenesis
Koga, M., Serritella, A. V., Sawa, A., & Sedlak, T. W. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2015.06.022 · Cited by 159 · see citing works
Do, K. Q., Cuenod, M., & Hensch, T. K. (2015) · Schizophrenia Bulletin · doi:10.1093/schbul/sbv065 · Cited by 158 · see citing works
Synaptic NMDA receptor activity is coupled to the transcriptional control of the glutathione system
Baxter, P. S., Bell, K. F. S., Hasel, P., Kaindl, A. M., Fricker, M., Thomson, D., Cregan, S. P., Gillingwater, T. H., & Hardingham, G. E. (2015) · Nature Communications · doi:10.1038/ncomms7761 · Cited by 139 · see citing works
“The genetic associations with GCLC are particularly intriguing in the light of studies that show disease-relevant phenotypes in mouse models of GSH deficiency, triggered by both genetic and pharmacological means 5 .”
InfluentialPagano, G., Talamanca, A. A., Castello, G., Cordero, M. D., d’Ischia, M., Gadaleta, M. N., Pallardó, F. V., Petrović, S. Ž., Tiano, L., & Zatterale, A. (2014) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2014/541230 · Cited by 137 · see citing works
“E, GSH, and melatonin) were observed in SZ patients, along with autoimmune responses, as excess IL-6 and PCC levels [184–186].”
Animal models of bipolar mania: The past, present and future
Logan, R. W., & McClung, C. A. (2016) · Neuroscience · doi:10.1016/j.neuroscience.2015.08.041 · Cited by 136 · see citing works
Cuénod, M., Steullet, P., Cabungcal, J.-H., Dwir, D., Khadimallah, I., Klauser, P., Conus, P., & Kim, Q. (2021) · Molecular Psychiatry · doi:10.1038/s41380-021-01374-w · Cited by 129 · see citing works
Self-citationTargeting of NMDA receptors in new treatments for schizophrenia
Hashimoto, K. (2014) · Expert Opinion on Therapeutic Targets · doi:10.1517/14728222.2014.934225 · Cited by 115 · see citing works
“It is therefore likely that abnormalities in the synthesis and metabolism of GSH are active in the pathophysiology of schizophrenia, pinpointing this system as a possible new therapeutic target [108-111].”
BackgroundThe role of the habenula in the transition from reward to misery in substance use and mood disorders
Batalla, A., Homberg, J. R., Lipina, T. V., Sescousse, G., Luijten, M., Ivanova, S. А., Schellekens, A., & LOONEN, A. J. M. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2017.03.019 · Cited by 100 · see citing works
Differentiation of oligodendrocyte precursors is impaired in the prefrontal cortex in schizophrenia
Mauney, S. A., Pietersen, C. Y., Sonntag, K., & Woo, T.-U. W. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2015.10.042 · Cited by 96 · see citing works
“Oxidative stress is increasingly recognized as an important mechanism that may lead to the cellular insults characteristic of the pathophysiology of schizophrenia (Bitanihirwe and Woo, 2011; Do et al., 2009; Do et al., 2015; Fournier et al., 2014; Kulak et al., 2013).”
BackgroundProlonged Period of Cortical Plasticity upon Redox Dysregulation in Fast-Spiking Interneurons
Morishita, H., Cabungcal, J.-H., Chen, Y., Do, K. Q., & Hensch, T. K. (2015) · Biological Psychiatry · doi:10.1016/j.biopsych.2014.12.026 · Cited by 92 · see citing works
Self-citationGu, F., Chauhan, V. P. S., & Chauhan, A. (2013) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2013.07.021 · Cited by 88 · see citing works
Khadimallah, I., Jenni, R., Cabungcal, J.-H., Cleusix, M., Fournier, M., Béard, E., Klauser, P., Knebel, J., Murray, M. M., Retsa, C., et al. (2021) · Molecular Psychiatry · doi:10.1038/s41380-021-01313-9 · Cited by 88 · see citing works
Self-citationA Critical Role for Astrocytes in Hypercapnic Vasodilation in Brain
Howarth, C., Sutherland, B. A., Choi, H. B., Martin, C. J., Lind, B. L., Khennouf, L., LeDue, J. M., Pakan, J. M. P., Ko, R. W. Y., Ellis‐Davies, G. C. R., et al. (2017) · Journal of Neuroscience · doi:10.1523/jneurosci.0005-16.2016 · Cited by 82 · see citing works
“Alterations in the redox status of brain tissue that are ultimately linked to cellular GSH levels have been observed in numerous neurological and psychiatric disorders (Slivka and Cohen, 1993; Tohgi et al., 1995, 1999; Ansari and Scheff, 2010; Zhang et al., 2012; Kulak et al., 2013).”
BackgroundSedlak, T. W., Nucifora, L. G., Koga, M., Shaffer, L. S., Higgs, C. P., Tanaka, T., Wang, A. M., Coughlin, J. M., Barker, P. B., Fahey, J. W., et al. (2017) · Complex Psychiatry · doi:10.1159/000487639 · Cited by 77 · see citing works
Berridge, M. J. (2017) · American Journal of Physiology-Cell Physiology · doi:10.1152/ajpcell.00188.2017 · Cited by 74 · see citing works
Kathuria, A., Lopez-Lengowski, K., Watmuff, B., McPhie, D. L., Cohen, B. M., & Karmacharya, R. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0660-x · Cited by 73 · see citing works
Kano, S., Choi, E. Y., Dohi, E., Agarwal, S., Chang, D. J., Wilson, A. M., Lo, B. D., Rose, I. V. L., Gonzalez, S., Imai, T., et al. (2019) · Science Signaling · doi:10.1126/scisignal.aar2124 · Cited by 72 · see citing works
Rossetti, A. C., Paladini, M. S., Riva, M. A., & Molteni, R. (2020) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2020.107520 · Cited by 70 · see citing works
Pietersen, C. Y., Mauney, S. A., Kim, S. S., Passeri, E., Lim, M. P., Rooney, R. J., Goldstein, J. M., Petryshen, T. L., Seidman, L. J., Shenton, M. E., et al. (2014) · Journal of Neurogenetics · doi:10.3109/01677063.2013.878339 · Cited by 67 · see citing works
“Although the precise pathophysiological events that lead to the dysfunction of PV neurons remain unknown, there has been increasing evidence suggesting that oxidative injury may be a major culprit (Behrens & Sejnowski, 2009; Bitanihirwe & Woo, 2011; Do et al., 2009; Kulak et al., 2013; Nakazawa et al., 2011; Powell et…”
BackgroundIn Vivo Imaging with Genetically Encoded Redox Biosensors
Kostyuk, A. I., Panova, A. S., Kokova, A. D., Kotova, D. A., Maltsev, D. I., Podgorny, O. V., Belousov, V. V., & Bilan, D. S. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21218164 · Cited by 63 · see citing works
Jang, Y., Lee, S., Lee, B., Jung, S., Khalid, A., Uchida, K., Tominaga, M., Jeon, D., & Oh, U. (2015) · Journal of Neuroscience · doi:10.1523/jneurosci.5251-14.2015 · Cited by 62 · see citing works
“Recently, various animal models, including ge- netically engineered mice, have been used in investigations designed to investigate the pathophysiology of mood disorders (Nestler and Hyman, 2010; Kulak et al., 2013).”
BackgroundRedox Probing for Chemical Information of Oxidative Stress
Kim, E., Winkler, T. E., Kitchen, C., Kang, M., Banis, G., Bentley, W. E., Kelly, D. L., Reza Ghodssi, A., & Payne, G. F. (2016) · Analytical Chemistry · doi:10.1021/acs.analchem.6b03620 · Cited by 57 · see citing works
Kim, H. K., Andreazza, A. C., Yeung, P., Isaacs-Trepanier, C., & Young, L. T. (2014) · Journal of Psychiatry and Neuroscience · doi:10.1503/jpn.130155 · Cited by 57 · see citing works
“Previous studies have consistently reported increased markers of oxidative stress for both patients with schizophrenia and BD, where increased levels of protein carbonyl groups and lipid peroxidation have been found.(6,9) Oxidation of thiol groups can alter protein structure and function(49) and may be a contributing…”
BackgroundBüttiker, P., Weissenberger, S., Esch, T., Anders, M., Raboch, J., Ptáček, R., Kream, R. M., & Stefano, G. B. (2023) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.1095923 · Cited by 64 · see citing works
Accelerating neuronal aging in in vitro model brain disorders: a focus on reactive oxygen species
Campos, P. B., Paulsen, B. S., & Rehen, S. K. (2014) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2014.00292 · Cited by 52 · see citing works
“In this section, we have focused on ROS as the central player in the pathogenesis of these diseases as many age-related impairments ultimately converge on and negatively impact cell respiration, resulting in the overproduction of ROS.”
BackgroundConnecting Biology to Electronics: Molecular Communication via Redox Modality
Liu, Y., Li, J., Tschirhart, T., Terrell, J. L., Kim, E., Tsao, C., Kelly, D. L., Bentley, W. E., & Payne, G. F. (2017) · Advanced Healthcare Materials · doi:10.1002/adhm.201700789 · Cited by 52 · see citing works
Advanced glycation end products and schizophrenia: A systematic review
Kouidrat, Y., Amad, A., Arai, M., Miyashita, M., Lalau, J., Loas, G., & Itokawa, M. (2015) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2015.04.023 · Cited by 51 · see citing works
“…genetic and key biochemical systems involved in the disease and suggest that oxidative stress contributes to the pathophysiology of schizophrenia (Emiliani et al., 2014; Itokawa et al., 2014; Kulak et al., 2013; Wu et al., 2013). logy, University of Picardiefax: þ33 3 22 45 53 34. ouidrat).”
BackgroundImpaired Metabolic Reactivity to Oxidative Stress in Early Psychosis Patients
Fournier, M., Ferrari, C., Baumann, P. S., Polari, A., Monin, A., Bellier-Teichmann, T., Wulff, J., Pappan, K. L., Cuenod, M., Conus, P., et al. (2014) · Schizophrenia Bulletin · doi:10.1093/schbul/sbu053 · Cited by 48 · see citing works
MicroRNA Schizophrenia: Etiology, Biomarkers and Therapeutic Targets.
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“In rodent models behavioral, morphological, electrophysiological and neurochemical alternations, which resembles pathologies seen in patients with schizophrenia could be coupled to GSH deficiency (Kulak et al., 2013).”
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“Deficits in GSH result in oxidative imbalance and subsequent oxidation of phospholipids, proteins, and DNA (Kulak et al., 2013).”
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“Moreover, SOD, GPx, and GR are the main antioxidant defenses responsible for maintaining the redox balance (Kulak et al. 2013) and an increase in these enzyme activities is an attempt to eliminate the RS generated by ARS in cerebral structures.”
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Gene set enrichment analysis of pathophysiological pathways highlights oxidative stress in psychosis
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“This is at the basis of neural circuit synchronization impairments and cognitive, emotional, social and sensory de fi cits characteristic of schizophrenia [12, 16, 18, 52].”
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“In murine models, treatment regimes that restore the redox balance, such as the administration of the antioxidant N-acetylcysteine, help to correct some of these deficits (Cabungcal et al., 2006; Kulak et al., 2013).”
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“In this regard, the likely involvement of inflammation/oxidative stress (IOS) in the pathophysiology of SCZ has raised the potential use of anti-oxidant and anti-inflammatory (anti-IOS) compounds as therapeutic strategies in this disorder [19].”
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“Chronic oxidative stress in conjunction with altered NO-mediated signaling pathways has also been proposed as a significant contributing factor in the pathophysiology of SCZ-related behaviors (124,125) and in the etiology of BPD (126).”
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“Similar results emerged in transgenic mice with redox dysregulation compared with the wild-type mice [218].”
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“While oxidative stress (Ermakov et al., 2021; Fraguas et al., 2019; Jim ´ enez-Fern ´ andez et al., 2021; Kulak et al., 2013; Leza et al., 2015; Perkins et al., 2020; Reininghaus et al., 2014; Upthegrove and Khandaker, 2020) and activation of cell-death molecules (Catts et al., 2006; Catts and…”
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- Authors
- Kulak, A., Steullet, P., Cabungcal, J.-H., Werge, T., Ingason, A., Cuenod, M., & Do, K. Q.
- Affiliations
- Centre Hospitalier Universitaire Vaudois (CH)
- Sankt Hans Hospital (DK)
- Department of Psychiatry, Center for Psychiatric Neuroscience, Lausanne University Hospital, Prilly-Lausanne, Switzerland.
- Venue
- Antioxidants & Redox Signaling
- Publisher
- SAGE Publications
- Published
- 2013-04-20
- Volume
- 18
- Issue
- 12
- Pages
- 1428-1443
- ISSN
- 1523-0864 (ISSN-L)
- 1557-7716
- OpenAlex
- W2105730072
- Cited by
- 124
- References
- 128
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 6 · 2023: 6 · 2022: 8 · 2021: 11 · 2020: 7 · 2019: 9 · 2018: 3 · 2017: 14 · 2016: 8 · 2015: 16 · 2014: 15 · 2013: 7
- FWCI
- 1.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Antioxidants and Redox Signaling (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Funders
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Redox biology and oxidative stress
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- schizophrenia, bipolar disorder, redox dysregulation, oxidative stress, glutathione deficiency, NMDA receptor hypofunction, glutamate excitotoxicity, parvalbumin interneurons, prepulse inhibition, stress reactivity, dopamine signaling, myelination, N-acetylcysteine, antioxidant therapy
- MeSH terms
- Animals, Bipolar Disorder, Brain, Disease Models, Animal, Glutamate-Cysteine Ligase, Glutathione, Humans, Synaptic Transmission, Oxidation-Reduction, Schizophrenia, Polymorphism, Single Nucleotide, Gene Knockout Techniques
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