Both Kellendonk et al. (2006) and Moore et al. (2006) explored
different models for schizophrenia. Kellendonk et al. examined overexpression
of dopamine receptors in the striatum and the correlated cognitive deficits,
while Moore et al. used methylazoxymethanol acetate (MAM) at E17 to disrupt corticostriatal circuits and
development.
One of the most interesting aspects of both articles was
their use of reversal techniques within the experiment. For example, Kellendonk
et al. used doxycycline to switch off the expression of dopamine receptors to
see if the cognitive deficits were reversed or corrected. The cognitive
deficits persisted, however, and could even be exacerbated, suggesting a much
more complex pathology. I also found their examination of the circuitry
relating to D1 receptors and dopamine turnover interesting as well. This
relates to human applications by providing some insight into why some antipsychotics
that target dopamine receptors do not improve the cognitive deficits given that
treatment usually starts later in life after an episode when it may be too late
for physiological affects. Granted, Kellendonk et al. acknowledges the
shortcomings in the model of addressing symptoms such as hallucinations.
Moore et al. also focused on the size of different brain
regions, especially the PFC, and neuron density. By using the evidence looking
at the E17 model, I found their arguments convincing that the post-pubescent
approach more accurately reflects the schizophrenia pathology given that the
disease usually presents itself in humans in early adulthood.
Personally, I found both of these articles rather difficult
to follow, likely because of my very limited neuroanatomical knowledge. While
the behavioral and cognitive tests in each seemed to follow a logical
progression, they sometimes resulted in inconclusive results or those that
conflicted with previous studies. As a first exposure to schizophrenia research,
my general impression is that this field seems highly controversial and
mysterious. For example, while an increase in dopamine receptors seems to be
pertinent, the exact role is controversial. That said, these articles were
published ten years ago, and I’m sure many developments have been made since
then.
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