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Differential display polymerase chain reaction reveals increased expression of striatal rat glia-derived nexin following chronic clozapine treatment

ABSTRACT

Clozapine is considered a prototype of the ‘so-called’ atypical antipsychotic drug class. It has affinity for a broad range of receptors and, in comparison to typical antipsychotic drugs, produces less extrapyramidal side effects. However, its mechanism of action remains unclear. Differential display polymerase chain reaction (ddPCR) was implemented in this study to contribute to the current understanding of this mechanism at the genetic level and to identify novel genes regulated by clozapine. This technique generated approximately 2400 gene sequences that were analyzed for differential gene expression following protracted clozapine treatment. One of these sequences, originally termed Clozapine Regulated Gene (CRG), was shown to be significantly upregulated following the treatment. Northern hybridization confirmation of this finding revealed that chronic clozapine administration caused a five-fold increase in CRG mRNA. Elongation of the 5′- and 3′-ends of CRG indicated that the fragment was in fact rat glia-derived nexin mRNA. Western blotting demonstrated that levels of the mRNA's associated protein also increased comparably (three-fold) following chronic treatment with the antipsychotic drug. This study presents a possible neuroprotective role of nexin in clozapine treatment, particularly in the prevention of neuronal proteolytic degradation, since nexin has been shown to be a protease inhibitor.

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Abbreviations

CRG:

clozapine regulated gene

ddPCR:

differential display polymerase chain reaction

RACE-PCR:

rapid amplification of cDNA ends polymerase chain reaction

RGDN:

rat glia-derived nexin

References

  1. Kennedy E, Song F, Hunter R, Clarke A, Gilbody S . Risperidone versus typical antipsychotic medication for schizophrenia. Cochrane Database Syst Rev 2000; CD000440.

  2. Davis KL, Kahn RS, Ko G, Davidson M . Dopamine in schizophrenia: a review and reconceptualization. Am J Psychiatry 1991; 148: 1474–1486.

    Article  CAS  Google Scholar 

  3. Tollefson GD, Beasley Jr CM, Tamura RN, Tran PV, Potvin JH . Blind, controlled, long-term study of the comparative incidence of treatment-emergent tardive dyskinesia with olanzapine or haloperidol. Am J Psychiatry 1997; 154: 1248–1254.

    Article  CAS  Google Scholar 

  4. Moller HJ . Atypical neuroleptics: a new approach in the treatment of negative symptoms. Eur Arch Psychiatry Clin Neurosci 1999; 249 (Suppl 4): 99–107.

    Article  Google Scholar 

  5. Masellis M, Basile VS, Ozdemir V, Meltzer HY, Macciardi FM, Kennedy JL . Pharmacogenetics of antipsychotic treatment: lessons learned from clozapine. Biol Psychiatry 2000; 47: 252–266.

    Article  CAS  Google Scholar 

  6. Ashby Jr CR, Wang RY . Pharmacological actions of the atypical antipsychotic drug clozapine: a review. Synapse 1996; 24: 349–394.

    Article  CAS  Google Scholar 

  7. Kapur S, Seeman P . Does fast dissociation from the dopamine d(2) receptor explain the action of atypical antipsychotics? A new hypothesis. Am J Psychiatry 2001; 158: 360–369.

    Article  CAS  Google Scholar 

  8. Stein S, Liang P . Differential display analysis of gene expression in mammals: a p53 story. Cell Mol Life Sci 2002; 59: 1274–1279.

    Article  CAS  Google Scholar 

  9. Fischer V, Schmitt U, Weigmann H, Von Keller B, Reuss S, Hiemke C et al. Chronical haloperidol and clozapine treatment in rats: differential RNA display analysis, behavioral studies and serum level determination. Prog Neuropsychopharmacol Biol Psychiatry 1998; 22: 1129–1139.

    Article  CAS  Google Scholar 

  10. Hippius H . A historical perspective of clozapine. J Clin Psychiatry 1999; 60 (Suppl 12): 22–23.

    PubMed  Google Scholar 

  11. Tuunainen A, Wahlbeck K, Gilbody S . Newer atypical antipsychotic medication in comparison to clozapine: a systematic review of randomized trials. Schizophr Res 2002; 56: 1–10.

    Article  Google Scholar 

  12. Zhang W, Tilson H, Stachowiak MK, Hong JS . Repeated haloperidol administration changes basal release of striatal dopamine and subsequent response to haloperidol challenge. Brain Res 1989; 484: 389–392.

    Article  CAS  Google Scholar 

  13. Costain WJ, Mishra RK . PLG regulates hnRNP-L expression in the rat striatum and pre-frontal cortex: identification by ddPCR. Peptides 2003; 24: 137–146.

    Article  CAS  Google Scholar 

  14. Knauer MF, Crisp RJ, Kridel SJ, Knauer DJ . Analysis of a structural determinant in thrombin-protease nexin 1 complexes that mediates clearance by the low density lipoprotein receptor-related protein. J Biol Chem 1999; 274: 275–281.

    Article  CAS  Google Scholar 

  15. Wagner SL, Van Nostrand WE, Lau AL, Farrow JS, Suzuki M, Bartus RT et al. Co-distribution of protease nexin-1 and protease nexin-2 in brains of non-human primates. Brain Res 1993; 626: 90–98.

    Article  CAS  Google Scholar 

  16. Abraham CR, Selkoe DJ, Potter H . Immunochemical identification of the serine protease inhibitor alpha 1-antichymotrypsin in the brain amyloid deposits of Alzheimer's disease. Cell 1988; 52: 487–501.

    Article  CAS  Google Scholar 

  17. Otsuki T, Kajigaya S, Ozawa K, Liu JM . SNX5, a new member of the sorting nexin family, binds to the Fanconi anemia complementation group A protein. Biochem Biophys Res Commun 1999; 265: 630–635.

    Article  CAS  Google Scholar 

  18. Maes M, Goossens F, Scharpe S, Calabrese J, Desnyder R, Meltzer HY . Alterations in plasma prolyl endopeptidase activity in depression, mania, and schizophrenia: effects of antidepressants, mood stabilizers, and antipsychotic drugs. Psychiatry Res 1995; 58: 217–225.

    Article  CAS  Google Scholar 

  19. Turgeon VL, Houenou LJ . The role of thrombin-like (serine) proteases in the development, plasticity and pathology of the nervous system. Brain Res Brain Res Rev 1997; 25: 85–95.

    Article  CAS  Google Scholar 

  20. Andreassen OA, Jorgensen HA . Neurotoxicity associated with neuroleptic-induced oral dyskinesias in rats. Implications for tardive dyskinesia? Prog Neurobiol 2000; 61: 525–541.

    Article  CAS  Google Scholar 

  21. Roberts RC, Gaither LA, Gao XM, Kashyap SM, Tamminga CA . Ultrastructural correlates of haloperidol-induced oral dyskinesias in rat striatum. Synapse 1995; 20: 234–243.

    Article  CAS  Google Scholar 

  22. Konkoy CS, Oakes MG, Davis TP . Chronic treatment with neuroleptics alters neutral endopeptidase 24.11 activity in rat brain regions. Peptides 1993; 14: 1017–1020.

    Article  CAS  Google Scholar 

  23. Welches WR, Brosnihan KB, Ferrario CM . A comparison of the properties and enzymatic activities of three angiotensin processing enzymes: angiotensin converting enzyme, prolyl endopeptidase and neutral endopeptidase 24.11. Life Sci 1993; 52: 1461–1480.

    Article  CAS  Google Scholar 

  24. Schwartz JT, Brotman AW . A clinical guide to antipsychotic drugs. Drugs 1992; 44: 981–992.

    Article  CAS  Google Scholar 

  25. Nordstrom AL, Farde L, Halldin C . Time course of D2-dopamine receptor occupancy examined by PET after single oral doses of haloperidol. Psychopharmacology (Berl) 1992; 106: 433–438.

    Article  CAS  Google Scholar 

  26. Breier A, Buchanan RW, Irish D, Carpenter Jr WT . Clozapine treatment of outpatients with schizophrenia: outcome and long-term response patterns. Hosp Community Psychiatry 1993; 44: 1145–1149.

    CAS  PubMed  Google Scholar 

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Acknowledgements

This work was supported by the Ontario Mental Health Foundation and National Institutes of Health (USA). RKM is a recipient of the senior fellowship of the Ontario Mental Health Foundation. VZC is a recipient of the NSERC Canada Graduate Scholarship.

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Correspondence to R K Mishra.

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Chong, V., Costain, W., Marriott, J. et al. Differential display polymerase chain reaction reveals increased expression of striatal rat glia-derived nexin following chronic clozapine treatment. Pharmacogenomics J 4, 379–387 (2004). https://doi.org/10.1038/sj.tpj.6500274

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