 |
|
Chromatin Alterations Associated With Down-regulated Metabolic Gene Expression in the Prefrontal Cortex of Subjects With Schizophrenia
Schahram Akbarian, MD, PhD;
Martin G. Ruehl, Dipl Ing;
Erin Bliven, BS;
Lori A. Luiz, BS;
Amy C. Peranelli, BS;
Stephen P. Baker, MScPH;
Rosalinda C. Roberts, PhD;
William E. Bunney, Jr, MD;
Robert C. Conley, MD;
Edward G. Jones, MD, PhD;
Carol A. Tamminga, MD;
Yin Guo, MD
Arch Gen Psychiatry. 2005;62:829-840.
ABSTRACT
Background Schizophrenia is frequently accompanied by hypometabolism and altered gene expression in the prefrontal cortex. Cellular metabolism regulates chromatin structure, including covalent histone modifications, which are epigenetic regulators of gene expression.
Objective To test the hypothesis that down-regulated metabolic gene expression is associated with histone modification changes in the prefrontal cortex of subjects with schizophrenia.
Design and Subjects Histones and gene transcripts were profiled in the postmortem prefrontal cortex of 41 subjects with schizophrenia and 41 matched controls. The phosphorylation, acetylation, and methylation of 6 lysine, serine, and arginine residues of histones H3 and H4 were examined together with 16 metabolic gene transcripts using serial immunoblotting, immunohistochemical analysis, custom-made complementary DNA arrays, and quantitative real-time reverse transcriptase–polymerase chain reaction.
Results Subjects with schizophrenia, as a group, showed no significant alterations in histone profiles or gene expression. In a subgroup of 8 patients with schizophrenia, levels of H3-(methyl)arginine 17, H3meR17, exceeded control values by 30%, and this was associated with the decreased expression of 4 metabolic transcripts.
Conclusions High levels of H3-(methyl)arginine 17 are associated with down-regulated metabolic gene expression in the prefrontal cortex of a subset of subjects with schizophrenia. Histone modifications may contribute to the pathogenesis of prefrontal dysfunction in schizophrenia.
INTRODUCTION
Dysfunction, hypoactivity, and hypometabolism of the prefrontal cortex (PFC) may contribute to the negative symptoms and cognitive deficits of schizophrenia.1-6 The molecular pathogenesis of prefrontal dysfunction in schizophrenia is still not clear, but the down-regulated expression of a subset of metabolic genes is thought to be involved.7-9 Alterations in cellular metabolism may then further compromise orderly gene expression, affecting neurotransmission,10-20 myelination,10, 21-22 and other functions.23-24 There is evidence that in individual schizophrenic patients, PFC hypometabolism persists for decades,25 suggesting that the underlying molecular mechanisms, including dysregulated metabolic gene expression, remain stable for extended periods.
In eukaryotes, the rate-limiting biochemical response that leads to the activation of gene expression involves alterations in chromatin structure.26 The 4 core histones, H2A, H2B, H3, and H4, together with 147 base pairs of genomic DNA wrapped around them, compose the nucleosomes, the basic units of chromatin. Chromatin fibers are composed of arrays of nucleosomes connected by linker histones and DNA.26-27 Dynamic changes in chromatin conformation and accessibility of transcription factors are highly regulated by the N-terminal histone tails.28-29 Covalent modifications at histone N-terminal tails are differentially regulated in chromatin at sites of active gene expression compared with inactive and silenced chromatin.28-29 For example, the methylation of histone H3 at the arginine 17 position (H3meR17), or the phosphoacetylation of H3 at the serine 10/lysine 14 position (H3pS10-acK14), defines the open chromatin state and actual or potential transcription.28-34 Studies in rodents showed that treatment with (1) antipsychotic drugs that block dopamine D2-like receptors,35 (2) D1-agonists,36 or (3) the anticonvulsant and mood-stabilizing drug valproate sodium37-39 induces histone modification changes not only at defined genomic sequences but also on a global and genome-wide level in selected areas of the forebrain. The drug-induced, coordinated regulation of histone chemistry in whole or "bulk" chromatin is thought to have profound effects on nuclear signaling and chromatin function, including transcription and cellular differentiation.28-29,40 The D2-like antagonist drugs and valproate sodium are frequently prescribed for the treatment of schizophrenia and other major psychiatric diseases,41-43 which raises the question of whether chromatin modifications are involved in the molecular mechanism of action of these drugs. Furthermore, in eukaryotes, cellular metabolism is tightly coupled to chromatin structure because many chromatin-remodeling complexes require adenosine triphosphatase activity.44-45 In addition, caloric restriction up-regulates histone deacetylase activity, which in turn leads to transcriptional silencing of chromatin.46-47 Given this background, we hypothesized that hypometabolism and decreased metabolic gene expression in the PFC of subjects with schizophrenia is accompanied by abnormal levels of 1 or several covalent histone modifications. These changes may reflect an adaptive response to prefrontal hypoactivity, may play a causative role in prefrontal dysfunction, or both. In any case, chromatin-related abnormalities are likely to have profound and lasting implications for cellular function and PFC circuitry. Furthermore, molecular studies on chromatin from diseased brain is pivotal to gain further insight into epigenetic factors that are thought to be involved in the etiology of the schizophrenia.48-52 Herein, we identify a subgroup of subjects with schizophrenia affected by down-regulated expression of 4 of 16 metabolic genes in conjunction with high levels of histone H3 methylation (H3meR17). To our knowledge, this is the first evidence that histone modifications as epigenetic regulators of gene expression may contribute to prefrontal dysfunction in schizophrenia.
METHODS
RATIONALE AND STUDY DESIGN
According to a recent study by Middleton and colleagues,7 a subset of 10 metabolic genes are expressed at decreased levels in the PFC of subjects with schizophrenia. This set of 10 transcripts includes malate dehydrogenase I (MDH), for which 4 studies reported either a significant decrease7-9 or increase10 in the PFC of subjects with schizophrenia. Therefore, we sought (1) to examine the expression of these metabolic genes in a larger cohort of schizophrenic subjects and controls and (2) to determine whether altered metabolic gene expression is linked to an abnormal histone modification profile. This study was conducted in 2 parts (Figure 1). First, 6 different histone modifications and 16 metabolic gene transcripts were profiled in 21 matched pairs of schizophrenic subjects and controls. For the overall cohort of 21 subjects with schizophrenia, we did not find significant changes in histone or transcript levels. Therefore, as the next step, we defined subgroups of subjects with schizophrenia based on histone modification levels. Then, the association between modifications and down-regulated metabolic gene expression was further tested by conducting additional studies on another 20 pairs of subjects with schizophrenia and controls collected independently of the 21 matched pairs in part 1.
POSTMORTEM TISSUE
The present study used the brains of 82 subjects, or 41 matched pairs of subjects with schizophrenia and controls (Table 1). All subjects were matched for age and autolysis time (±15%), and 38 of 41 pairs were also matched for sex, as described previously.53 The entire matching process was finished before any experimental procedures were performed. Of the 41 pairs, 21 were obtained from a brain collection at the University of California and were used in previous studies12, 53 of GAD67 gene expression and white matter neuron distribution. Key findings reported for this postmortem collection were independently replicated.15-17,54-58 Therefore, this postmortem cohort seems to be representative of the disease. Another 20 pairs were obtained from a brain bank at the University of Maryland that includes a tissue collection from subjects diagnosed as having schizophrenia.55, 59-60 For both brain banks, procedures for tissue collection, neuropathologic examination (to rule out degenerative and neurologic disease), diagnosing schizophrenia using DSM-IV–based diagnostic criteria, and selection of subjects with schizophrenia and controls were described in detail in previous publications.12, 53, 59-61 Controls were defined as people without a lifetime diagnosis of serious mental illness other than alcohol abuse or substance abuse or dependence; 4 controls and 3 subjects with schizophrenia had positive toxicologic findings for alcohol, narcotics, or both. None of the cases in this study were known to be individuals with human immunodeficiency virus or hepatitis B or who were in comas or receiving artificial respiration before death. All tissue samples were fresh-frozen and kept at –75°C until further processing. All procedures were approved by the institutional review boards of the University of Massachusetts, the University of Maryland, and the University of California at Davis. From each brain, small (0.5- to 1.0-cm3) blocks of tissue were obtained from the rostral pole of the left and right frontal lobes (Brodmann area A10), which is part of the PFC and is affected by functional hypoactivity and hypometabolism.1-6
|
|
|
|
Table 1. Diagnostic Characteristics, Medication Status, and Postmortem Confounds of Postmortem Collection
|
|
|
HISTONE PROFILING
Tissue samples of PFC were homogenized in 0.2M sulfuric acid and incubated on wet ice in the same solution for 45 minutes at a concentration of approximately 2 mg DNA/mL. The samples were then pelleted by centrifugation, and a supernatant containing acid-soluble proteins was added to one-third volume of 100% trichloroacetic acid, mixed well to precipitate histones, pelleted, washed in 100% acetone/0.05M hydrochloride, resuspended in double-distilled H20, and stored at –75°C until use. Sample concentrations were determined in triplicate using a protein assay (Pierce Biotechnology Inc, Rockford, Ill) in conjunction with a microtiter plate reader (Benchmark; Bio-Rad Laboratories, Hercules, Calif), adjusted accordingly and eluted in 1x Laemmli buffer to a concentration of 10 µg/µL. In addition, equal loading was controlled by gel Coomassie blue stain. Samples were analyzed using sodium dodecyl sulfate–polyacrylamide gel electrophoresis and immunoblotting, using polyvinyl difluoride membranes (Bio-Rad Laboratories) with a 0.2-µm pore size to ensure efficient blotting of the histones, which have molecular weights in the range of 10 to 15 kDa. For immunoblotting, membranes were preblocked in Tris-buffered saline, with 0.1% Tween-20 (TBS-T) (pH, 7.5), with 5% dry milk (Bio-Rad Laboratories), incubated overnight in primary antibody in TBS-T, washed repeatedly, and incubated for 1 hour in peroxidase-conjugated secondary goat anti–rabbit antibody (1:200) (Amersham Biosciences, Piscataway, NJ), and immunoreactive bands were then visualized by chemiluminescence using a charged-coupled device camera–based system (ChemiDoc; Bio-Rad Laboratories) and film autoradiograms. All data were normalized to input (optical density per micrograms of protein). The following primary antibodies were used (working dilution): (1) anti-H3-[(phospho)Ser10,(acetyl)Lys14] = H3pS10-acK14 (1:500); (2) anti-H3-(acetyl)Lys9-Lys14 = H3acK9/14 (1:1500); (3) anti-H3-(methyl)Lys4 = H3meK4 (1:500); (4) anti-H3-(methyl)Arg17 = H3meR17 (1:150); (5) anti-H4-(acetyl)Lys8 = H4acK8 (1:6000); and (6) anti-H4-(acetyl)Lys12 = H4acK12 (1:1000). All primary antibodies were polyclonal (rabbit) and were purchased from Upstate Biotechnology Inc (Waltham, Mass). The site-specific histone modifications are shown in Figure 2.
|
|
|
|
Figure 2. The 6 site-specific covalent modifications at the N-terminal tails of histones H3 and H4 studied in the postmortem cohorts. Ac indicates acetylation; Me, methylation; P, phosphorylation; single-letter amino acid codes: K, lysine; S, serine. H3meR17 is histone H3 methylated at arginine 17; H3pS10-acK14 is a dimodified histone, defined by phosphorylation of serine 10 and acetylation of lysine 14. H3acK9/14 is defined by the acetylation of lysines 9 and 14 on histone H3. H3meK4 is defined by the methylation of H3-lysine 4. H4acK8 is defined by the acetylation of H4-lysine 8. H4acK12 is defined by the acetylation of H4-lysine 12.
|
|
|
IMMUNOHISTOCHEMICAL ANALYSIS
Procedures for tissue fixation and immunohistochemical analysis on free-floating sections have been described previously.53 The final working dilution of primary antibodies ranged from 1:250 (anti-H3pS10-acK14 and anti-H3meR17 antibodies) to 1:1000 (anti-H4acK12 antibody). We tested antibody specificity by adding synthetic peptides containing the first 21 residues of histone H3 or H4 together with a site-specific modification (Upstate Biotechnology) to the primary antibody incubation solution. Immunoreactivity was selectively abolished on immunoblots and in tissue sections by peptides (final concentration, 1.5 µg/mL) carrying the epitope recognized by the site- and modification-specific antibody.
GENE EXPRESSION STUDIES
Total RNA from approximately 100 to 200 mg of PFC tissue samples was prepared using the Trizol Reagent (Invitrogen, Carlsbad, Calif), and 10 µg was used as the template for biotin-labeled complementary DNA (cDNA) probe synthesis by annealing to GEAprimer (SuperArray Biosciences Corporation, Frederick, Md) at 70°C and then incubating for 10 minutes at 42°C with biotin-16-2'-deoxy-uridine-5'-triphosphate (GIBCO, Invitrogen Corporation, Grand Island, NY) and Moloney murine leukemia reverse transcriptase (RT) (Promega, Madison, Wis). This procedure omits polymerase chain reaction (PCR)–based amplification of the cDNA template, which could result in skewing and distortion of differences between samples. Custom-made GEArray membranes (SuperArray Biosciences Corporation) were placed in prehybridization buffer (GEAhyb) with salmon sperm DNA, 100 µg/mL, then labeled probe was added for overnight hybridization at 68°C. The membranes were washed in sodium chloride/sodium citrate (SSC)/1% sodium dodecyl sulfate with increasing stringency (2x–0.1xSSC) at 68°C and then were further processed for chemiluminescence with alkaline phosphatase–conjugated streptavidin and then incubated with chemiluminescence substrate (CDP-Star; PerkinElmer, Boston, Mass). Chemiluminescence was detected by using electrochemiluminescence autoradiography film (Amersham), and hybridization signals were quantified by densitometry using Quantity One software (Bio-Rad Laboratories).
cDNA ARRAYS
The custom-made GEArray membranes contained 20 cDNAs spotted in duplicate and a plasmid (pUC18) as negative control (Table 2). The array included cDNAs of 17 metabolic genes, including the 10 metabolic genes that in a recent study7 were decreased in the PFC of patients with schizophrenia. Our array included 3 control cDNAs: (1)  -actin for internal normalization; (2) the  -subunit of calcium/calmodulin-dependent protein kinase II (CAMIIK)12, 61; and (3) the "housekeeping" ribosomal protein (RPL13A). Because the hybridization signal for 1 metabolic gene, ATP5A1, was in all cases and controls less than 2 x background, it was not considered for further analysis. Thus, the present study reports data for 16 metabolic genes.
|
|
|
|
Table 2. Custom-made Complementary DNA (cDNA) Array*
|
|
|
QUANTITATIVE PCR
Total RNA (0.5 µg) was used for cDNA synthesis and real-time RT-PCR using the Platinum Quantitative RT-PCR ThermoScript One-Step System (Invitrogen), an Opticon 2 cycler, and Opticon software (MJ Research, Waltham), together with FAM dye-labeled TaqMan MGB probes specific for coactivator-associated arginine methyltransferase 1 (CARM1), crystallin (CRYM), cytochrome c1 (CYTOC/CYC1), malate dehydrogenase 1 (MDH), ornithine aminotransferase (OAT), and peptidyl arginine deiminase (PADI4/PAD4) and for -actin for normalization (Taqman Assays-on-Demand Gene Expression Products; Applied Biosystems, Foster City, Calif) and according to the manufacturer’s instructions using 6mM magnesium sulfate and the following cycling protocol: 50°C for 50 minutes x 1, 95°C for 3 minutes x 1, and 95°C for 15 seconds followed by 60°C for 60 seconds x 45 cycles. Data were expressed relative to custom-made standards.
Expression of each gene was calculated to correct for potential differences in RNA input and PCR primer efficiency using the following equation62-63:
V = (Ereference)CT-reference / (Etarget)CT-target
where V indicates the relative value of the target transcript normalized to reference transcript (-actin); E, primer slopes; and CT, the threshold crossing cycle.
ANIMAL STUDIES
Adult 6- to 8-week-old outbred mice from a mixed genetic background, predominantly Sv129 /J and C57BL/6J, were treated for 14 days with (1) the conventional antipsychotic drug haloperidol, (2) the atypical drug risperidone, or (3) saline as a control. For each treatment, 6 animals were selected, and sex-matched littermates were matched to different treatment arms. The male-female ratio was 1:1 for each treatment group. Haloperidol and risperidone were administered intraperitoneally with saline as vehicle (injection volume, 2 mL/kg body weight) at a dose of 1 mg/kg twice daily at 8 AM and 4 PM. Two hours after the last treatment, the animals were killed and the brain was removed, and the medial rostral cortex was dissected and frozen until homogenized and further processed for histone immunoblotting as described previously herein.
STATISTICAL ANALYSIS
Associations between histone modification or transcript levels and age, brain pH, and postmortem interval were evaluated using the Pearson correlation coefficient. All histone and gene expression data from each subject with schizophrenia are expressed relative to the matched control to test for significant changes in gene expression and histone modifications in the total cohort or in subgroups of subjects with schizophrenia. The matched-pair design was necessary because the study was conducted for 3 years in a large number of postmortem samples (N = 82), with data being collected from many different immunoblots, cDNA array membranes, and real-time RT-PCR experiments. For each experiment, the sample from a subject with schizophrenia was processed in parallel with the sample from the matched control. Subgroups of schizophrenic subjects were defined by differences in histone modification levels compared with controls. Because nothing is known about the regulation of histone modifications in human brain, our subgrouping rationale was guided by studies64-71 that used histone acetylation levels to subgroup certain types of carcinomas and adenomas. The significance of differences in metabolic gene transcripts in defined subgroups of subjects with schizophrenia were examined using a nonparametric Mann-Whitney test and an exact permutation distribution.72 The significance of case-control differences was evaluated using 1-sample t tests of the hypothesis that the mean difference was zero. Analyses were conducted using a statistical software program (StatXact version 6).73-74
RESULTS
HISTONE PROFILING
We profiled histone modifications in the PFC using site- and modification-specific antibodies against the tail sequence of 2 core histones, H3 and H4. We focused on the 6 antibodies that fulfilled the criterion of consistent and robust immunoreactivity in our postmortem material: (1) an antibody against dimodified H3 molecules, defined by the phosphorylation of serine 10 and acetylation of lysine 14, H3pS10-acK14; (2) an antibody that binds to H3 acetylated at lysine 9 or lysine 14, H3acK9/14; (3) an antibody against H3 methylated at lysine 4, H3meK4; (4) an antibody against H3 methylated at arginine 17, H3meR17; (5) an antibody that recognizes histone H4 acetylated at lysine 8, H4acK8; and (6) an antibody against H4 acetylated at lysine 12, H4acK12. The 6 histone modifications are illustrated in Figure 2, and representative examples of immunoblots are shown in Figure 3. To confirm that these antihistone antibodies specifically label nuclei, we examined the cellular and laminar distribution pattern of immunoreactivities using histochemical analysis. Each of the 6 antihistone antibodies resulted in robust immunoreactivity of nuclei in the PFC (Figure 4). Immunoreactivity for H3meR17 was primarily confined to cortical gray matter. At higher magnification power, intense H3meR17 labeling was apparent in large, presumably neuronal nuclei (Figure 4E and F). In contrast, robust immunoreactivity for other types of histone modifications, including H4acK12, was expressed in large and small, presumably nonneuronal nuclei (Figure 4I and J).
|
|
|
|
Figure 3. Histone profile of the human prefrontal cortex. Representative examples of histone immunoblots for matched schizophrenia (S) and control (C) pairs 4, 6, and 8. Note the robust immunoreactivity for each of the 6 histone modifications. Note the increased levels of H3meR17 in S8 compared with C8. The approximate sizes of the immunoreactive bands are as follows: H3, 14.5 kDa; and H4, 10.5 kDa.
|
|
|
|
|
|
|
Figure 4. Laminar and cellular distribution of histone immunoreactivity in the postmortem prefrontal cortex. A and B, Sections through the full thickness of the prefrontal cortex stained for Nissl (A) and H3meR17 (B) immunoreactivity. Notice in (B) the punctate staining pattern in cortical layers I through VI but the very weak labeling in white matter (WM). C-L, Digitized images from prefrontal layer III of control 4 (C, E, G, I, and K) and matched subject with schizophrenia 4 (D, F, H, J, and L) stained for Nissl (C and D), H3meR17 (E and F), H3pS10-acK14 (G and H), and H4acK12 (I and J) immunoreactivity. Two sections (K and L) were processed without primary antibody. Notice the robust histone immunoreactivity in the nuclei. The images were taken at the following magnifications: 2.5 x 10 (A and B) and 40 x 10 (C-L).
|
|
|
Levels for each of the 6 histone modifications, including H3meR17, differed less than 15% between subjects with schizophrenia and controls, and these changes were not statistically significant (Figure 5A). We conclude that subjects with schizophrenia, as a group, do not show consistent alterations in global levels of methylated, acetylated, and phosphoacetylated histones in the PFC.
|
|
|
|
Figure 5. Mean levels of histone immunoreactivity (A) and metabolic gene transcripts (B) in 21 subjects with schizophrenia and 21 matched controls. Metabolic gene transcripts (B) are shown after internal normalization to -actin and log-transformation. There are no statistically significant differences between the 2 cohorts. Error bars indicate standard error of the mean.
|
|
|
GENE EXPRESSION STUDIES
We measured, in the postmortem cohort, transcript levels of metabolic genes that were thought to be involved in PFC dysfunction (Table 2). Our rationale was 2-fold. First, we wanted to find out whether the reported alterations in metabolic gene expression7-10 are representative of a larger postmortem cohort. Second, we wanted to examine whether changes in metabolic gene expression are associated with histone modification changes. Examples of hybridization signals on the arrays are shown in Figure 6. When the total group of 21 subjects with schizophrenia was compared with the 21 controls, none of the metabolic and control genes showed a statistically significant difference between groups (Figure 5B). We conclude that in larger cohorts, the PFC of subjects with schizophrenia is not consistently affected by down-regulated metabolic gene expression.
|
|
|
|
Figure 6. Metabolic gene transcripts in the prefrontal cortex. Digitized images from film autoradiograms of complementary DNA (cDNA) arrays. Representative examples of hybridization signals for 6 genes on the cDNA arrays. Note the intense signal for the gene expressed at high levels (GAPDH) and the lower-intensity signals for the remaining metabolic cDNAs (CRYM, HPRT, OAZ1, PDK2, and UCHL1) (magnification x1).
|
|
|
HIGH LEVELS OF H3meR17 ARE ASSOCIATED WITH DECREASED EXPRESSION OF 4 METABOLIC GENES
Although little is known about the regulation of histone modifications in human brain, alterations in histone modification levels, including H3 and H4 acetylation, were used to define subgroups for certain diseases, including adenomas and carcinomas.64-71 In analogy to these examples from clinical pathology, we conducted subgroup analyses for each histone modification separately. We dichotomized the cohort of subjects with schizophrenia into subgroups based on modified histone levels of 1.3 or greater relative to matched controls. After the first part of the study, which was conducted on 21 matched pairs, we identified 6 subjects with schizophrenia who showed H3meR17 levels of 1.3 or greater relative to their matched controls (Schizo-H3meR17 1.3C). This subgroup of subjects with schizophrenia (n = 6) showed a significant decrease in the expression of 3 metabolic transcripts, CRYM, CYTOC/CYC1, and MDH (t test, P = .03), and a tendency for a decrease in OAT transcripts (P < .1) compared with the remaining 15 patients with schizophrenia. Next, we sought to confirm the association between H3 methylation and down-regulated gene expression for CRYM, CYTOC/CYC1, MDH, and OAT transcripts in the PFC of subjects with schizophrenia. To this end, we studied an additional set of 40 samples consisting of 20 matched pairs of subjects with schizophrenia and controls. Immunoreactivity for H3meR17 was again measured using immunoblotting. The messenger RNA levels for each of the 4 genes were measured using real-time RT-PCR and FAM dye-labeled TaqMan MGB probes. Of these additional 20 subjects with schizophrenia, 2 showed H3meR17 levels of 1.3 or greater relative to their matched controls. Thus, 8 (20%) of 41 subjects with schizophrenia showed levels of H3meR17 of 1.3 or greater relative to their matched controls. We first compared gene expression differences between the Schiz-H3meR171.3C subgroup (n = 8) and the remaining 33 subjects with schizophrenia (Figure 7A). For each of the 41 subjects with schizophrenia, levels of metabolic transcript were normalized to those of matched controls. The 8 subjects in the Schiz-H3meR171.3C subgroup, but not the remaining subjects with schizophrenia (the Schiz-H3meR17<1.3C subgroup), were consistently affected by decreased metabolic gene expression (Figure 7A). Each case was scored from –4 to 0, with –4 defining cases that showed a decrease in 4 of 4 transcripts relative to matched controls. The Schiz-H3meR171.3C subgroup (n = 8) scored significantly lower compared with the Schiz-H3meR17<1.3C subgroup (n = 33) (mean ± SEM, –3.63 ± 0.26 vs –1.7 ± 0.25; Mann-Whitney z = –3.24; P < .005, 2-tailed). We conclude that expression of a set of 4 metabolic genes (CRYM, CYTOC/CYC1, MDH, and OAT) is significantly decreased in the Schiz-H3meR171.3C subgroup. The 4 transcripts (CRYM, MDH, CYTOC/CYC1, and OAT) were strongly correlated (r = 0.55-0.83; P < .005-.0001), which indicates that they are not independently regulated. To examine whether the 4 metabolic transcripts are significantly decreased in the Schiz-H3meR171.3C subgroup, we calculated, for each subject and matched control, the mean difference in expression levels for CRYM, MDH, CYTOC/CYC1, and OAT. The Schiz-H3meR171.3C subgroup (n = 8) showed a significant deficit in expression of the 4 transcripts compared with matched controls ( log mean[Schiz-H3meR171.3C – Control] ± SEM, –0.25 ± 0.09; t = 2.61; P = .04, 2-tailed t test) (Figure 7B). In contrast, the remaining 33 schizophrenic subjects showed no significant deficits in expression of the 4 transcripts compared with matched controls ( log mean[Schiz-H3meR17<1.3C – Control] ± SEM, 0.02 ± 0.06; t = 0.36; P = .7) (Figure 7B). We conclude that the set of 4 metabolic transcripts is significantly decreased in the Schiz-H3meR171.3C subgroup of subjects with schizophrenia compared with other subjects with schizophrenia and matched controls.
To further test the association between H3meR17 and decreased metabolic gene expression, we dichotomized the entire group of subjects with schizophrenia (N = 41) into subgroups defined by modified histone levels of 0.7 or less and greater than 0.7 compared with controls. We found no significant differences in metabolic transcripts between subgroups or relative to matched controls. Furthermore, levels of H3meR17 and metabolic gene transcripts showed no correlation (R2 = 0.007-0.11) (Figure 7A). From these experiments, we conclude that significant deficits in metabolic gene transcripts in the PFC are limited to a subgroup of subjects with schizophrenia defined by high levels of H3meR17.
Regulation of H3R17 methylation includes coactivator-associated arginine methyltransferase 1 (CARM1)75 and peptidylarginine deiminase 4 (PADI4 or PAD4), which converts methyl-Arg to citrulline, releasing methylamine.76-77 We measured CARM1 and PAD4 transcript levels using quantitative, real-time RT-PCR in the Schiz-H3meR171.3C subgroup and matched controls and did not observe significant differences ( log mean [Schiz-H3meR17<1.3C – Control] ± SEM; CARM1: 0.03 ± 0.11; PAD4: 0.14 ± 0.12). In all case and control brains, relative levels of CARM1 transcript were much higher than those of PAD4 (CARM1/-actin: 0.21 ± 0.06; PAD4/-actin: 0.01 ± 0.013). We conclude that CARM1, which methylates H3 at arginine 17,75 is expressed at robust levels in the human PFC.
HIGH LEVELS OF H3pS10-acK14 ARE ASSOCIATED WITH DECREASED EXPRESSION OF 1 METABOLIC GENE
After the first part of the study, we identified 6 (29%) of 21 of the subjects with schizophrenias who showed H3pS10-acK14 levels of 1.3 or greater relative to matched controls. The H3pS10-acK14 1.3C subgroup of subjects with schizophrenia (n = 6) showed a significant decrease in expression of the OAT transcript compared with the remaining 15 subjects with schizophrenia (P = .02). To confirm the association between H3 phosphoacetylation, H3pS10-acK14, and down-regulated OAT gene expression, we measured in the additional set of 20 matched pairs H3pS10-acK14 immunoreactivity and OAT cDNA levels. Of these additional 20 patients with schizophrenia, 2 showed H3pS10-acK14 levels of 1.3 or greater relative to matched controls. Thus, of 41 patients with schizophrenia, 8 (20%) showed H3pS10-acK14 levels greater than 1.3 relative to controls. Of these 8 patients in the Schiz-H3pS10-acK141.3C subgroup, 2 were also part of the Schiz-H3meR171.3C subgroup.
Compared with the 8 matched controls, the Schiz-H3pS10-acK141.3C subgroup (n = 8) showed a significant deficit in OAT expression ( log mean[Schiz-H3pS10-acK141.3C – Control] ± SEM: –0.39 ± 0.12; t = –3.21; P = .02, 2-tailed t test). However, schizophrenic subjects with H3pS10-acK14 levels of less than 1.3 (n = 33) showed no significant differences compared with matched controls ( log = 0.00 ± 0.05). Furthermore, we dichotomized the entire group of schizophrenic subjects (n = 41) into subgroups defined by modified histone levels of 0.7 or less and greater than 0.7 relative to controls, and no statistically significant differences were observed. Furthermore, we did not find a statistically significant association between the H3acK9/14, H3meK4, H4acK8, and H4acK12 histone modifications and metabolic gene expression. We conclude that significant deficits in multiple metabolic gene transcripts in the PFC of subjects with schizophrenia are limited to a subgroup of cases defined by high levels (1.3 relative to controls) of H3 methylation at arginine 17.
CONFOUNDING VARIABLES
The alterations in 4 of 16 metabolic transcripts in the Schiz-H3meR171.3C subgroup were not accompanied by an overall change in messenger RNA levels because levels for 12 of 16 metabolic transcripts were not statistically significantly altered in these subgroups; furthermore, levels of 2 nonmetabolic transcripts, CAMIIK and RPL13A, differed less than 15% between schizophrenia subgroups or compared with matched controls.
Owing to the matching process, the differences in age, postmortem interval, and female-male ratio between schizophrenia cases and controls were less than 10%, and the differences in pH between the 2 cohorts was less than 1% (Table 1). The 8 subjects who composed the Schiz-H3meR171.3C subgroup did not show significant differences in age, sex, postmortem interval, and tissue pH compared with their matched controls and other groups (Table 3). The schizophrenia subgroups did not show significant differences in ratios of medicated and unmedicated patients, schizophrenia subtypes, or frequency of suicide. None of the 8 cases in the Schiz-H3meR171.3C subgroup and none of their matched controls were diagnosed as having alcohol or substance abuse or dependence, and none of these 16 subjects had positive results on toxicologic screening.
|
|
|
|
Table 3. Diagnostic and Postmortem Data for the Schiz-H3meR171.3C Subgroup and Comparison Groups
|
|
|
Furthermore, levels of H3meR17, the histone marker on which the subgrouping of the schizophrenic cohort is based, were not significantly associated with tissue pH, autolysis time, or age. Tissue pH was significantly correlated with 2 histone modifications (H3acK9/14 and H4acK12; r = 0.54 and 0.52, respectively; P < .01) but not with gene transcripts. There was a correlation between age at the time of death and glyceraldehyde-3-phosphate dehydrogenase messenger RNA levels (r = –0.39; P = .01) but no statistically significant correlations between age and other gene transcripts or histones. Autolysis time showed a weak correlation with levels of pyruvate dehydrogenase kinase, isoenzyme 2 (PDK2) transcript (r = –0.26; P < .1). Taken together, these results indicate that the down-regulation of CRYM, CYTOC/CYC1, MDH, and OAT transcripts in the Schiz-H3meR171.3C subgroup is not attributable to confounding postmortem factors, clinical variables, or medication status.
ANTIPSYCHOTIC DRUG TREATMENT
Li et al35 recently showed that short-term, but not long-term, treatment with D2-like antagonists selectively induces H3 phosphoacetylation in whole chromatin from striatal extracts. However, levels of H3 methylation, including H3meR17, remained unchanged in the striatum of drug-treated animals.35 The results of the present postmortem study suggest that histone modifications in whole PFC chromatin are not affected by drug treatment. To further confirm this hypothesis, we treated adult mice for 14 days with (1) the conventional antipsychotic drug haloperidol, (2) the atypical drug risperidone, or (3) saline. In the medial rostral cortex, which in rodents is closely related to the primate PFC,78-79 levels of methylated H3, H3meR17, and phosphoacetylated H3, H3pS10-acK14, remained unchanged in haloperidol- and risperidone-treated animals compared with saline-treated controls (Figure 8). We conclude that antipsychotic drug treatment does not alter modified histone levels in whole chromatin from human and rodent cerebral cortices.
|
|
|
|
Figure 8. Long-term antipsychotic drug treatment does not affect H3 methylation and phosphoacetylation in whole chromatin of the rodent prefrontal cortex. A, Western blot from acid-extracted proteins from the rostral medial cortex of mice treated for 14 days with haloperidol or risperidone. Immunoreactivity for H3pS10-acK14, H3meR17, and H4acK12 in drug-treated animals is comparable to that in their saline-treated littermates. B, Quantitative results for H3pS10-acK14 and H3meR17 immunoreactivity in the rostral medial cortex. Levels in haloperidol- and risperidone-treated animals were normalized to the levels in their saline-treated littermates. Note that differences between drug- and saline-treated animals are less than 15%. Error bars represent standard error of the mean.
|
|
|
COMMENT
We show that down-regulated metabolic gene expression in the PFC is not a consistent feature of subjects diagnosed as having schizophrenia. A subgroup of subjects with schizophrenia shows decreased expression of multiple metabolic transcripts in conjunction with high levels of open chromatin-associated histone H3 methylation, H3meR17 (Figure 9). These alterations were not explained by clinical characteristics, medication, or postmortem factors. In schizophrenic subjects with high levels of H3meR17 in prefrontal chromatin, multiple metabolic pathways, including ornithine-polyamine metabolism (CRYM and OAT), mitochondrial electron transport (CYTOC/CYC1), and the tricarboxylic acid cycle (MDH) were affected. Molecular alterations in these metabolic pathways were recently reported for other cohorts with schizophrenia7-9 and subjects with bipolar disorder.81
|
|
|
|
Figure 9. Subgroup model for prefrontal cortex (PFC) hypometabolism in schizophrenia. Of all subjects diagnosed as having schizophrenia, only a portion show down-regulated metabolic gene expression in the PFC. This hypothesis is indirectly supported by findings from in vivo imaging studies1-6,80 because the severity of prefrontal hypoactivity and hypometabolism shows considerable variability among subjects diagnosed as having schizophrenia. Among schizophrenic subjects with PFC hypometabolism/down-regulated metabolic gene expression, there is a subgroup that shows high levels of open chromatin-associated H3 methylation, H3meR17. Alterations in other histone modifications, including H3 phosphoacetylation, H3pS10-acK14, may also be associated with prefrontal hypometabolism and dysregulated metabolic gene transcription. Ac indicates acetylation; H3, histone H3; K, lysine; Me, methylation; P, phosphorylation; R, arginine; S, serine.
|
|
|
The methylation of histone H3 at arginine 17 is associated with the open chromatin state and transcriptional activation.28-29,31 Therefore, dysregulation of H3meR17 in prefrontal chromatin, as observed in a subgroup of subjects with schizophrenia, could affect widespread chromosomal regions. Presently, it remains unclear whether this increase in H3meR17 reflects a compensatory mechanism to overcome the deficit in expression of metabolic and other gene transcripts.
Because decreased metabolism leads to a deficit in high-energy phosphate molecules in the PFC of subjects with schizophrenia,80 a breakdown in orderly metabolic activity may further affect the chromatin-remodeling machinery of the nucleus that depends on adenosine triphosphate.44-45,82-83 Thus, in a vicious cycle, decreased chromatin-remodeling could render genomic DNA less accessible for the large multienzyme transcription complexes and could alter the pattern of acetylation, methylation, and phosphorylation at the NH2-terminal tails of the core histones that define the functional state of chromatin.26-35 These maladaptive changes may result in additional chromatin defects,84 including abnormal DNA methylation85 and repair.86 Therefore, hypoactivity and hypometabolism1-6,25, 80, 87 and dysregulated metabolic gene expression in the PFC of subjects with schizophrenia may eventually lead to long-lasting molecular imprints in prefrontal chromatin, resulting in transcriptional dysregulation,7-24,52 alterations in cytoarchitecture88-91 and neuronal morphology,92-95 and oligodendrocyte loss.96 It remains the subject of future studies to elucidate the molecular mechanisms that link histone modifications and other epigenetic determinants of gene expression to cortical dysfunction in schizophrenia.
AUTHOR INFORMATION
Correspondence: Schahram Akbarian, MD, PhD, Brudnick Neuropsychiatric Research Institute, Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01604 (Schahram.akbarian{at}umassmed.edu).
Submitted for Publication: December 5, 2003; final revision received November 10, 2004; accepted January 14, 2005.
Funding/Support: This work was supported by the National Alliance for Research on Schizophrenia and Depression, Great Neck, NY; the National Alliance for Autism Research, Princeton, NJ; and the Worcester Foundation for Biomedical Research (Dr Akbarian). The brain collection at Maryland Psychiatric Research Center was supported by grant MH60744 from the National Institutes of Health, Bethesda, Md (Dr Roberts).
Previous Presentation: This study was presented in part at the 2003 International Congress on Schizophrenia Research; March 30, 2003; Colorado Springs, Colo.
Acknowledgment: We thank the members of the Maryland Brain Collection: Terri U’Prichard, MA, for permissions and interviews, Sami Daoud, MD, for dissections, and David Fowler, MD, and Jack Titus, MD (Office of the Chief Medical Examiner), for their support and cooperation.
Author Affiliations: Brudnick Neuropsychiatric Research Institute, Department of Psychiatry (Drs Akbarian and Guo, Mr Ruehl, and Mss Bliven, Luiz, and Peranelli) and Bioinformatics Unit, Information Services (Mr Baker), University of Massachusetts Medical School, Worcester; Maryland Psychiatric Research Center, University of Maryland, Baltimore (Drs Roberts and Conley); Department of Psychiatry and Human Behavior, University of California at Irvine (Dr Bunney); Center for Neuroscience, Department of Psychiatry, University of California at Davis (Dr Jones); and Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Dr Tamminga).
REFERENCES
1. Weinberger DR, Berman KF, Zec RF. Physiologic dysfunction of dorsolateral prefrontal cortex in schizophrenia, I: regional cerebral blood flow evidence. Arch Gen Psychiatry. 1986;43:114-124.
FREE FULL TEXT
2. Tamminga CA, Thaker GK, Buchanan R, Kirkpatrick B, Alphs LD, Chase TN, Carpenter WT. Limbic system abnormalities identified in schizophrenia using positron emission tomography with fluorodeoxyglucose and neocortical alterations with deficit syndrome. Arch Gen Psychiatry. 1992;49:522-530.
FREE FULL TEXT
3. Andreasen NC, Rezai K, Alliger R, Swayze VW II, Flaum M, Kirchner P, Cohen G, O'Leary DS. Hypofrontality in neuroleptic-naive patients and in patients with chronic schizophrenia: assessment with xenon 133 single-photon emission computed tomography and the Tower of London. Arch Gen Psychiatry. 1992;49:943-958.
FREE FULL TEXT
4. Wolkin A, Sanfilipo M, Wolf AP, Angrist B, Brodie JD, Rotrosen J. Negative symptoms and hypofrontality in chronic schizophrenia. Arch Gen Psychiatry. 1992;49:959-965.
FREE FULL TEXT
5. Heckers S, Goff D, Schacter DL, Savage CR, Fischman AJ, Alpert NM, Rauch SL. Functional imaging of memory retrieval in deficit vs nondeficit schizophrenia. Arch Gen Psychiatry. 1999;56:1117-1123.
FREE FULL TEXT
6. Callicott JH, Bertolino A, Egan MF, Mattay VS, Langheim FJ, Weinberger DR. Selective relationship between prefrontal N-acetylaspartate measures and negative symptoms in schizophrenia. Am J Psychiatry. 2000;157:1646-1651.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
7. Middleton FA, Mirnics K, Pierri JN, Lewis DA, Levitt P. Gene expression profiling reveals alterations of specific metabolic pathways in schizophrenia. J Neurosci. 2002;22:2718-2729.
FREE FULL TEXT
8. Vawter MP, Shannon Weickert C, Ferran E, Matsumoto M, Overman K, Hyde TM, Weinberger DR, Bunney WE, Kleinman JE. Gene expression of metabolic enzymes and a protease inhibitor in the prefrontal cortex are decreased in schizophrenia. Neurochem Res. 2004;29:1245-1255.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
9. Prabakaran S, Swatton JE, Ryan MM, Huffaker SJ, Huang JJ, Griffin JL, Wayland M, Freeman T, Dudbridge F, Lilley KS, Karp NA, Hester S, Tkachev D, Mimmack ML, Yolken RH, Webster MJ, Torrey EF, Bahn S. Mitochondrial dysfunction in schizophrenia: evidence for compromised brain metabolism and oxidative stress. Mol Psychiatry. 2004;9:684-697.
WEB OF SCIENCE
| PUBMED
10. Hakak Y, Walker JR, Li C, Wong WH, Davis KL, Buxbaum JD, Haroutunian V, Fienberg AA. Genome-wide expression analysis reveals dysregulation of myelination-related genes in chronic schizophrenia. Proc Natl Acad Sci U S A. 2001;98:4746-4751.
FREE FULL TEXT
11. Tsai G, Coyle JT. Glutamatergic mechanisms in schizophrenia. Annu Rev Pharmacol Toxicol. 2002;42:165-179.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
12. Akbarian S, Kim JJ, Potkin SG, Hagman JO, Tafazzoli A, Bunney WE Jr, Jones EG. Gene expression for glutamic acid decarboxylase is reduced without loss of neurons in prefrontal cortex of schizophrenics. Arch Gen Psychiatry. 1995;52:258-266.
FREE FULL TEXT
13. Benes FM, Vincent SL, Marie A, Khan Y. Up-regulation of GABAA receptor binding on neurons of the prefrontal cortex in schizophrenic subjects. Neuroscience. 1996;75:1021-1031.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
14. Meador-Woodruff JH, Haroutunian V, Powchik P, Davidson M, Davis KL, Watson SJ. Dopamine receptor transcript expression in striatum and prefrontal cortex and occipital cortex: focal abnormalities in orbitofrontal cortex in schizophrenia. Arch Gen Psychiatry. 1997;54:1089-1095.
FREE FULL TEXT
15. Mirnics K, Middleton FA, Marquez A, Lewis DA, Levitt P. Molecular characterization of schizophrenia viewed by microarray analysis of gene expression in prefrontal cortex. Neuron. 2000;28:53-67.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
16. Guidotti A, Auta J, Davis JM, Di-Giorgi-Gerevini V, Dwivedi Y, Grayson DR, Impagnatiello F, Pandey G, Pesold C, Sharma R, Uzunov D, Costa E. Decrease in reelin and glutamic acid decarboxylase67 (GAD67) expression in schizophrenia and bipolar disorder: a postmortem brain study. Arch Gen Psychiatry. 2000;57:1061-1069.
FREE FULL TEXT
17. Volk DW, Austin MC, Pierri JN, Sampson AR, Lewis DA. Decreased glutamic acid decarboxylase67 messenger RNA expression in a subset of prefrontal cortical  -aminobutyric acid neurons in subjects with schizophrenia. Arch Gen Psychiatry. 2000;57:237-245.
FREE FULL TEXT
18. Weickert CS, Webster MJ, Hyde TM, Herman MM, Bachus SE, Bali G, Weinberger DR, Kleinman JE. Reduced GAP-43 mRNA in dorsolateral prefrontal cortex of patients with schizophrenia. Cereb Cortex. 2001;11:136-147.
FREE FULL TEXT
19. Dracheva S, Marras SA, Elhakem SL, Kramer FR, Davis KL, Haroutunian V. N-methyl-D-aspartic acid receptor expression in the dorsolateral prefrontal cortex of elderly patients with schizophrenia. Am J Psychiatry. 2001;158:1400-1410.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
20. Perrone-Bizzozero NI, Sower AC, Bird ED, Benowitz LI, Ivins KJ, Neve RL. Levels of the growth-associated protein GAP-43 are selectively increased in association cortices in schizophrenia. Proc Natl Acad Sci U S A. 1996;93:14182-14187.
FREE FULL TEXT
21. Flynn SW, Lang DJ, Mackay AL, Goghari V, Vavasour IM, Whittall KP, Smith GN, Arango V, Mann JJ, Dwork AJ, Falkai P, Honer WG. Abnormalities of myelination in schizophrenia detected in vivo with MRI, and post-mortem with analysis of oligodendrocyte proteins. Mol Psychiatry. 2003;8:811-820.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
22. Tkachev D, Mimmack ML, Ryan MM, Wayland M, Freeman T, Jones PB, Starkey M, Webster MJ, Yolken RH, Bahn S. Oligodendrocyte dysfunction in schizophrenia and bipolar disorder. Lancet. 2003;362:798-805.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
23. Polesskaya OO, Haroutunian V, Davis KL, Hernandez I, Sokolov BP. Novel putative nonprotein-coding RNA gene from 11q14 displays decreased expression in brains of patients with schizophrenia. J Neurosci Res. 2003;74:111-122.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
24. Eastwood SL, Harrison PJ. Interstitial white matter neurons express less reelin and are abnormally distributed in schizophrenia: towards an integration of molecular and morphologic aspects of the neurodevelopmental hypothesis. Mol Psychiatry. 2003;8:769, 821-831.
25. Cantor-Graae E, Warkentin S, Franzen G, Risberg J, Ingvar DH. Aspects of stability of regional cerebral blood flow in chronic schizophrenia: an 18-year follow-up study. Psychiatry Res. 1991;40:253-266.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
26. Felsenfeld G, Groudine M. Controlling the double helix. Nature. 2003;421:448-453.
FULL TEXT
| PUBMED
27. Hayes JJ, Hansen JC. Nucleosomes and the chromatin fiber. Curr Opin Genet Dev. 2001;11:124-129.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
28. Turner BM. Cellular memory and the histone code. Cell. 2002;111:285-291.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
29. Berger SL. Histone modifications in transcriptional regulation. Curr Opin Genet Dev. 2002;12:142-148.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
30. Li J, Lin Q, Yoon HG, Huang ZQ, Strahl BD, Allis CD, Wong J. Involvement of histone methylation and phosphorylation in regulation of transcription by thyroid hormone receptor. Mol Cell Biol. 2002;22:5688-5697.
FREE FULL TEXT
31. Bauer UM, Daujat S, Nielsen SJ, Nightingale K, Kouzarides T. Methylation at arginine 17 of histone H3 is linked to gene activation. EMBO Rep. 2002;3:39-44.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
32. Cheung P, Tanner KG, Cheung WL, Sassone-Corsi P, Denu JM, Allis CD. Synergistic coupling of histone H3 phosphorylation and acetylation in response to epidermal growth factor stimulation. Mol Cell. 2000;5:905-915.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
33. Salvador LM, Park Y, Cottom J, Maizels ET, Jones JC, Schillace RV, Carr DW, Cheung P, Allis CD, Jameson JL, Hunzicker-Dunn M. Follicle-stimulating hormone stimulates protein kinase A–mediated histone H3 phosphorylation and acetylation leading to select gene activation in ovarian granulosa cells. J Biol Chem. 2001;276:40146-40155.
FREE FULL TEXT
34. Li J, Chen P, Sinogeeva N, Gorospe M, Wersto RP, Chrest FJ, Barnes J, Liu Y. Arsenic trioxide promotes histone H3 phosphoacetylation at the chromatin of CASPASE-10 in acute promyelocytic leukemia cells. J Biol Chem. 2002;277:49504-49510.
FREE FULL TEXT
35. Li JH, Guo Y, Schroeder FA, Youngs RM, Schmidt TW, Ferris C, Konradi C, Akbarian S. Dopamine D2-like antagonists induce chromatin remodeling in striatal neurons through cyclic AMP-protein kinase A and NMDA receptor signaling. J Neurochem. 2004;90:1117-1131.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
36. Crosio C, Heitz E, Allis CD, Borrelli E, Sassone-Corsi P. Chromatin remodeling and neuronal response: multiple signaling pathways induce specific histone H3 modifications and early gene expression in hippocampal neurons. J Cell Sci. 2003;116:4905-4914.
FREE FULL TEXT
37. Tremolizzo L, Carboni G, Ruzicka WB, Mitchell CP, Sugaya I, Tueting P, Sharma R, Grayson DR, Costa E, Guidotti A. An epigenetic mouse model for molecular and behavioral neuropathologies related to schizophrenia vulnerability. Proc Natl Acad Sci U S A. 2002;99:17095-17100.
FREE FULL TEXT
38. Yildirim E, Zhang Z, Uz T, Chen CQ, Manev R, Manev H. Valproate administration to mice increases histone acetylation and 5-lipoxygenase content in the hippocampus. Neurosci Lett. 2003;345:141-143.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
39. Gould TD, Quiroz JA, Singh J, Zarate CA, Manji HK. Emerging experimental therapeutics for bipolar disorder: insights from the molecular and cellular actions of current mood stabilizers. Mol Psychiatry. 2004;9:734-755.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
40. Gurvich N, Tsygankova OM, Meinkoth JL, Klein PS. Histone deacetylase is a target of valproic acid–mediated cellular differentiation. Cancer Res. 2004;64:1079-1086.
FREE FULL TEXT
41. Casey DE, Daniel DG, Wassef AA, Tracy KA, Wozniak P, Sommerville KW. Effect of divalproex combined with olanzapine or risperidone in patients with an acute exacerbation of schizophrenia. Neuropsychopharmacology. 2003;28:182-192.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
42. Bowden CL. Clinical correlates of therapeutic response in bipolar disorder. J Affect Disord. 2001;67:257-265.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
43. Wassef AA, Hafiz NG, Hampton D, Molloy M. Divalproex sodium augmentation of haloperidol in hospitalized patients with schizophrenia: clinical and economic implications. J Clin Psychopharmacol. 2001;21:21-26.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
44. Ezhkova E, Tansey WP. Proteasomal ATPases link ubiquitylation of histone H2B to methylation of histone H3. Mol Cell. 2004;13:435-442.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
45. Santos-Rosa H, Schneider R, Bernstein BE, Karabetsou N, Morillon A, Weise C, Schreiber SL, Mellor J, Kouzarides T. Methylation of histone H3 K4 mediates association of the Isw1p ATPase with chromatin. Mol Cell. 2003;12:1325-1332.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
46. Matuoka K, Chen KY, Takenawa T. Rapid reversion of aging phenotypes by nicotinamide through possible modulation of histone acetylation. Cell Mol Life Sci. 2001;58:2108-2116.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
47. Imai S, Johnson FB, Marciniak RA, McVey M, Park PU, Guarente L. Sir2: an NAD-dependent histone deacetylase that connects chromatin silencing, metabolism, and aging. Cold Spring Harb Symp Quant Biol. 2000;65:297-302.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
48. Abdolmaleky HM, Smith CL, Faraone SV, Shafa R, Stone W, Glatt SJ, Tsuang MT. Methylomics in psychiatry: modulation of gene-environment interactions may be through DNA methylation. Am J Med Genet B Neuropsychiatr Genet. 2004;127:51-59.
PUBMED
49. Singh SM, Murphy B, O'Reilly RL. Involvement of gene-diet/drug interaction in DNA methylation and its contribution to complex diseases: from cancer to schizophrenia. Clin Genet. 2003;64:451-460.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
50. Lewis SJ, Zammit S, Gunnell D, Smith GD. A meta-analysis of the MTHFR C677T polymorphism and schizophrenia risk. Am J Med Genet B Neuropsychiatr Genet. 2005;135:2-4.
PUBMED
51. Petronis A, Gottesman II, Kan P, Kennedy JL, Basile VS, Paterson AD, Popendikyte V. Monozygotic twins exhibit numerous epigenetic differences: clues to twin discordance? Schizophr Bull. 2003;29:169-178.
52. Aston C, Jiang L, Sokolov BP. Microarray analysis of postmortem temporal cortex from patients with schizophrenia. J Neurosci Res. 2004;77:858-866.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
53. Akbarian S, Kim JJ, Potkin SG, Hetrick WP, Bunney WE Jr, Jones EG. Maldistribution of interstitial neurons in prefrontal white matter of the brains of schizophrenic patients. Arch Gen Psychiatry. 1996;53:425-436.
FREE FULL TEXT
54. Knable MB, Barci BM, Bartko JJ, Webster MJ, Torrey EF. Molecular abnormalities in the major psychiatric illnesses: Classification and Regression Tree (CRT) analysis of post-mortem prefrontal markers. Mol Psychiatry. 2002;7:392-404.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
55. Kirkpatrick B, Conley RC, Kakoyannis A, Reep RL, Roberts RC. Interstitial cells of the white matter in the inferior parietal cortex in schizophrenia: an unbiased cell-counting study. Synapse. 1999;34:95-102.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
56. Rioux L, Nissanov J, Lauber K, Bilker WB, Arnold SE. Distribution of microtubule-associated protein MAP2-immunoreactive interstitial neurons in the parahippocampal white matter in subjects with schizophrenia. Am J Psychiatry. 2003;160:149-155.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
57. Ikeda K, Ikeda K, Iritani S, Ueno H, Niizato K. Distribution of neuropeptide Y interneurons in the dorsal prefrontal cortex of schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry. 2004;28:379-383.
FULL TEXT
| PUBMED
58. Hashimoto T, Volk DW, Eggan SM, Mirnics K, Pierri JN, Sun Z, Sampson AR, Lewis DA. Gene expression deficits in a subclass of GABA neurons in the prefrontal cortex of subjects with schizophrenia. J Neurosci. 2003;23:6315-6326.
FREE FULL TEXT
59. Gao XM, Sakai K, Roberts RC, Conley RR, Dean B, Tamminga CA. Ionotropic glutamate receptors and expression of N-methyl-D-aspartate receptor subunits in subregions of human hippocampus: effects of schizophrenia. Am J Psychiatry. 2000;157:1141-1149.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
60. Roberts RC, Knickman J. The ultrastructural organization of the patch matrix compartments in the human striatum. J Comp Neurol. 2002;452:128-138.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
61. Albert KA, Hemmings HC Jr, Adamo AI, Potkin SG, Akbarian S, Sandman CA, Cotman CW, Bunney WE Jr, Greengard P. Evidence for decreased DARPP-32 in the prefrontal cortex of patients with schizophrenia. Arch Gen Psychiatry. 2002;59:705-712.
FREE FULL TEXT
62. Livak KJ, Schmittgen TD. Analysis of relative gene expression data using real-time quantitative PCR and the 2–CT. Methods. 2001;25:402-408.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
63. Mimmack ML, Brooking J, Bahn S. Quantitative polymerase chain reaction: validation of microarray results from postmortem brain studies. Biol Psychiatry. 2004;55:337-345.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
64. Timmermann S, Lehrmann H, Polesskaya A, Harel-Bellan A. Histone acetylation and disease. Cell Mol Life Sci. 2001;58:728-736.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
65. Ono S, Oue N, Kuniyasu H, Suzuki T, Ito R, Matsusaki K, Ishikawa T, Tahara E, Yasui W. Acetylated histone H4 is reduced in human gastric adenomas and carcinomas. J Exp Clin Cancer Res. 2002;21:377-382.
WEB OF SCIENCE
| PUBMED
66. Toh Y, Yamamoto M, Endo K, Ikeda Y, Baba H, Kohnoe S, Yonemasu H, Hachitanda Y, Okamura T, Sugimachi K. Histone H4 acetylation and histone deacetylase 1 expression in esophageal squamous cell carcinoma. Oncol Rep. 2003;10:333-338.
WEB OF SCIENCE
| PUBMED
67. Toh Y, Ohga T, Endo K, Adachi E, Kusumoto H, Haraguchi M, Okamura T, Nicolson GL. Expression of the metastasis-associated MTA1 protein and its relationship to deacetylation of the histone H4 in esophageal squamous cell carcinomas. Int J Cancer. 2004;110:362-367.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
68. Faure AK, Pivot-Pajot C, Kerjean A, Hazzouri M, Pelletier R, Peoc'h M, Sele B, Khochbin S, Rousseaux S. Misregulation of histone acetylation in Sertoli cell-only syndrome and testicular cancer. Mol Hum Reprod. 2003;9:757-763.
FREE FULL TEXT
69. Yasui W, Oue N, Ono S, Mitani Y, Ito R, Nakayama H. Histone acetylation and gastrointestinal carcinogenesis. Ann N Y Acad Sci. 2003;983:220-231.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
70. Kawahara K, Kawabata H, Aratani S, Nakajima T. Hyper nuclear acetylation (HNA) in proliferation, differentiation and apoptosis. Ageing Res Rev. 2003;2:287-297.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
71. Mahlknecht U, Hoelzer D. Histone acetylation modifiers in the pathogenesis of malignant disease. Mol Med. 2000;6:623-644.
WEB OF SCIENCE
| PUBMED
72. Good P. Permutation Tests: A Practical Guide to Resampling Methods for Testing Hypotheses. New York, NY: Springer-Verlag; 1994.
73. SAS Institute Inc. The Mixed Procedure: SAS/STAT Software: Changes and Enhancement Through Release 6.12. Cary, NC: SAS Institute Inc; 1997:571-702.
74. Mehta CR, Patel N. StatXact Version 6. Cambridge, Mass: Cytel Software Corp; 2004.
75. Schurter BT, Koh SS, Chen D, Bunick GJ, Harp JM, Hanson BL, Henschen-Edman A, Mackay DR, Stallcup MR, Aswad DW. Methylation of histone H3 by coactivator-associated arginine methyltransferase 1. Biochemistry. 2001;40:5747-5756.
FULL TEXT
| PUBMED
76. Wang Y, Wysocka J, Sayegh J, Lee YH, Perlin JR, Leonelli L, Sonbuchner LS, McDonald CH, Cook RG, Dou Y, Roeder RG, Clarke S, Stallcup MR, Allis CD, Coonrod SA. Human PAD4 regulates histone arginine methylation levels via demethylimination. Science. 2004;306:279-283.
FREE FULL TEXT
77. Cuthbert GL, Daujat S, Snowden AW, Erdjument-Bromage H, Hagiwara T, Yamada M, Schneider R, Gregory PD, Tempst P, Bannister AJ, Kouzarides T. Histone deimination antagonizes arginine methylation. Cell. 2004;118:545-553.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
78. Birrell JM, Brown VJ. Medial frontal cortex mediates perceptual attentional set shifting in the rat. J Neurosci. 2000;20:4320-4324.
FREE FULL TEXT
79. Uylings HB, Groenewegen HJ, Kolb B. Do rats have a prefrontal cortex? Behav Brain Res. 2003;146:3-17.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
80. Pettegrew JW, Keshavan MS, Panchalingam K, Strychor S, Kaplan DB, Tretta MG, Allen M. Alterations in brain high-energy phosphate and membrane phospholipid metabolism in first-episode, drug-naive schizophrenics: a pilot study of the dorsal prefrontal cortex by in vivo phosphorus 31 nuclear magnetic resonance spectroscopy. Arch Gen Psychiatry. 1991;48:563-568.
FREE FULL TEXT
81. Konradi C, Eaton M, MacDonald ML, Walsh J, Benes FM, Heckers S. Molecular evidence for mitochondrial dysfunction in bipolar disorder. Arch Gen Psychiatry. 2004;61:300-308.
FREE FULL TEXT
82. Imbalzano AN. Energy-dependent chromatin remodelers: complex complexes and their components. Crit Rev Eukaryot Gene Expr. 1998;8:225-255.
WEB OF SCIENCE
| PUBMED
83. Becker PB, Horz W. ATP-dependent nucleosome remodeling. Annu Rev Biochem. 2002;71:247-273.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
84. Issidorides MR, Stefanis CN, Varsou E, Katsorchis T. Altered chromatin ultrastructure in neutrophils of schizophrenics. Nature. 1975;258:612-614.
FULL TEXT
| PUBMED
85. Veldic M, Caruncho HJ, Liu WS, Davis J, Satta R, Grayson DR, Guidotti A, Costa E. DNA-methyltransferase 1 mRNA is selectively overexpressed in telencephalic GABAergic interneurons of schizophrenia brains. Proc Natl Acad Sci U S A. 2004;101:348-353.
FREE FULL TEXT
86. Benes FM, Walsh J, Bhattacharyya S, Sheth A, Berretta S. DNA fragmentation decreased in schizophrenia but not bipolar disorder. Arch Gen Psychiatry. 2003;60:359-364.
FREE FULL TEXT
87. Buchsbaum MS, Haier RJ, Potkin SG, Nuechterlein K, Bracha HS, Katz M, Lohr J, Wu J, Lottenberg S, Jerabek PA. Frontostriatal disorder of cerebral metabolism in never-medicated schizophrenics. Arch Gen Psychiatry. 1992;49:935-942.
FREE FULL TEXT
88. Benes FM, Davidson J, Bird ED. Quantitative cytoarchitectural studies of the cerebral cortex of schizophrenics. Arch Gen Psychiatry. 1986;43:31-35.
FREE FULL TEXT
89. Selemon LD, Rajkowska G, Goldman-Rakic PS. Abnormally high neuronal density in the schizophrenic cortex: a morphometric analysis of prefrontal area 9 and occipital area 17. Arch Gen Psychiatry. 1995;52:805-818.
FREE FULL TEXT
90. Rajkowska G, Selemon LD, Goldman-Rakic PS. Neuronal and glial somal size in the prefrontal cortex: a postmortem morphometric study of schizophrenia and Huntington disease. Arch Gen Psychiatry. 1998;55:215-224.
FREE FULL TEXT
91. Buxhoeveden D, Roy E, Switala A, Casanova MF. Reduced interneuronal space in schizophrenia. Biol Psychiatry. 2000;47:681-683.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
92. Kalus P, Muller TJ, Zuschratter W, Senitz D. The dendritic architecture of prefrontal pyramidal neurons in schizophrenic patients. Neuroreport. 2000;11:3621-3625.
WEB OF SCIENCE
| PUBMED
93. Rosoklija G, Toomayan G, Ellis SP, Keilp J, Mann JJ, Latov N, Hays AP, Dwork AJ. Structural abnormalities of subicular dendrites in subjects with schizophrenia and mood disorders: preliminary findings. Arch Gen Psychiatry. 2000;57:349-356.
FREE FULL TEXT
94. Glantz LA, Lewis DA. Decreased dendritic spine density on prefrontal cortical pyramidal neurons in schizophrenia. Arch Gen Psychiatry. 2000;57:65-73.
FREE FULL TEXT
95. Costa E, Davis J, Grayson DR, Guidotti A, Pappas GD, Pesold C. Dendritic spine hypoplasticity and downregulation of reelin and GABAergic tone in schizophrenia vulnerability. Neurobiol Dis. 2001;8:723-742.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
96. Hof PR, Haroutunian V, Friedrich VL Jr, Byne W, Buitron C, Perl DP, Davis KL. Loss and altered spatial distribution of oligodendrocytes in the superior frontal gyrus in schizophrenia. Biol Psychiatry. 2003;53:1075-1085.
FULL TEXT
|
WEB OF SCIENCE
| PUBMED
 CiteULike  Connotea  Delicious  Digg  Facebook  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Involvement of SMARCA2/BRM in the SWI/SNF chromatin-remodeling complex in schizophrenia
Koga et al.
Hum Mol Genet 2009;18:2483-2494.
ABSTRACT
| FULL TEXT
Alternative Splicing, Methylation State, and Expression Profile of Tropomyosin-Related Kinase B in the Frontal Cortex of Suicide Completers
Ernst et al.
Arch Gen Psychiatry 2009;66:22-32.
ABSTRACT
| FULL TEXT
Prefrontal Dysfunction in Schizophrenia Involves Mixed-Lineage Leukemia 1-Regulated Histone Methylation at GABAergic Gene Promoters
Huang et al.
J. Neurosci. 2007;27:11254-11262.
ABSTRACT
| FULL TEXT
Hypomethylation of MB-COMT promoter is a major risk factor for schizophrenia and bipolar disorder
Abdolmaleky et al.
Hum Mol Genet 2006;15:3132-3145.
ABSTRACT
| FULL TEXT
|
