The GABAergic system in schizophrenia

Int J Neuropsychopharmacol. 2002 Jun;5(2):159-79. doi: 10.1017/S1461145702002894.

Abstract

A defect in neurotransmission involving gamma-amino butyric acid (GABA) in schizophrenia was first proposed in the early 1970s. Since that time, a considerable effort has been made to find such a defect in components of the GABAergic system. After a brief introduction focusing on historical perspectives, this paper reviews post-mortem and other biological studies examining the following components of the GABAergic system in schizophrenic subjects: the GABA biosynthetic enzyme, glutamate decarboxylase; free GABA; the GABA transporter; the GABAA, GABAB and benzodiazepine receptors; and the catabolic enzyme GABA transaminase. Additionally, post-mortem studies using morphology or calcium-binding protein to identify GABAergic neurons are also reviewed. Substantial evidence argues for a defect in the GABAergic system of the frontal cortex in schizophrenia which is limited to the parvalbumin-class of GABAergic interneurons.

Publication types

  • Review

MeSH terms

  • 4-Aminobutyrate Transaminase / metabolism
  • Calcium-Binding Proteins / metabolism
  • Cell Count
  • Glutamate Decarboxylase / metabolism
  • Humans
  • Neurons / drug effects
  • Neurons / metabolism
  • Receptors, GABA-A / drug effects
  • Receptors, GABA-A / metabolism
  • Schizophrenia / cerebrospinal fluid
  • Schizophrenia / metabolism
  • Schizophrenia / physiopathology*
  • gamma-Aminobutyric Acid / cerebrospinal fluid
  • gamma-Aminobutyric Acid / metabolism
  • gamma-Aminobutyric Acid / physiology*

Substances

  • Calcium-Binding Proteins
  • Receptors, GABA-A
  • gamma-Aminobutyric Acid
  • 4-Aminobutyrate Transaminase
  • Glutamate Decarboxylase