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Derivation, Expansion, Cryopreservation and Characterization of Brain Microvascular Endothelial Cells from Human Induced Pluripotent Stem Cells
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Immune System and Schizophrenia.

Norbert Müller1, Markus J Schwarz

  • 1Department of Psychiatry and Psychotherapy Ludwig-Maximilians-Universität Munchen, Germany.

Current Immunology Reviews
|November 9, 2010
PubMed
Summary
This summary is machine-generated.

Schizophrenia involves immune dysfunction, specifically altered tryptophan metabolism leading to increased kynurenic acid. Antipsychotics may rebalance this immune imbalance, and COX-2 inhibitors show promise for treating schizophrenia.

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Area of Science:

  • Neuroimmunology
  • Psychiatry

Background:

  • Immune dysfunction and infectious agents are implicated in schizophrenia pathophysiology.
  • A blunted type-1 immune response and dysregulated indoleamine 2,3-dioxygenase (IDO) activity characterize schizophrenia.
  • This leads to altered tryptophan-kynurenine metabolism and increased kynurenic acid production.

Purpose of the Study:

  • To explore the role of immune dysregulation in schizophrenia.
  • To investigate the link between tryptophan metabolism, kynurenic acid, and glutamatergic neurotransmission.
  • To assess the immunological effects of antipsychotics and the potential of COX-2 inhibitors.

Main Methods:

  • Analysis of immune response in schizophrenia.
  • Examination of tryptophan-kynurenine metabolism and kynurenic acid levels.
  • Review of antipsychotic effects and clinical trials of COX-2 inhibitors.

Main Results:

  • Schizophrenia is associated with a blunted type-1 immune response and dysregulated IDO, increasing kynurenic acid.
  • Increased kynurenic acid contributes to glutamatergic neurotransmission imbalance and NMDA antagonism.
  • Antipsychotics partially restore immune balance and reduce kynurenic acid overproduction.
  • Inflammatory state with increased prostaglandin E(2) (PGE(2)) and cyclo-oxygenase-2 (COX-2) expression is observed.

Conclusions:

  • Immune imbalance and altered kynurenine pathway are key in schizophrenia.
  • Targeting COX-2 may offer a novel therapeutic strategy for schizophrenia.