37Lower pH is a well-replicated finding in the postmortem brains of patients with schizophrenia and 38 bipolar disorder. Interpretation of the data, however, is controversial as to whether this finding 39 reflects a primary feature of the diseases or is a result of confounding factors such as medication, 40 postmortem interval, and agonal state. To date, systematic investigation of brain pH has not been 41 undertaken using animal models, which can be studied without confounds inherent in human studies. 42In the present study, we first confirmed that the brains of patients with schizophrenia and bipolar 43 disorder exhibit lower pH values by conducting a meta-analysis of existing datasets. We then 44utilized neurodevelopmental mouse models of psychiatric disorders in order to test the hypothesis 45 that lower brain pH exists in these brains compared to controls due to the underlying 46 pathophysiology of the disorders. We measured pH, lactate levels, and related metabolite levels in 47 brain homogenates from three mouse models of schizophrenia (Schnurri-2 KO, forebrain-specific 48 calcineurin KO, and neurogranin KO mice) and one of bipolar disorder (Camk2a HKO mice), and 49 one of autism spectrum disorders (Chd8 HKO mice). All mice were drug-naïve with the same 50 postmortem interval and agonal state at death. Upon postmortem examination, we observed 51 significantly lower pH and higher lactate levels in the brains of model mice relative to controls. 52There was a significant negative correlation between pH and lactate levels. These results suggest 53 that lower pH associated with increased lactate levels is a pathophysiology of such diseases rather 54 than mere artifacts. 55
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CC-BY-NC-ND 4.0 International license peer-reviewed) is the author/funder. It is made available under aThe copyright holder for this preprint (which was not . http://dx.doi.org/10.1101/083550 doi: bioRxiv preprint first posted online Oct. 26, 2016; 4 Introduction 57 Schizophrenia, bipolar disorder, and autism spectrum disorders (ASD) are highly heritable 58 psychiatric conditions, with clinical features transcending diagnostic categories 1,2 . Accumulating 59 evidence indicates that some genetic influences [3][4][5][6] , gene expression abnormalities 7,8 , and neuronal 60 dysfunctions 9,10 associated with these conditions overlap, suggesting a common underlying 61 biological basis. However, the shared neurobiological alterations among the three conditions remain 62 largely unknown. 63
64A number of postmortem studies have indicated that pH is lower in the brains of patients with 65 schizophrenia and bipolar disorder 8,[11][12][13][14][15][16][17][18][19] . Lower brain pH has also been observed in patients with 66 ASD 20 . In general, pH balance is considered critical for maintaining optimal health, and low pH has 67 been associated with a number of somatic disorders [21][22][23] . Therefore, it is reasonable to assume that 68 lower pH may exert a negative impact on brain function and play a key role in the pathogenesis of 6...