Sh. Fatemi et al., Reduction in Reelin immunoreactivity in hippocampus of subjects with schizophrenia, bipolar disorder and major depression, MOL PSYCHI, 5(6), 2000, pp. 654-663
Accumulation of neurobiological knowledge points to neurodevelopmental orig
ins for certain psychotic and mood disorders. Recent landmark postmortem re
ports implicate Reelin, a secretory glycoprotein responsible for normal lam
ination of brain, in the pathology of schizophrenia and bipolar disorders.
We employed quantitative immunocytochemistry to measure levels of Reelin pr
otein in various compartments of hippocampal formation in subjects diagnose
d with schizophrenia, bipolar disorder and major depression compared to nor
mal controls. Significant reductions were observed in Reelin-positive adjus
ted cell densities in the dentate molecular layer (ANOVA, P < 0.001), CA4 a
rea (ANOVA, P < 0.001), total hippocampal area (ANOVA, P < 0.038) and in Re
elin-positive cell counts in CA4 (ANOVA, P < 0.042) of schizophrenics vs co
ntrols. Adjusted Reelin-positive cell densities were also reduced in CA4 ar
eas of subjects with bipolar disorder (ANOVA, P < 0.001) and nonsignificant
ly in those with major depression. CA4 areas were also significantly reduce
d in schizophrenic (ANOVA, P < 0.009) patients. No significant effects of c
onfounding variables were found. The exception was that family history of p
sychiatric illness correlated strongly with Reelin reductions in several ar
eas of hippocampus (CA4, adjusted cell density, F = 13.77, P = 0.001), We p
resent new immunocytochemical evidence showing reductions in Reelin express
ion in hippocampus of subjects with schizophrenia, bipolar disorder and maj
or depression and confirm recent reports documenting a similar deficit invo
lving Reelin expression in brains of subjects with schizophrenia and bipola
r disorder.