Multiple
neurotransmitter systems have been implicated in the pathophysiology of
schizophrenia.
Dopamine hyperactivity has often been implicated in this illness. More recently, the
glutamate hypothesis of
schizophrenia suggests that
NMDA receptor (NMDAR) hypofunction may also play a role in this illness. This is based primarily on studies showing that
phencyclidine, an NMDAR antagonist, can induce a schizophreniform
psychosis. While NMDAR dysfunction is most often implicated in
schizophrenia, other components of the
glutamate system, such as the
AMPA and
kainate receptors, as well as NMDAR-associated intracellular
proteins, may also play a role in regulating
NMDA receptor activity and
glutamate neurotransmission. There is growing interest in the hypothesis that the pathophysiology of
schizophrenia involves alterations in
dopamine-
glutamate interactions. The
glutamate system is anatomically and functionally linked to the
dopamine system, and
glutamate can modulate dopaminergic activity and release by stimulating various
glutamate receptor subtypes expressed by dopaminergic neurons in the substantia nigra/ventral tegmental area. In this study, we investigated
dopamine-
glutamate interactions by measuring the expression of transcripts encoding the subunits for the
ionotropic glutamate receptors (
NMDA,
AMPA and
kainate) and five NMDAR-associated intracellular
proteins, PSD-93, PSD-95, SAP102, NF-L and yotiao in the dopaminergic neurons in the substantia nigra pars compacta (SNc) of subjects with
schizophrenia and a comparison group.
Tyrosine hydroxylase (TH, a marker of
dopamine-synthesizing cells), NR1 (an
NMDA receptor subunit) and GluR5 (a
kainate subunit) transcript levels were significantly increased in the SNc in
schizophrenia. These data support the hypothesis that
schizophrenia may involve alterations in
dopamine-
glutamate interactions.