New Insights Regarding Diagnosis and Medication for Schizophrenia Based on Neuronal Synapse–Microglia Interaction

Schizophrenia is a common psychiatric disorder that usually develops during adolescence and young adulthood. Since genetic and environmental factors are involved in the disease, the molecular status of the pathology of schizophrenia differs across patients. Recent genetic studies have focused on the...

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Main Authors: Naotaka Izuo, Atsumi Nitta
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/11/5/371
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author Naotaka Izuo
Atsumi Nitta
author_facet Naotaka Izuo
Atsumi Nitta
author_sort Naotaka Izuo
collection DOAJ
description Schizophrenia is a common psychiatric disorder that usually develops during adolescence and young adulthood. Since genetic and environmental factors are involved in the disease, the molecular status of the pathology of schizophrenia differs across patients. Recent genetic studies have focused on the association between schizophrenia and the immune system, especially microglia–synapse interactions. Microglia physiologically eliminate unnecessary synapses during the developmental period. The overactivation of synaptic pruning by microglia is involved in the pathology of brain disease. This paper focuses on the synaptic pruning function and its molecular machinery and introduces the hypothesis that excessive synaptic pruning plays a role in the development of schizophrenia. Finally, we suggest a strategy for diagnosis and medication based on modulation of the interaction between microglia and synapses. This review provides updated information on the involvement of the immune system in schizophrenia and proposes novel insights regarding diagnostic and therapeutic strategies for this disease.
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spelling doaj.art-05d5a0729668483aa749c46508a9106c2023-11-21T18:15:15ZengMDPI AGJournal of Personalized Medicine2075-44262021-05-0111537110.3390/jpm11050371New Insights Regarding Diagnosis and Medication for Schizophrenia Based on Neuronal Synapse–Microglia InteractionNaotaka Izuo0Atsumi Nitta1Department of Pharmaceutical Therapy and Neuropharmacology, School of Pharmaceutical Sciences, Graduate School of Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama 930-0194, JapanDepartment of Pharmaceutical Therapy and Neuropharmacology, School of Pharmaceutical Sciences, Graduate School of Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama 930-0194, JapanSchizophrenia is a common psychiatric disorder that usually develops during adolescence and young adulthood. Since genetic and environmental factors are involved in the disease, the molecular status of the pathology of schizophrenia differs across patients. Recent genetic studies have focused on the association between schizophrenia and the immune system, especially microglia–synapse interactions. Microglia physiologically eliminate unnecessary synapses during the developmental period. The overactivation of synaptic pruning by microglia is involved in the pathology of brain disease. This paper focuses on the synaptic pruning function and its molecular machinery and introduces the hypothesis that excessive synaptic pruning plays a role in the development of schizophrenia. Finally, we suggest a strategy for diagnosis and medication based on modulation of the interaction between microglia and synapses. This review provides updated information on the involvement of the immune system in schizophrenia and proposes novel insights regarding diagnostic and therapeutic strategies for this disease.https://www.mdpi.com/2075-4426/11/5/371schizophreniamicrogliasynaptic pruningcomplementCX3CR1medication
spellingShingle Naotaka Izuo
Atsumi Nitta
New Insights Regarding Diagnosis and Medication for Schizophrenia Based on Neuronal Synapse–Microglia Interaction
Journal of Personalized Medicine
schizophrenia
microglia
synaptic pruning
complement
CX3CR1
medication
title New Insights Regarding Diagnosis and Medication for Schizophrenia Based on Neuronal Synapse–Microglia Interaction
title_full New Insights Regarding Diagnosis and Medication for Schizophrenia Based on Neuronal Synapse–Microglia Interaction
title_fullStr New Insights Regarding Diagnosis and Medication for Schizophrenia Based on Neuronal Synapse–Microglia Interaction
title_full_unstemmed New Insights Regarding Diagnosis and Medication for Schizophrenia Based on Neuronal Synapse–Microglia Interaction
title_short New Insights Regarding Diagnosis and Medication for Schizophrenia Based on Neuronal Synapse–Microglia Interaction
title_sort new insights regarding diagnosis and medication for schizophrenia based on neuronal synapse microglia interaction
topic schizophrenia
microglia
synaptic pruning
complement
CX3CR1
medication
url https://www.mdpi.com/2075-4426/11/5/371
work_keys_str_mv AT naotakaizuo newinsightsregardingdiagnosisandmedicationforschizophreniabasedonneuronalsynapsemicrogliainteraction
AT atsuminitta newinsightsregardingdiagnosisandmedicationforschizophreniabasedonneuronalsynapsemicrogliainteraction