Negative correlation between brain glutathione level and negative symptoms in schizophrenia: a 3T 1H-MRS study.

<h4>Background</h4>Glutathione (GSH), a major intracellular antioxidant, plays a role in NMDA receptor-mediated neurotransmission, which is involved in the pathophysiology of schizophrenia. In the present study, we aimed to investigate whether GSH levels are altered in the posterior medi...

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Autores principales: Daisuke Matsuzawa, Takayuki Obata, Yukihiko Shirayama, Hiroi Nonaka, Yoko Kanazawa, Eiji Yoshitome, Junichi Takanashi, Tsuyoshi Matsuda, Eiji Shimizu, Hiroo Ikehira, Masaomi Iyo, Kenji Hashimoto
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Publicado: Public Library of Science (PLoS) 2008
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spelling oai:doaj.org-article:6076bfe83b104d92bccf1dbfee9bbbdf2021-11-25T06:12:51ZNegative correlation between brain glutathione level and negative symptoms in schizophrenia: a 3T 1H-MRS study.1932-620310.1371/journal.pone.0001944https://doaj.org/article/6076bfe83b104d92bccf1dbfee9bbbdf2008-04-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/18398470/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Glutathione (GSH), a major intracellular antioxidant, plays a role in NMDA receptor-mediated neurotransmission, which is involved in the pathophysiology of schizophrenia. In the present study, we aimed to investigate whether GSH levels are altered in the posterior medial frontal cortex of schizophrenic patients. Furthermore, we examined correlations between GSH levels and clinical variables in patients.<h4>Methods and findings</h4>Twenty schizophrenia patients and 16 age- and gender-matched normal controls were enrolled to examine the levels of GSH in the posterior medial frontal cortex by using 3T SIGNA EXCITE (1)H-MRS with the spectral editing technique, MEGA-PRESS. Clinical variables of patients were assessed by the Global Assessment of Functioning (GAF), Scale for the Assessment of Negative Symptoms (SANS), Brief Psychiatric Rating Scale (BPRS), Drug-Induced Extra-Pyramidal Symptoms Scale (DIEPSS), and five cognitive performance tests (Word Fluency Test, Stroop Test, Trail Making Test, Wisconsin Card Sorting Test and Digit Span Distractibility Test). Levels of GSH in the posterior medial frontal cortex of schizophrenic patients were not different from those of normal controls. However, we found a significant negative correlation between GSH levels and the severity of negative symptoms (SANS total score and negative symptom subscore on BPRS) in patients. There were no correlations between brain GSH levels and scores on any cognitive performance test except Trail Making Test part A.<h4>Conclusion</h4>These results suggest that GSH levels in the posterior medial frontal cortex may be related to negative symptoms in schizophrenic patients. Therefore, agents that increase GSH levels in the brain could be potential therapeutic drugs for negative symptoms in schizophrenia.Daisuke MatsuzawaTakayuki ObataYukihiko ShirayamaHiroi NonakaYoko KanazawaEiji YoshitomeJunichi TakanashiTsuyoshi MatsudaEiji ShimizuHiroo IkehiraMasaomi IyoKenji HashimotoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 3, Iss 4, p e1944 (2008)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Daisuke Matsuzawa
Takayuki Obata
Yukihiko Shirayama
Hiroi Nonaka
Yoko Kanazawa
Eiji Yoshitome
Junichi Takanashi
Tsuyoshi Matsuda
Eiji Shimizu
Hiroo Ikehira
Masaomi Iyo
Kenji Hashimoto
Negative correlation between brain glutathione level and negative symptoms in schizophrenia: a 3T 1H-MRS study.
description <h4>Background</h4>Glutathione (GSH), a major intracellular antioxidant, plays a role in NMDA receptor-mediated neurotransmission, which is involved in the pathophysiology of schizophrenia. In the present study, we aimed to investigate whether GSH levels are altered in the posterior medial frontal cortex of schizophrenic patients. Furthermore, we examined correlations between GSH levels and clinical variables in patients.<h4>Methods and findings</h4>Twenty schizophrenia patients and 16 age- and gender-matched normal controls were enrolled to examine the levels of GSH in the posterior medial frontal cortex by using 3T SIGNA EXCITE (1)H-MRS with the spectral editing technique, MEGA-PRESS. Clinical variables of patients were assessed by the Global Assessment of Functioning (GAF), Scale for the Assessment of Negative Symptoms (SANS), Brief Psychiatric Rating Scale (BPRS), Drug-Induced Extra-Pyramidal Symptoms Scale (DIEPSS), and five cognitive performance tests (Word Fluency Test, Stroop Test, Trail Making Test, Wisconsin Card Sorting Test and Digit Span Distractibility Test). Levels of GSH in the posterior medial frontal cortex of schizophrenic patients were not different from those of normal controls. However, we found a significant negative correlation between GSH levels and the severity of negative symptoms (SANS total score and negative symptom subscore on BPRS) in patients. There were no correlations between brain GSH levels and scores on any cognitive performance test except Trail Making Test part A.<h4>Conclusion</h4>These results suggest that GSH levels in the posterior medial frontal cortex may be related to negative symptoms in schizophrenic patients. Therefore, agents that increase GSH levels in the brain could be potential therapeutic drugs for negative symptoms in schizophrenia.
format article
author Daisuke Matsuzawa
Takayuki Obata
Yukihiko Shirayama
Hiroi Nonaka
Yoko Kanazawa
Eiji Yoshitome
Junichi Takanashi
Tsuyoshi Matsuda
Eiji Shimizu
Hiroo Ikehira
Masaomi Iyo
Kenji Hashimoto
author_facet Daisuke Matsuzawa
Takayuki Obata
Yukihiko Shirayama
Hiroi Nonaka
Yoko Kanazawa
Eiji Yoshitome
Junichi Takanashi
Tsuyoshi Matsuda
Eiji Shimizu
Hiroo Ikehira
Masaomi Iyo
Kenji Hashimoto
author_sort Daisuke Matsuzawa
title Negative correlation between brain glutathione level and negative symptoms in schizophrenia: a 3T 1H-MRS study.
title_short Negative correlation between brain glutathione level and negative symptoms in schizophrenia: a 3T 1H-MRS study.
title_full Negative correlation between brain glutathione level and negative symptoms in schizophrenia: a 3T 1H-MRS study.
title_fullStr Negative correlation between brain glutathione level and negative symptoms in schizophrenia: a 3T 1H-MRS study.
title_full_unstemmed Negative correlation between brain glutathione level and negative symptoms in schizophrenia: a 3T 1H-MRS study.
title_sort negative correlation between brain glutathione level and negative symptoms in schizophrenia: a 3t 1h-mrs study.
publisher Public Library of Science (PLoS)
publishDate 2008
url https://doaj.org/article/6076bfe83b104d92bccf1dbfee9bbbdf
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