Molecular phenotypes associated with antipsychotic drugs in the human caudate nucleus

Kira A Perzel Mandell1,2, Nicholas J Eagles1, Amy Deep-Soboslay1

  • 1Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore, MD, 21205, USA.

Molecular Psychiatry
|March 3, 2022
PubMed

Insights

Antipsychotic drugs show significant gene expression changes in the human brain, similar to schizophrenia, but no major DNA methylation differences. These effects vary by brain region and differ from mouse models.

Area of Science:

  • Neuroscience
  • Genetics
  • Pharmacology

Background:

  • Antipsychotic medications are primary treatments for schizophrenia and other psychoses.
  • Understanding their molecular brain effects is limited by tissue access and disease confounders.

Purpose of the Study:

  • To investigate gene expression and DNA methylation differences linked to antipsychotic drug toxicology in the human caudate nucleus.
  • To compare these molecular changes with schizophrenia and mouse models.

Main Methods:

  • Analysis of gene expression and DNA methylation in human caudate nucleus tissue.
  • Comparison of findings with existing data from schizophrenia cases and a mouse model.

Main Results:

  • No genome-wide significant DNA methylation differences were found.
  • Abundant gene expression differences were observed, largely mirroring those in schizophrenia.
  • Gene expression changes varied across brain regions and differed from mouse model effects.

Conclusions:

  • Antipsychotic toxicology significantly impacts gene expression in the human brain, but not DNA methylation.
  • Observed gene expression patterns resemble schizophrenia, suggesting shared molecular pathways.
  • Brain region-specific effects and discrepancies with mouse models highlight the complexity of antipsychotic action.

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