The Trace Kynurenine, Cinnabarinic Acid, Displays Potent Antipsychotic-Like Activity in Mice and Its Levels Are Reduced in the Prefrontal Cortex of Individuals Affected by Schizophrenia

Author:

Ulivieri Martina1,Wierońska Joanna Monika2,Lionetto Luana3,Martinello Katiuscia1,Cieslik Paulina2,Chocyk Agnieszka2,Curto Martina456,Di Menna Luisa1,Iacovelli Luisa7,Traficante Anna1,Liberatore Francesca7,Mascio Giada1,Antenucci Nico7,Giannino Giuseppe8,Vergassola Matteo9,Pittaluga Anna910,Bruno Valeria17,Battaglia Giuseppe17,Fucile Sergio17,Simmaco Maurizio3,Nicoletti Ferdinando17,Pilc Andrzej2,Fazio Francesco1

Affiliation:

1. I.R.C.C.S. Neuromed, Pozzilli, Italy

2. Institute of Pharmacology, Polish Academy of Sciences, Kraków, Poland

3. Department of Medical-Surgical Sciences and Translational Medicine, DiMA (Advanced Molecular Diagnosis), Sant’Andrea Hospital—Sapienza University, Rome, Italy

4. Department of Neurology and Psychiatry, Sapienza University, Rome, Italy

5. Department of Clinical and Molecular Medicine, Sapienza University, Rome, Italy

6. Bipolar & Psychotic Disorders Program, McLean Hospital, Belmont, MA

7. Department of Physiology and Pharmacology, Sapienza University, Rome, Italy

8. School of Medicine and Psychology NESMOS Department, Sant’Andrea Hospital, Sapienza University, Rome, Italy

9. Department of Pharmacy, DiFAR, University of Genoa, Genoa, Italy

10. I.R.C.C.S. San Martino Hospital, Genoa, Italy

Abstract

Abstract Cinnabarinic acid (CA) is a kynurenine metabolite that activates mGlu4 metabotropic glutamate receptors. Using a highly sensitive ultra-performance liquid chromatography/tandem mass spectrometry (UPLC/MS-MS) method, we found that CA is present in trace amounts in human brain tissue. CA levels were largely reduced in the prefrontal cortex (PFC) of individuals affected by schizophrenia. This reduction did not correlate with age, sex, duration of the disease, and duration and type of antipsychotic medication and might, therefore, represent a trait of schizophrenia. Interestingly, systemic treatment with low doses of CA (<1 mg/kg, i.p.) showed robust efficacy in several behavioral tests useful to study antipsychotic-like activity in mice and rats and attenuated MK-801-evoked glutamate release. CA failed to display antipsychotic-like activity and inhibit excitatory synaptic transmission in mice lacking mGlu4 receptors. These findings suggest that CA is a potent endogenous antipsychotic-like molecule and reduced CA levels in the PFC might contribute to the pathophysiology of schizophrenia.

Funder

Italian Ministry of Health

National Institutes of Health

National Institute of Mental Health

National Institute of Neurological Diseases and Stroke

National Institute on Aging

Eunice Kennedy Shriver National Institute of Child Health and Human Development

Publisher

Oxford University Press (OUP)

Subject

Psychiatry and Mental health

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