Abstract

BackgroundVariation of the gene coding for D2 receptors (DRD2) has been associated with risk for schizophrenia and with working memory deficits. A functional intronic SNP (rs1076560) predicts relative expression of the two D2 receptors isoforms, D2S (mainly pre-synaptic) and D2L (mainly post-synaptic). However, the effect of functional genetic variation of DRD2 on striatal dopamine D2 signaling and on its correlation with prefrontal activity during working memory in humans is not known.MethodsThirty-seven healthy subjects were genotyped for rs1076560 (G>T) and underwent SPECT with [123I]IBZM (which binds primarily to post-synaptic D2 receptors) and with [123I]FP-CIT (which binds to pre-synaptic dopamine transporters, whose activity and density is also regulated by pre-synaptic D2 receptors), as well as BOLD fMRI during N-Back working memory.ResultsSubjects carrying the T allele (previously associated with reduced D2S expression) had striatal reductions of [123I]IBZM and of [123I]FP-CIT binding. DRD2 genotype also differentially predicted the correlation between striatal dopamine D2 signaling (as identified with factor analysis of the two radiotracers) and activity of the prefrontal cortex during working memory as measured with BOLD fMRI, which was positive in GG subjects and negative in GT.ConclusionsOur results demonstrate that this functional SNP within DRD2 predicts striatal binding of the two radiotracers to dopamine transporters and D2 receptors as well as the correlation between striatal D2 signaling with prefrontal cortex activity during performance of a working memory task. These data are consistent with the possibility that the balance of excitatory/inhibitory modulation of striatal neurons may also affect striatal outputs in relationship with prefrontal activity during working memory performance within the cortico-striatal-thalamic-cortical pathway.

Highlights

  • Susceptibility to schizophrenia is explained for the largest fraction by genetic variation [1]

  • Factor Analysis demonstrated that both data from [123I]IBZM and [123I]FP-CIT basal ganglia ROIs load into one factor (GG N = 21, GT N = 11, Factor loading for [123I] FP-CIT = 0.76, factor loading for [123I] IBZM = 0.76, Eigenvalue 1.16, 58% Total Variance) which presumably reflects dopamine D2 signaling

  • In an effort to test the specificity of the association with DRD2, SPECT data were grouped and analyzed for COMT Val158Met genotype

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Summary

Introduction

Susceptibility to schizophrenia is explained for the largest fraction by genetic variation [1]. Working memory deficits in schizophrenia have been associated with dysfunction of the prefrontal cortex [7,8] and of the dopamine system [4,6]. Several authors have hypothesized that altered working memory performance and related prefrontal activity can be part of a systems level pathophysiological mechanism involving dopamine D2 receptors in the striatum [4,6]. The key anatomical and molecular mechanisms regulating the relationship between DRD2 genetic risk, dopamine dysregulation of D2 signaling, and working memory dysfunction remain undetermined. Variation of the gene coding for D2 receptors (DRD2) has been associated with risk for schizophrenia and with working memory deficits. The effect of functional genetic variation of DRD2 on striatal dopamine D2 signaling and on its correlation with prefrontal activity during working memory in humans is not known

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