Yl. Hurd et al., PRODYNORPHIN MESSENGER-RNA EXPRESSION IS INCREASED IN THE PATCH VS MATRIX COMPARTMENT OF THE CAUDATE-NUCLEUS IN SUICIDE SUBJECTS, Molecular psychiatry, 2(6), 1997, pp. 495-500
Experimental and clinical studies suggest an involvement of the opioid
neuropeptide system in psychiatric disorders. Notably, opioid peptide
immunoreactivity is altered in the cerebrospinal fluid of chronic sch
izophrenics and manic-depressive subjects.(1-3) Despite these clinical
findings, few postmortem investigations(4,5) have examined the associ
ation of endogenous opioid neuropeptides with schizophrenia and suicid
e. Anatomically, a tight interaction exists within the neostriatum bet
ween the opioid peptide (dynorphin and enkephalin) system and classica
l neurotransmitters such as dopamine(6) which has been implicated in b
oth the psychotic symptoms and the cognitive deficits that characteriz
e schizophrenia (see review).(7) The neostriatum is differentially org
anized into patch and matrix neurochemical mosaic compartments anatomi
cally connected to limbic-and sensorimotor-related brain regions, resp
ectively.(6,8) Moreover, the human neostriatum is characterized by a h
eterogenous expression of the prodynorphin opioid gene: high in the pa
tch, but low in the matrix compartment.(9,10) The present results show
for the first time a differential alteration of prodynorphin within d
istinct striatal compartments in postmortem tissue from nonschizophren
ic suicide subjects. The prodynorphin patch/matrix mRNA expression was
elevated in the caudate nucleus of suicide subjects as compared to no
rmal controls and schizophrenics in which no alterations in opioid pep
tides or D-1 and D-2 mRNA expression were apparent. Altogether the fin
dings suggest that discrete dysfunction of the endogenous opioid dynor
phin system might contribute to depression and the risk of suicide in
nonschizophrenic subjects.