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Chemical & Engineering News Digital Edition - January 18, 2010

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COURTESY OF SABINE BAHN<br />

BECAUSE SCHIZOPHRENIA is a psychiatric<br />

disorder, its physical manifestations<br />

must all be in the brain, right? Maybe not.<br />

Proteomic studies using cells from other<br />

parts of the body are showing that there<br />

might be a systemic aspect of the disorder.<br />

The ability to use nonbrain cells to study<br />

schizophrenia could make it easier to find<br />

biomarkers of the disease and to develop<br />

diagnostic tools.<br />

To date, most studies of the disorder<br />

have been done with brain tissue taken<br />

from schizophrenia patients after death. A<br />

major drawback of such studies is that the<br />

tissue might no longer reflect the circumstances<br />

that existed while the patient was<br />

still alive.<br />

“The problem with psychiatric disorders<br />

is that you can’t take biopsies at different<br />

disease stages,” says Sabine Bahn, director<br />

of the Cambridge Institute for Psychiatric<br />

Research at the University of Cambridge.<br />

“Patients would not be too happy to have<br />

pieces of brain taken at different time<br />

points.”<br />

Bahn and her colleagues are investigating<br />

disease markers in tissues such as skin,<br />

immune cells, and blood serum to find<br />

samples that give a real-time picture of the<br />

disease. Their studies of protein expression<br />

in fibroblasts (skin cells) on schizophrenia<br />

SCIENCE & TECHNOLOGY<br />

A SYSTEMIC LOOK<br />

AT SCHIZOPHRENIA<br />

Proteomic analysis of PERIPHERAL CELLS<br />

reveals aspects of psychiatric disorder<br />

CELIA HENRY ARNAUD , C&EN WASHINGTON<br />

patients’ arms have identified systemic<br />

problems such as cell-cycle abnormalities<br />

( J. Proteome Res. <strong>2010</strong>, 9, 521).<br />

“It’s clear that schizophrenia has a very<br />

strong genetic component,” Bahn says.<br />

“Most genes are not used only in the brain.<br />

If there is an underlying abnormality at<br />

the genetic level that leads to pathology<br />

in the brain, the assumption can be made<br />

that there should also be dysregulation in<br />

the peripheral system. It may not lead to<br />

pathology, but it may reflect the pathology<br />

in the brain.”<br />

Bahn and her coworkers have seen that<br />

40% of the changes observed in the brains<br />

of schizophrenia patients also occur in the<br />

peripheral systems. The affected pathways<br />

include cell replication, immune function,<br />

and glucose metabolism.<br />

“We were pleased that some of our previous<br />

findings could be reproduced in the<br />

fibroblast system,” Bahn says. “It was reassuring<br />

that we can trace central nervous<br />

system abnormalities in the peripheral<br />

system.”<br />

Bahn started out working with fibroblasts,<br />

but she is now using immune cells<br />

in her schizophrenia studies. Skin cells are<br />

easier to culture than immune cells, but<br />

the latter have the advantage that they are<br />

involved in more signaling pathways. Im-<br />

WWW.CEN-ONLINE.ORG 26 JANUARY <strong>18</strong>, <strong>2010</strong><br />

PROTEOMICS<br />

IN PINK Bahn<br />

(right) and<br />

students<br />

Melanie Beer<br />

(left) and Agnes<br />

Ernst analyze<br />

proteomic data.<br />

mune cells are “much<br />

more similar to neurons<br />

in the way they have to<br />

communicate with other<br />

cells,” Bahn says.<br />

Other researchers<br />

see both advantages and<br />

disadvantages in using<br />

peripheral cells to study<br />

schizophrenia. “Differentially expressed<br />

proteins in blood and cerebrospinal fluid<br />

might be used as good biomarkers, but<br />

they are not always as informative as brain<br />

proteins regarding an understanding of the<br />

disease,” says Daniel Martins-de-Souza, a<br />

schizophrenia researcher at Max Planck<br />

Institute of Psychiatry, in Munich.<br />

EARLIER STUDIES from other labs suggest<br />

that the link between neural cells and<br />

peripheral cells might not be so clear cut.<br />

In a gene expression study using white<br />

blood cells and skin cells from schizophrenia<br />

patients and control individuals,<br />

Nicholas A. Matigian and coworkers of<br />

Queensland Institute of Medical Research,<br />

in Australia, found no convergent set of differentially<br />

expressed genes in the different<br />

cell types ( PLoS One 2008, 3, e2412). The<br />

lack of a common set of changes in white<br />

blood cells and fibroblasts “weakens the<br />

case that these nonneuronal tissue sources<br />

are informative for detecting the underlying<br />

causative genetic and epigenetic<br />

changes responsible for” schizophrenia,<br />

the researchers wrote.<br />

Bahn nevertheless believes peripheralcell-based<br />

diagnostics will be useful. She<br />

and her coworkers have identified schizophrenia<br />

biomarkers in serum, and working<br />

with the company Rules-Based Medicine,<br />

located in Austin, Texas, and Lake Placid,<br />

N.Y., she expects that a serum-based test to<br />

aid in the diagnosis of schizophrenia will be<br />

launched sometime this year.<br />

“We’ve identified a signature of numerous<br />

protein biomarkers, which give<br />

a very high sensitivity and specificity,”<br />

Bahn says. “We’ve looked at hundreds<br />

of samples from patients and controls<br />

and other disorders that are related to<br />

schizophrenia.”<br />

The test would help confirm diagnoses<br />

made on the basis of conventional methods.<br />

“The customary window is often a<br />

delay of several years until someone is<br />

confirmed and diagnosed,” Bahn says. “We<br />

know very well that if patients are treated<br />

early in the disease process, we improve<br />

outcome.” ■

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