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Adenosine augmentation ameliorates psychotic and cognitive endophenotypes of schizophrenia
Hai-Ying Shen, … , Benjamin K. Yee, Detlev Boison
Hai-Ying Shen, … , Benjamin K. Yee, Detlev Boison
Published June 18, 2012
Citation Information: J Clin Invest. 2012;122(7):2567-2577. https://doi.org/10.1172/JCI62378.
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Research Article Neuroscience

Adenosine augmentation ameliorates psychotic and cognitive endophenotypes of schizophrenia

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Abstract

An emerging theory of schizophrenia postulates that hypofunction of adenosine signaling may contribute to its pathophysiology. This study was designed to test the “adenosine hypothesis” of schizophrenia and to evaluate focal adenosine-based strategies for therapy. We found that augmentation of adenosine by pharmacologic inhibition of adenosine kinase (ADK), the key enzyme of adenosine clearance, exerted antipsychotic-like activity in mice. Further, overexpression of ADK in transgenic mice was associated with attentional impairments linked to schizophrenia. We observed that the striatal adenosine A2A receptor links adenosine tone and psychomotor response to amphetamine, an indicator of dopaminergic signaling. Finally, intrastriatal implants of engineered adenosine-releasing cells restored the locomotor response to amphetamine in mice overexpressing ADK, whereas the same grafts placed proximal to the hippocampus of transgenic mice reversed their working memory deficit. This functional double dissociation between striatal and hippocampal adenosine demonstrated in Adk transgenic mice highlights the independent contributions of these two interconnected brain regions in the pathophysiology of schizophrenia and thus provides the rationale for developing local adenosine augmentation therapies for the treatment of schizophrenia.

Authors

Hai-Ying Shen, Philipp Singer, Nikki Lytle, Catherine J. Wei, Jing-Quan Lan, Rebecca L. Williams-Karnesky, Jiang-Fan Chen, Benjamin K. Yee, Detlev Boison

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Figure 6

Adenosine-releasing suprahippocampal cell grafts reverse working memory deficits in Adk-tg mice.

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Adenosine-releasing suprahippocampal cell grafts reverse working memory ...
Working memory of Adk-tg and WT mice was tested using a delayed-alternation task in the T-maze. (A) T-maze score of baseline working memory deficits in untreated Adk-tg mice (n = 10), with a lower percentage of correct choices (48.2%–59.1%) in test 1 through test 3 compared with that of WT mice (n = 13) (68.9%–75.6% correct choices). (B) Suprahippocampal BHK-AK2 cell implants significantly enhanced T-maze performance in Adk-tg mice (n = 10) at test 3, while performance of Adk-tg mice receiving BHK-WT cell grafts remained deficient (n = 8, P < 0.01). (C) Adk-tg mice with intrastriatal BHK-AK2 cell grafts (n = 9) showed impaired working memory (43.0%–55.0% correct choices), similar to that of Adk-tg mice with BHK-WT grafts (41.7%–45.0% correct choices) throughout tests 1 through 3 (n = 8, P > 0.05). The dashed line denotes performance by chance (50%). Data are mean ± SEM. **P < 0.01, versus corresponding group within same test, 2-way ANOVA.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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