Journal Article

Functional variants of the dopamine receptor D2 gene modulate prefronto-striatal phenotypes in schizophrenia

Alessandro Bertolino, Leonardo Fazio, Grazia Caforio, Giuseppe Blasi, Antonio Rampino, Raffaella Romano, Annabella Di Giorgio, Paolo Taurisano, Audrey Papp, Julia Pinsonneault, Danxin Wang, Marcello Nardini, Teresa Popolizio and Wolfgang Sadee

in Brain

Published on behalf of The Guarantors of Brain

Volume 132, issue 2, pages 417-425
Published in print February 2009 | ISSN: 0006-8950
Published online October 2008 | e-ISSN: 1460-2156 | DOI: http://dx.doi.org/10.1093/brain/awn248
Functional variants of the dopamine receptor D2 gene modulate prefronto-striatal phenotypes in schizophrenia

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Dopamine D2 receptor signalling is strongly implicated in the aetiology of schizophrenia. We have recently characterized the function of three DRD2 SNPs: rs12364283 in the promoter affecting total D2 mRNA expression; rs2283265 and rs1076560, respectively in introns 5 and 6, shifting mRNA splicing to two functionally distinct isoforms, the short form of D2 (D2S) and the long form (D2L). These two isoforms differentially contribute to dopamine signalling in prefrontal cortex and in striatum. We performed a case–control study to determine association of these variants and of their main haplotypes with several schizophrenia-related phenotypes. We demonstrate that the minor allele in the intronic variants is associated with reduced expression of %D2S of total mRNA in post-mortem prefrontal cortex, and with impaired working memory behavioural performance, both in patients and controls. However, the fMRI results show opposite effects in patients compared with controls: enhanced engagement of prefronto-striatal pathways in controls and reduced activity in patients. Moreover, the promoter variant is also associated with working memory activity in prefrontal cortex and striatum of patients, and less robustly with negative symptoms scores. Main haplotypes formed by the three DRD2 variants showed significant associations with these phenotypes consistent with those of the individual SNPs. Our results indicate that the three functional DRD2 variants modulate schizophrenia phenotypes possibly by modifying D2S/D2L ratios in the context of different total D2 density.

Keywords: dopamine; D2 receptor; working memory; prefrontal cortex; striatum

Journal Article.  5201 words.  Illustrated.

Subjects: Neurology ; Neuroscience

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