GABAergic dysfunction in schizophrenia and mood disorders as reflected by decreased levels of glutamic acid decarboxylase 65 and 67 kDa and Reelin proteins in cerebellum
Section snippets
Tissue preparation, SDS-PAGE and Western blotting
Approximately 200 μg of cerebellar tissue was homogenized in lysis buffer (20 mM Tris, pH 8.0, 0.2 mM EDTA, 150 mM NaCl, 3% Igepal (v/v), 1% sodium deoxycholate (w/w), 0.1% SDS (w/v), 50 mg/ml leupeptin, 0.2 mM PMSF, 1 mM sodium orthovanadate, 30 μl/ml Aprotinin) using a Kontes hand pestle. Homogenates had an additional 1 μl of PMSF added, were iced for 30 min, then centrifuged at 10,000×g for 20 min. The supernatants were collected and protein was assayed by BioRad Protein Assay with a BSA
Background and brain variables across groups
Table 1 displays demographic information on the brain specimens obtained from the Stanley Foundation Neuropathology Consortium. To test for differences across diagnostic groups on demographic and brain variables, chi-square tests were performed on categorical variables and Analyses of Variance (ANOVAs) were performed on continuous variables. Across the four groups, significant differences were found on Cause of Death, Family History of Psychiatric Disorders, Freezer Storage Time, and Severity
Protein levels across diagnostic groups
The overall multivariate test for the main effect of diagnostic group on the six protein levels was significant, F(18, 149)=1.93, p=0.017. Tests of between-subjects (univariate) effects revealed significant main effects for Reelin 180, F(3, 56)=4.04, p=0.011, GAD 65, F(3, 56)=4.75, p=0.005, and GAD 67, F(3, 56)=4.34, p=0.008. Because the assumption of equal covariance matrices across groups on the dependent variables was not met, F(63, 7348)=1.55, p=0.004, a non-parametric test (Kruskal–Wallis)
Reelin 180
Post hoc tests using Tukey's HSD revealed significant differences between bipolar and normal subjects, p=0.042, and between schizophrenic and normal subjects, p=0.018, on Reelin 180. Compared with normal subjects (M=34.16, S.D.=12.6), bipolar subjects had significantly lower levels of Reelin 180 (M=22.54, S.D.=11.00), as did schizophrenic subjects (M=21.10, S.D.=11.95).
GAD 65
Post hoc tests using Tukey's HSD revealed significant differences between all three disordered groups (bipolar, depression, and schizophrenia) and normal subjects, p=0.017, p=0.033, and p=0.009, respectively. Compared with normal subjects (M=3.7, S.D.=2.45), bipolar subjects (M=1.8, S.D.=1.8), depressed subjects (M=2.0, S.D.=1.2), and schizophrenic subjects (M=1.67, S.D.=0.92) had significantly lower levels of GAD 65.
GAD 67
Post hoc tests using Tukey's HSD revealed significant differences between bipolar and normal subjects, p=0.015, and depressed and normal subjects, p=0.019, on GAD 67. Compared with normal subjects (M=1.4, S.D.=0.96), bipolar subjects and depressed subjects had significantly lower levels of GAD 67 (M=0.63, S.D.=0.64; M=0.65, S.D.=0.41, respectively) (Fig. 1).
Protein levels between bipolar and schizophrenic subtypes
A follow-up multivariate analysis of variance conducted between bipolar subjects with and without psychosis on protein levels revealed no significant main effect for presence of psychosis, F(6, 8)=0.840, p=0.573. Tests of between-subjects effects confirmed that the two groups did not differ significantly from each other on any of the proteins. However, given the small number of subjects in each group (n=11 with psychosis; n=4 without psychosis), the power to detect differences between groups at
Exploratory pairwise comparisons
Exploratory pairwise comparisons between diagnostic groups on protein levels were conducted using multiple t-tests. Table 2 displays the results of both the overall univariate test results with post hoc comparisons based on Tukey's HSD and the pairwise comparisons that do not correct for inflated Type I error. The less restrictive pairwise comparisons revealed the same significant findings with the addition of a significant difference between bipolar and normal subjects on Reelin 410, t
Relationship between protein levels and demographic and brain variables
Table 3, Table 4 display relationships between protein levels and demographic and brain variables. Of all the demographic and brain variables, significant relationships were found between protein levels and PMI, brain pH, and Severity of Substance Abuse. There was a significant relationship between PMI and β-actin, r(60)=0.266, p=0.04. In addition, there was a significant relationship between brain pH and all protein levels except β-actin, r(60)=0.462, .473, .433, .456, and .340, for Reelins
Demographic and brain variables as possible confounds
Each demographic and brain variable listed in Table 3, Table 4 was entered as a covariate in the MANOVA model in order to determine whether it accounted for the significant main effects between diagnostic group and protein levels that were found. The only covariate with a main effect on protein level was brain pH, F(6, 50)=3.545, p=0.005. However, this covariate did not alter the significant main effect of group on protein levels for Reelin 180, F(3, 55)=3.533, p=0.021; GAD 65, F(3, 55)=3.975, p
Acknowledgements
Postmortem brains were donated by The Stanley Medical Research Institute’s Brain Collection courtesy of Drs. Michael B. Knable, E. Fuller Torrey, Maree J. Webster, Serge Weis, and Robert H. Yolken. SHF is supported by the Stanley Medical Research Institute. We are grateful to Dr. A. Goffinet for his generous gift of anti-Reelin antibody. We appreciate the secretarial help provided by Ms. Janet Holland and Ms. Laurie Iverson.
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