Developmental regulation of expression of schizophrenia susceptibility genes in the primate hippocampal formation.

The hippocampal formation is essential for normal memory function and is implicated in many neurodevelopmental, neurodegenerative and neuropsychiatric disorders. In particular, abnormalities in hippocampal structure and function have been identified in schizophrenic subjects. Schizophrenia has a strong polygenic component, but the role of numerous susceptibility genes in normal brain development and function has yet to be investigated. Here we described the expression of schizophrenia susceptibility genes in distinct regions of the monkey hippocampal formation during early postnatal development. We found that, as compared with other genes, schizophrenia susceptibility genes exhibit a differential regulation of expression in the dentate gyrus, CA3 and CA1, over the course of postnatal development. A number of these genes involved in synaptic transmission and dendritic morphology exhibit a developmental decrease of expression in CA3. Abnormal CA3 synaptic organization observed in schizophrenics might be related to some specific symptoms, such as loosening of association. Interestingly, changes in gene expression in CA3 might occur at a time possibly corresponding to the late appearance of the first clinical symptoms. We also found earlier changes in expression of schizophrenia susceptibility genes in CA1, which might be linked to prodromal psychotic symptoms. A number of schizophrenia susceptibility genes including APOE, BDNF, MTHFR and SLC6A4 are involved in other disorders, and thus likely contribute to nonspecific changes in hippocampal structure and function that must be combined with the dysregulation of other genes in order to lead to schizophrenia pathogenesis.

Introduction

The hippocampal formation is implicated in a number of neurodevelopmental, neuropsychiatric and neurodegenerative disorders including schizophrenia,[1] autism spectrum disorders,[2] temporal lobe epilepsy,[3] Down syndrome,[4] Williams syndrome,[5] antisocial personality disorder and psychopathy,[6] bipolar disorders,[7] major depressive disorder[8] and Alzheimer's disease.[9] Although these pathologies are all associated with abnormalities in hippocampal structure or function, they exhibit specific characteristics, such as individual groups of susceptibility genes and the fact that distinct regions of the hippocampal formation are differentially affected in specific pathologies.[10]

The hypothesis that schizophrenia emerges from the interaction between genetic predispositions and environmental factors is now widely accepted.[11] The genetic component of schizophrenia was first suspected since relatives of subjects with schizophrenia are more likely to get the illness themselves.[12] Indeed, the risk of suffering from schizophrenia in the general population is about 1% people who have a third-degree relative (great grandparent, first cousin) with schizophrenia are twice as likely to develop schizophrenia (2%); those with a second-degree relative (grandparent, uncle, aunt) have an incidence varying from 2 to 6% finally first-degree relatives (parent, sibling) have an incidence of schizophrenia >10 times higher than the general population (13% for children, 17% for twins and 48% for identical twins).[13] Accordingly, linkage analysis, gene expression and genome-wide association studies have identified a number of schizophrenia susceptibility genes.[14, 15]

The fact that schizophrenia more often appears in late adolescence and early adulthood suggests that schizophrenia is a disorder of developmental origin. Moreover, prodromal symptoms like affective disorders, substance abuse, personality disorder, autism spectrum disorder-like symptoms, developmental delays, delusions or hallucinations can be found in patients years before they finally develop schizophrenia.[16] This suggests that the dysregulation of expression of schizophrenia susceptibility genes might affect normal brain development, leading to the gradual appearance of different symptoms at different ages.

Magnetic resonance imaging studies consistently report reduced hippocampal volumes in first-episode schizophrenic subjects[17] and asymptomatic, first-degree relatives of subjects with schizophrenia,[18] indicating that hippocampal pathology is not the result of the illness or treatment but rather contributes to the etiology of the disorder. The absence of obvious signs of neurodegeneration confirms the idea that schizophrenia is a neurodevelopmental disorder,[19] which might arise following the abnormal maturation of specific hippocampal circuits.[20, 21]

Here we analyzed the expression of 173 schizophrenia susceptibility genes in distinct regions of the monkey hippocampal formation during early postnatal development, in order to assess the contribution of these genes to the normal development of the hippocampal formation and shed light on the pathogenesis of schizophrenia. We further considered schizophrenia susceptibility genes involved in other diseases, including temporal lobe epilepsy, autism spectrum disorder, Williams syndrome, psychopathy, major depressive disorder, bipolar disorder and Alzheimer's disease, in order to better comprehend the possible relations between gene dysregulation, neuropathology and clinical symptoms.

Materials and methods

RNA samples

Sixteen male rhesus monkeys (Macaca mulatta; four 1-day-old, four 6-month-old, four 1-year-old and four 6–12-year-old) were used for this study. These animals were the same used in previous studies.[22, 23] We refer the reader to these publications for detailed descriptions of RNA sample acquisition and microarray analyses using the GeneChip Human Genome U133 Plus 2.0 (Affymetrix, Santa Clara, CA, USA).

Data analysis

Analyses of gene expression levels were performed with Genespring GX 11 (Agilent Technologies, Santa Clara, CA, USA) and a custom-made script for repeated-measures analysis of variance. Probe-level analysis was performed with the Robust Multichip Averaging algorithm. Data were log2 transformed and an analysis of variance was performed in order to identify genes with differential expression in distinct hippocampal regions at different ages. Adjusted P-values for multiple comparisons were calculated with the false discovery rate method of Benjamini and Hochberg.[24] We found 15 392 probesets exhibiting significantly different expression between ages (corrected P-values <0.05); 33 147 probesets exhibiting significantly different expression between regions (corrected P-values <0.05); and 9511 probesets exhibiting a differential expression between ages and regions (interaction age × region; corrected P-values <0.05). Only genes represented in one of these three groups of probesets were considered for the follow-up analyses (17 002 genes). We performed statistical analyses comparing gene expression between newborns and adults within distinct hippocampal regions (that is, entorhinal cortex, dentate gyrus, CA3, CA1, subiculum) using two-tailed unpaired t-tests (significance level was set at P<0.05).

Gene expression patterns

The specific genes exhibiting either a significant increase or decrease in expression in any of the five hippocampal regions, among the 173 schizophrenia susceptibility genes[15] and among all human protein-coding genes (20 741) present in our microarray data, are listed in Supplementary Information 1 and 2. When one gene was represented by more than one probeset, we only considered the probeset exhibiting the largest change. As described in a previous study,[23] some genes may be represented by different probesets exhibiting opposite patterns of expression; with an upregulated pattern that might represent the expression of microRNA targeting that gene, rather than mRNA. We therefore eliminated the probeset susceptible to represent microRNA expression. Finally, for genes that were identified as particularly important for the functional analyses, we examined the characteristics and specificity of the probesets, and nonspecific probesets were eliminated. Supplementary Information 3 presents the gene expression patterns of the probesets representing the 173 schizophrenia susceptibility genes considered here.

Functional analyses

We used the Database for Annotation, Visualization and Integrated Discovery (DAVID) functional annotation tool[25] to perform functional analyses of particular gene groups. DAVID provides the number of genes for each enriched functional term in a given list of genes, the percentage of total genes involved, and calculates a modified Fisher's exact P-value comparing the number of genes included in a functional category and the number of genes present in a control list (genes randomly chosen in the Affymetrix H133 Plus 2.0 by DAVID, Affymetrix, Santa Clara, CA, USA).

Results

Schizophrenia

We found that a greater proportion of schizophrenia susceptibility genes, as compared with all human protein-coding genes, exhibited a downregulation of their expression from birth to adulthood in distinct hippocampal regions: dentate gyrus (ratio schizophrenia genes/all genes: 1.82; chi-square(1): 13.361, P<0.001), CA3 (ratio: 1.40; chi-square(1): 7.783, P<0.01) and CA1 (ratio: 1.47; chi-square(1): 13.406, P<0.001; Figure 1 and Supplementary Information 2). In contrast, a smaller proportion of schizophrenia susceptibility genes, as compared with all genes, exhibited an upregulation of their expression from birth to adulthood in CA3 (ratio: 0.63; chi-square(1): 4.138, P<0.05) and CA1 (ratio: 0.42; chi-square(1): 9.150, P<0.005). These findings suggest that schizophrenia susceptibility genes are particularly involved in the postnatal development of the hippocampal formation, and point to the dentate gyrus, CA3 and CA1, as crucial regions in the pathogenesis of schizophrenia. Consequently, we analyzed in more detail the expression patterns of these genes in these three regions.

Figure 1

Percentages of schizophrenia susceptibility genes regulated in distinct hippocampal regions from birth to adulthood. (a) Decreased expression. (b) Increased expression. Schizophrenia susceptibility genes (173; dark gray); protein-coding human genes (20 741; light gray). DG, dentate gyrus; EC, entorhinal cortex; Sub, subiculum.

Dentate gyrus. Among the 33 schizophrenia susceptibility genes that exhibited lower expression levels in adult than newborn monkeys, 13 (39%) exhibited a higher expression level at birth than at any other age, 8 (24%) exhibited a lower expression in adulthood than at any other age, and 4 (12%) exhibited a higher expression in newborn and 6-month-old monkeys, as compared with 1-year-old and adult monkeys (Figure 2a, Supplementary Information 1 and 3).

Figure 2

Expression patterns of schizophrenia susceptibility genes regulated in the dentate gyrus, CA3 and CA1 from birth to adulthood. (a) Dentate gyrus. (b) CA3: 34 schizophrenia susceptibility genes (63%, solid lines) exhibit a significantly lower expression in adults than at any other ages. (c) CA1: 35 schizophrenia susceptibility genes (52%, solid lines) are significantly more expressed at birth than at any other ages. Error bars represent s.e.

CA3. Among the 54 schizophrenia susceptibility genes that exhibited lower expression levels in adult than newborn monkeys, 34 (63%) exhibited a lower expression level in adults as compared with any other age (Figure 2b, Supplementary Information 1 and 3).

CA1. Among the 67 schizophrenia susceptibility genes that exhibited lower expression levels in adult than newborn monkeys, 35 (52%) genes exhibited a higher expression level in newborn monkeys as compared with any other age (Figure 2c, Supplementary Information 1 and 3).

In sum, the gene expression patterns observed in CA3 and CA1 suggest that schizophrenia susceptibility genes might impact the normal maturation of these two distinct hippocampal regions at different postnatal stages.

Multiple pathologies

We further considered schizophrenia susceptibility genes implicated in other disorders in order to comprehend the possible relations between gene dysregulation, neuropathology and clinical symptoms. In all, 28 of the 173 schizophrenia susceptibility genes (16%) are also implicated in other neuropsychiatric disorders that exhibit neuroanatomical or functional abnormalities in the hippocampal formation (Table 1). Among these genes, 10 are implicated in temporal lobe epilepsy,[26, 27] 8 in psychopathy-antisocial personality disorder,[28, 29, 30] 7 in autism spectrum disorder,[31, 32, 33, 34] 7 in major depressive disorder,[35, 36, 37, 38] 6 in bipolar disorder,[39, 40, 41, 42, 43, 44] 2 in Alzheimer's disease[45, 46] and 1 in Williams syndrome.[47] There was no overlap between groups of genes implicated in schizophrenia and Down syndrome.[48] As compared with all genes exhibiting a change in expression from birth to adulthood, we found a greater proportion of multiple pathology susceptibility genes exhibiting a downregulation of their expression from birth to adulthood in the dentate gyrus (ratio: 3.06; chi-square(1): 13.913, P<0.001), CA3 (ratio: 1.76; chi-square(1): 4.629, P<0.05) and CA1 (ratio: 1.62; chi-square(1): 3.899, P<0.05; Figure 3 and Supplementary Information 4). We did not find differences among genes exhibiting an upregulation of their expression from birth to adulthood in any region.

Table 1

Twenty-eight schizophrenia susceptibility genes are also implicated in other neuropsychiatric disorders that exhibit neuroanatomical or functional abnormalities in the hippocampal formation

Genes	Diseases								Significant differences in expression between newborn and adult monkeys
									Adult>newborn					Newborn>adult
	SCZ	EPI	ASD	DEP	PSY	BP	ALZ	WIL	EC	DG	CA3	CA1	Sub	EC	DG	CA3	CA1	Sub
SLC6A4	x	x	x	x	x
BDNF	x	x		x		x											x	x
APOE	x	x		x			x								x	x	x
SLC6A3	x			x	x	x
MTHFR	x	x		x
DISC1	x		x			x
CHRNB2	x	x					x			x					x
HTR2A	x			x	x
MAOA	x				x					x						x	x
DRD2	x				x										x		x
SLC1A2	x				x				x				x		x	x	x
COMT	x				x									x	x	x	x
AR	x				x							x
GABBR1	x	x														x	x
GABRG2	x	x							x	x						x	x
IL10	x	x
IL1B	x	x									x	x
TNF	x	x
AHI1	x		x													x		x
DRD5	x		x													x	x
FOXP2	x		x															x
PTPRZ1	x		x							x					x	x	x
RELN	x		x												x
GRM3	x					x								x	x
DAO	x					x											x
GRIN2B	x					x									x	x	x
STX1A	x							x								x		x
SLC18A1	x			x							x
Total number	28	10	7	7	8	6	2	1	2	4	2	2	1	2	9	11	12	4
Percentage		36%	25%	25%	29%	21%	7%	4%	7%	14%	7%	7%	4%	7%	32%	39%	43%	14%

Abbreviations: ALZ, Alzheimer's disease; ASD, autism spectrum disorder; BP, bipolar disorder; DEP, major depressive disorder; DG, dentate gyrus; EC, entorhinal cortex; EPI, temporal lobe epilepsy; PSY, psychopathy antisocial personality disorder; SCZ, schizophrenia; Sub, subiculum; WIL, Williams syndrome.

Figure 3

Percentages of schizophrenia susceptibility genes also involved in other diseases, which are regulated in distinct hippocampal regions from birth to adulthood. (a) Decreased expression. (b) Increased expression. Schizophrenia susceptibility genes also involved in other diseases (28; dark gray); protein-coding human genes (20 741; light gray). DG, dentate gyrus; EC, entorhinal cortex; Sub, subiculum.

In order to characterize the cellular processes that might be affected in schizophrenia, we sought to determine the specific genes and functional processes regulated in the dentate gyrus, CA3 and CA1 (Table 2). In the dentate gyrus, schizophrenia susceptibility genes that were regulated during postnatal development were linked to neurogenesis, neuron and glial differentiation, axogenesis as well as to cell adhesion molecules. In CA3, schizophrenia susceptibility genes that were regulated were linked to dendritic morphology, synaptic plasticity, synaptic transmission and neuron projection. These findings are consistent with changes in neurotransmitter markers and synaptic morphology in CA3 in schizophrenia.[49, 50] One functional group comprises the GluN2B glutamatergic receptor subunit, which might be linked to ‘associative learning' impairments observed in schizophrenics. The functional group ‘calcium pathway' was only identified in CA1. ‘Startle response', which is identified as a functional group in the dentate gyrus and CA1, is not related directly to any known schizophrenic symptoms, but it is associated with the impairment in prepulse inhibition observed in schizophrenics. The most important functional process identified in the schizophrenia susceptibility genes upregulated in both CA3 and CA1 is related to ‘inflammatory response', which might produce an imbalance in N-methyl-𝒟-aspartate (NMDA)-mediated glutamatergic neurotransmission.

Table 2

Functional analyses of schizophrenia susceptibility genes exhibiting differences in expression between newborn and adult monkeys in any one of five distinct hippocampal regions

Adult > newborn
EC	DG	CA3	CA1	Sub
Cell–cell signaling	Axogenesis	Cell–cell signaling	Cell–cell signaling	Apoptosis
Synaptic transmission	Neuron differentiation	Inflammatory response	Inflammatory response	Cell cycle
Transmission of nerve impulse	Regulation of neurotransmitter levels	Neurotransmitter transport		Cell–cell signaling
	Synaptic transmission	Response to drug		Positive regulation of transport
	Transmission of nerve impulse			Response to drug
	Vesicle-mediated transport			Response to endogenous stimulus
				Tyrosine kinase signaling pathway
Newborn > adult
Cell adhesion	Axogenesis	Apoptosis	Calcium signaling pathway	Cell adhesion
Glutamate neurotransmission	Cell adhesion	Associative learning	Cell cycle	Cell differentiation
Inflammatory response	Cell migration	Dendrite morphogenesis	Cyclic nucleotide	Cell migration monoamine
Neurotransmission	Cyclic nucleotide	G-protein signaling	Dendrite morphogenesis	Glial cell differentiation
Regulation of membrane potential	G-protein signaling	Glutamate neurotransmission	G-protein signaling	Neurogenesis response to synaptic transmission
Endogenous stimulus	Glial cell differentiation	Inflammatory response	GABA signaling pathway	Transmission of nerve impulse
Response to external stimulus	Gliogenesis	Monoamine neurotransmission	Glial cell differentiation
Response to organic nitrogen	Glutamate neurotransmission	Neurogenesis	Glutamate neurotransmission
Synaptic transmission	Lipid catabolic process	Neuron differentiation	Monoamine neurotransmission
Transmission of nerve impulse	Monoamine neurotransmission	Neuron projection	Neurogenesis
	Multicellular organismal response to stress	Nitrogen compound metabolic process	Neuron differentiation
	Neurogenesis	Notch pathway	Neuron projection
	Neuron differentiation	Regulation of membrane potential	Nitrogen compound metabolic process
	Nitrogen compound metabolic process	Synaptic plasticity	Peptidyl-tyrosine modification
	Phosphoinositide-mediated signaling	Synaptic transmission	Regulation of membrane potential
	Regulation of membrane potential	Transmission of nerve impulse	Regulation of transcription
	Response to nutrient levels	Tyrosine kinase signaling pathway	Response to drug
	Startle response		Response to organic nitrogen
	Synaptic plasticity		Startle response
	Synaptic transmission		Synaptic plasticity
	Transmission of nerve impulse		Synaptic transmission
			Transmission of nerve impulse
			Tyrosine kinase signaling pathway

DG, dentate gyrus; EC, entorhinal cortex; Sub, subiculum.Groups in bold are highlighted in the Results and Discussion sections.

The involvement of genes in different pathologies suggests that they contribute to alterations of nonspecific processes implicated in all these disorders. Here we consider the function and the expression patterns of four of these genes in order to characterize the fundamental processes that might link them to these disorders.

APOE. The role of APOE in the regulation of glutamatergic neurotransmission might explain its implication in schizophrenia,[51] major depressive disorder in the elderly,[52, 53] temporal lobe epilepsy[26] and Alzheimer's disease.[54] Indeed, one of the main physiological processes influenced by different alleles of APOE is the sequestration of NMDA and AMPA (alpha-amino-3-hydroxy-5-methyl-4-isoxazolpropionate) receptors in intracellular compartments, which could, in turn, lead to changes in long term potentiation (LTP) induction and neuronal degeneration.[55]

MTHFR. A mutation of the gene MTHFR, which encodes the enzyme methylene-tetrahydrofolate reductase involved in the homocysteine metabolic pathway, might indirectly impact glutamatergic transmission, increasing nonspecifically the risk for different disorders. Indeed, MTHFR contributes to the regulation of RELN,[56] whose expression is decreased in the hippocampus of subjects suffering from schizophrenia and major depressive disorder.[57] RELN binds to the receptor APOER2 (which is also a receptor for APOE), and might thus similarly modulate glutamatergic neurotransmission.

BDNF. Dysregulation of BDNF, the gene coding for the ubiquitous brain-derived neurotrophic factor, might also lead to alterations of glutamatergic neurotransmission, as recently shown in the human hippocampus.[58] BDNF enhances glutamate release, the frequency of miniature Excitatory Postsynaptic Currents (mEPSCs), NMDA receptor activity and the phosphorylation of NMDA receptor subunits.[59] BDNF expression is regulated by synaptic activity; it does not appear to mediate changes in synaptic efficacy, but instead contributes to the modulation of the capability of glutamatergic synapses to undergo LTP and long term depression (LTD).[60]

SLC6A4. SLC6A4 codes for the high-affinity serotonin transporter localized presynaptically, which has been implicated in schizophrenia,[61] temporal lobe epilepsy,[62] autism spectrum disorder, major depressive disorder[36, 63] and antisocial personality disorder. This suggests that a dysregulation of serotonin levels is common to different neuropsychiatric disorders.

Discussion

We found that schizophrenia susceptibility genes are significantly more regulated than other genes in the dentate gyrus, CA3 and CA1 from birth to adulthood. These findings are consistent with the hypothesis that hippocampal subfield dysfunctions could underlie psychotic manifestations in schizophrenia.[20, 21] We discuss the possible relations between gene dysregulation, abnormal hippocampal development, neuropathological findings and clinical symptoms observed in schizophrenics.

Glutamatergic neurotransmission

Glutamatergic pathways are most prominently, although not exclusively, affected in schizophrenia,[19] and alterations of glutamatergic neurotransmission in the hippocampal formation is thought to be associated with some psychotic symptoms observed in schizophrenia.[20, 21] In healthy subjects, ketamine, an NMDA receptor antagonist, produces psychotic symptoms including hallucinations and thought disorders, depersonalization and derealization, as well as negative symptoms like apathy.[64] Ketamine decreases cerebral blood flow in the hippocampus of both control subjects and schizophrenics, reflecting a deactivation of excitatory glutamatergic synapses; this effect is greater in schizophrenics than in controls.[65] Dysfunction of glutamate neurotransmission might also be linked to hippocampus-dependent long-term memory impairments observed in schizophrenics.[66, 67, 68, 69] Interestingly, inhibition of glutamate neurotransmission by ketamine infusion in control subjects disrupts verbal recognition memory and decreases word event-related potentials in the anterior medial temporal lobe.[67]

Accordingly, schizophrenia susceptibility genes regulated in the dentate gyrus, CA3 and CA1 from birth to adulthood belong to functional groups including neurotransmission, and involve more specifically the glutamatergic system. Decreases in AMPA, NMDA and kainate receptor subunits expression have been shown in the dentate gyrus and CA3 of schizophrenics.[49] In contrast, an increase of GRIN2B mRNA expression was reported in several hippocampal regions.[21]

An important group of schizophrenia susceptibility genes regulated in both CA3 and CA1 is related to ‘inflammatory response'. Prenatal infection has been proposed to facilitate the early sensitization of the immune system, which might lead to an increased risk for schizophrenia.[70] Mechanistically, immune system dysfunction might lead to an increase of kynurenine observed in schizophrenic patients.[70] Kynurenine, is a metabolite of tryptophan and is the only known endogenous NMDA receptor antagonist. Inhibition of glutamatergic transmission in the hippocampus might lead to psychotic symptoms like depersonalization, derealization, hallucinations, thought disorders and apathy.[64, 70]

Altogether, these findings suggest that an overall decreased neurotransmission in the main excitatory pathways, as well as a modulation of glutamatergic receptors activity, might lead to the dysfunction of glutamatergic circuits within the hippocampal formation.[20] We discuss specific findings in the dentate gyrus, CA3 and CA1, in turn.

The dentate gyrus

Abnormal expression of schizophrenia susceptibility genes involved in neurogenesis could be linked to the reduced cell proliferation reported in the dentate gyrus of schizophrenics.[71] However, the absence of obvious changes in the total number of neurons[19] suggests that pathogenic factors that induce dentate gyrus dysfunction, and have a role in schizophrenia, are unlikely to impact the initial phase of postnatal developmental neurogenesis and neuronal addition in the granule cell layer (which might correspond to at least the first four postnatal years in humans).[10] Schizophrenia pathology, however, might impact more subtle aspects of neurogenesis and dentate gyrus function at later ages,[20] without resulting in obvious morphological signs of neuropathology.[19] Indeed, the inclusion of the functional group axogenesis in the schizophrenia susceptibility genes regulated in the dentate gyrus might be associated with the observations that there are fewer synaptic contacts formed by dentate mossy fiber terminals in CA3 and that the branched spines of CA3 pyramidal neurons are smaller in schizophrenics.[50] In addition, reduced dysbindin-1 (coded by the gene DTNBP1) expression in the inner molecular layer of the dentate gyrus is also consistent with alterations of intrinsic dentate gyrus pathways.[19, 72]

Disruption of one of the basic functions assigned to the dentate gyrus, pattern separation,[73] has not been reported specifically in schizophrenics. However, disruption of the dentate gyrus projections to CA3 might impact other functions supported by CA3 or CA1. Changes in CA3 mossy fiber synapses in schizophrenics may reduce the functional contribution of the dentate gyrus to hippocampus-dependent memory processes, diminishing dentate gyrus-mediated pattern separation and possibly contributing to or potentiating the CA3-mediated process of pattern completion, leading to the loosening of association. As proposed by others,[20, 21] the relative shift toward pattern completion could advantage inappropriate associations, generate false or illogical memories, and create a susceptibility to psychosis.

CA3

Schizophrenia susceptibility genes regulated in CA3 during postnatal development were included in the functional groups: dendritic morphology, synaptic plasticity and transmission, neuron projection. This is consistent with the alterations in glutamatergic and GABAergic synapses observed in CA3.[49] Specifically, the expression of the glutamate receptor subunits GluA1 (GRIA1), GluA2 (GRIA2), GluN1 (GRIN1), GluK5 (GRIK5) and the vesicular glutamate transporter VGLUT1 (SLC17A7) is lower in the CA3 of schizophrenics, as compared with controls.[49] In contrast, there is a higher expression of GRIN2B mRNA (coding for the GluN2B receptor subunit),[21] a schizophrenia susceptibility gene. A corresponding increase in GluN2B-containing NMDA receptors in CA3 would be consistent with the symptom of loosening of association observed in schizophrenia. Indeed, NMDA receptors containing the GluN2B subunit, exhibit longer opening time than other NMDA receptors. GRIN2B is normally downregulated during postnatal development, which might contribute to the emergence of more selective memory function in adult normal individuals. In adult schizophrenics, increased expression of GluN2B might contribute to the formation of less specific, illogical associations of information.

Accordingly, another functional group of schizophrenia susceptibility genes regulated in CA3 is ‘associative learning'. CA3 is thought to be central for the process of pattern completion.[74] As discussed above, disturbance of pattern completion might contribute to the loosening of association observed in schizophrenics.[75] The majority of schizophrenia susceptibility genes exhibiting lower expression in adults than in newborns in CA3, show a lower expression in adulthood than at any other age. This suggests that CA3 dysfunction might manifest at relatively late developmental stages. This is in agreement with the fact that looseness of association is associated primarily with the acute stage of schizophrenia,[76] which first occurs in late adolescence or early adulthood.

In sum, CA3 pathology might be especially involved in one of the cardinal characteristics of schizophrenia: the loosening of association. The fact that a majority of schizophrenia susceptibility genes exhibit a downregulation of expression relatively late during postnatal development in CA3 is consistent with a late onset and diagnosis of schizophrenia.

CA1

Schizophrenia susceptibility genes regulated in CA1 were included in the functional groups: neurotransmission, dendrite morphology, synaptic plasticity and axogenesis. However, these genes exhibited a downregulation of their expression earlier in CA1, as compared with CA3, and might thus be linked to the early appearance of delusions and other prodromal symptoms. CA1 hyperactivation is thought to result from a dysregulation in dopamine neuromodulation, functionally isolating CA1 from its direct sensory inputs from the entorhinal cortex, and thus leading to a relative increase in the importance of its inputs from CA3. As shown in in vitro slice preparations in rats, dopamine inhibits CA1 pyramidal cells' response to perforant pathway stimulation but not to CA3 Schaffer collateral stimulation.[77] In vivo, this might reduce CA1's response to specific sensory information coming from the entorhinal cortex and lead to a discordant CA1 comparison of the direct sensory input (via projections from the entorhinal cortex) and the predictions based on the contents of long-term memory provided by CA3. CA1 dysregulation, whose early onset is associated with prodromal symptoms, might be exacerbated when disrupted CA3 function manifests at later ages, leading to the progression into a more typical symptomatology compatible with the typical diagnosis of schizophrenia.

Accordingly, a high-resolution functional imaging study recently revealed an increase in cerebral blood flow in CA1 of schizophrenics.[78] Although brain activation also changed in other brain regions, symptom severity correlated with abnormal activity only in CA1. In addition, CA1 hyperactivity signal was predictive of the development of psychosis in a prodromal group (comprises patients who met ultra-high-risk criteria for psychosis) and correlated positively with delusions. This suggests that CA1 hyperactivity might contribute to the generation of delusions and other positive symptoms.[78]

Conclusion

We found that schizophrenia susceptibility genes are significantly more regulated than other genes, and differentially regulated, in the dentate gyrus, CA3 and CA1 from birth to adulthood. These findings are consistent with the hypothesis that the developmental dysregulation of schizophrenia susceptibility genes in distinct hippocampal subfields might be related to the emergence of specific symptoms. A number of schizophrenia susceptibility genes including APOE, BDNF, MTHFR and SLC6A4 are involved in other disorders, and thus likely contribute to nonspecific changes in hippocampal structure and function that must be combined with the dysregulation of other genes in order to lead to schizophrenia pathogenesis.