Schizophrenia patients from high risk families: one childhood onset schizophrenia; two affected siblings (one schizophrenia and one schizoaffective disorder); one adult schizophrenia patient |
Glutamatergic (70%), GABAergic (30%), dopaminergic less than 10% |
1–3 months |
Reduced dendritic number, neuronal connectivity and dendritic spines. Lower expression of glutamate receptors subunits GRIK1, GRIN2A, GRM7. Defective Wnt (e.g., decreased WNT7A) and cAMP signaling (e.g., increased PDE4D, PDE7B) |
Loxapine (10 μM) increases neuronal connectivity |
Clozapine (5 μM) Olanzapine (1 μM) Risperidone (10 μM) Thioridazine (5 μM) |
Brennand et al., 2011 |
Members of a DISK 1 mutation family: one schizophrenia patient, one patient with ajor depression and two unaffected subjects. Isogenic iPSc lines |
Glutamatergic (90%), very few GABAergic and dopaminergic |
Up to 6 weeks |
Reduced synaptic vesicle protein SV2 density, reduced vesicle release (FM1-43) and spontaneous ESP. Increase expression of SYN2 SYN3, SYP, SYNPR, NRXN1, VAMP2. Increase expression of transcription factor MEF2C. |
Rolipram, reverses synaptic deficit |
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Wen et al., 2014, 2017
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Monozygotic twin patients with treatment resistant schizophrenia, one responder to clozapine and one non-responder |
Tuj1 positive neurons |
2 weeks following Ngn2 overexpression |
Reduced homophilic cell adhesion molecules (e.g., CDH8, DSC) protocadherin genes. |
Clozapine (1 μM), differential gene expression between responder and not responder to clinical treatment |
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Nakazawa et al., 2017 |
Nine patients with treatment resistant schizophrenia and nine healthy donors |
GABAergic cortical interneurons |
6–8 weeks |
Reduced ND2 and ND4L NADH dehydrogenases (complex I) Decrease mitochondrial function (maximal respiration and reserve capacity) Increased oxidative stress |
Acetyl-l-carnitine, significant increases maximal respiration and reserve capacity Ameliorate arborization deficits |
Omega-3 fatty acids, coenzyme Q10, N-acetyl cysteine, α-tocopherol |
Ni et al., 2019 |