Context
Disturbances in markers of cortical GABA neurotransmission are a common finding in schizophrenia. The nature of GABA neurotransmission (hyperpolarizing or depolarizing) depends on the local intracellular Cl− concentration. In the central nervous system, the intracellular Cl− level is determined by the activity of two cation-chloride transporters, NKCC1 and KCC2. The activities of these transporters are in turn regulated by a network of serine-threonine kinases that includes OXSR1, STK39 and the WNK kinases WNK1, 3 and 4.
Objective
To compare the levels of NKCC1, KCC2, OXSR1, STK39, WNK1, WNK3 and WNK4 transcripts in prefrontal cortex area 9 between schizophrenia and normal comparison subjects.
Design
Real-time qPCR technique was used to measure transcript levels in prefrontal cortex.
Setting
Human brain specimens were obtained from autopsies conducted at the Allegheny County Medical Examiner’s Office, Pittsburgh, PA.
Participants
Postmortem brain specimens from 42 subjects with schizophrenia and 42 matched normal comparison subjects. Brain specimens from 18 macaque monkeys chronically exposed to haloperidol, olanzapine, or sham.
Main outcome measures
Relative expression levels for NKCC1, KCC2, OXSR1, STK39, WNK1, WNK3 and WNK4 transcripts compared to the mean expression level of three housekeeping transcripts.
Results
OXSR1 and WNK3 transcripts were substantially over-expressed in schizophrenia relative to comparison subjects. In contrast, NKCC1, KCC2, STK39, WNK1 and WNK4 transcript levels did not differ between subject groups. OXSR1 and WNK3 transcript expression levels were not changed in antipsychotic-exposed monkeys and were not affected by potential confounding factors in the subjects with schizophrenia.
Conclusions
In schizophrenia, increased expression levels, and possibly increased kinase activities, of OXSR1 and WNK3 may shift the balance of chloride transport by NKCC1 and KCC2 and alter the nature of GABA neurotransmission in the prefrontal cortex.