Reduced Binding Potential of GABA-A/Benzodiazepine Receptors in Individuals at Ultra-high Risk for Psychosis: An [18F]-Fluoroflumazenil Positron Emission Tomography Study

Altered transmission of gamma-aminobutyric acid (GABA), a major inhibitory neurotransmitter, may contribute to the development of schizophrenia. The purpose of the present study was to investigate the presence of GABA-A/benzodiazepine (BZ) receptor binding abnormalities in individuals at ultra-high...

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Veröffentlicht in:Schizophrenia bulletin 2014-05, Vol.40 (3), p.548-557
Hauptverfasser: JEE IN KANG, PARK, Hae-Jeong, SE JOO KIM, KYUNG RAN KIM, SU YOUNG LEE, EUN LEE, SUK KYOON AN, JUN SOO KWON, JONG DOO LEE
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container_end_page 557
container_issue 3
container_start_page 548
container_title Schizophrenia bulletin
container_volume 40
creator JEE IN KANG
PARK, Hae-Jeong
SE JOO KIM
KYUNG RAN KIM
SU YOUNG LEE
EUN LEE
SUK KYOON AN
JUN SOO KWON
JONG DOO LEE
description Altered transmission of gamma-aminobutyric acid (GABA), a major inhibitory neurotransmitter, may contribute to the development of schizophrenia. The purpose of the present study was to investigate the presence of GABA-A/benzodiazepine (BZ) receptor binding abnormalities in individuals at ultra-high risk (UHR) for psychosis in comparison with normal controls using [(18)F]-fluoroflumazenil (FFMZ) positron emission tomography (PET). In particular, we set regions of interest in the striatum (caudate, putamen, and nucleus accumbens) and medial temporal area (hippocampus and parahippocampal gyrus). Eleven BZ-naive people at UHR and 15 normal controls underwent PET scanning using [(18)F]-FFMZ to measure GABA-A/BZ receptor binding potential. The regional group differences between UHR individuals and normal controls were analyzed using Statistical Parametric Mapping 8 software. Participants were evaluated using the structured interview for prodromal syndromes and neurocognitive function tasks. People at UHR demonstrated significantly reduced binding potential of GABA-A/BZ receptors in the right caudate. Altered GABAergic transmission and/or the imbalance of inhibitory and excitatory systems in the striatum may be present at the putative prodromal stage and play a pivotal role in the pathophysiology of psychosis.
doi_str_mv 10.1093/schbul/sbt052
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection
subjects Adolescent
Adult and adolescent clinical studies
Biological and medical sciences
Brain - diagnostic imaging
Brain - metabolism
Case-Control Studies
Caudate Nucleus - diagnostic imaging
Caudate Nucleus - metabolism
Female
Flumazenil - analogs & derivatives
Flumazenil - metabolism
gamma-Aminobutyric Acid - metabolism
Hippocampus - diagnostic imaging
Hippocampus - metabolism
Humans
Male
Medical sciences
Nucleus Accumbens - diagnostic imaging
Nucleus Accumbens - metabolism
Parahippocampal Gyrus - diagnostic imaging
Parahippocampal Gyrus - metabolism
Positron-Emission Tomography
Prodromal Symptoms
Protein Binding
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Putamen - diagnostic imaging
Putamen - metabolism
Receptors, GABA-A - metabolism
Regular
Risk
Schizophrenia
Schizophrenia - diagnostic imaging
Schizophrenia - metabolism
Young Adult
title Reduced Binding Potential of GABA-A/Benzodiazepine Receptors in Individuals at Ultra-high Risk for Psychosis: An [18F]-Fluoroflumazenil Positron Emission Tomography Study
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