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New Study Reveals Unknown Side Of Schizophrenia

New research examines the brains of people with schizophrenia and finds disrupted patterns of
expression in genes linked with sleep-wake cycles.
Worldwide, schizophrenia is one of the top 15 leading causes of disability, affecting about 1% of
the world's population.
In the United States, slightly more than 1% of adults, about 3 million, maybe living with
schizophrenia, according to some estimates.
The condition causes several symptoms, including impaired thought processes, emotions, and
social behavior. People with schizophrenia also frequently experience insomnia and disrupted
sleep-wake cycles.
The new study finds that the timing of gene expression is significantly disrupted in the brains of
people who have schizophrenia.
Colleen McClung, Ph.D., a professor of psychiatry at the University of Pittsburgh, in
Pennsylvania is the senior author of the study. Prof. McClung and colleagues published their
findings in the journal Nature Communications.
Prof. McClung and the team obtained postmortem gene expression data from 150 people, 46 of
whom had lived with schizophrenia. The people had been younger than 65 years old when they
died, and the researchers had access to the times of death.
Specifically, the researchers looked at gene expression in the dorsolateral prefrontal cortex, a
brain area involved in cognition and memory.
The term circadian rhythm describes physical, mental, and behavioral changes that follow a
daily cycle."
Circadian rhythms are intimately linked with the biological clock," which refers to an
organism's innate timing device composed of specific molecules (proteins) that interact in cells
throughout the body."
Gene expression regulates the behavior of these proteins. So, some genes switch on at night,
while others do so during the day.
In their present study, Prof. McClung and the team examined the rhythms by which some genes
switched on and off in the brains of people with schizophrenia, and compared these rhythms with
those in the brains of people who did not have the condition.
Because they knew whether the people had died during the day or night, the researchers could
devise a statistical method of revealing patterns in the rhythmicity of gene expression.

In the brains of people with schizophrenia, the researchers found disruptions in the rhythmicity
of gene expression.
Some of these disruptions affected the functioning of mitochondria — the tiny, energy-creating
organelles inside cells. These genes gained rhythmicity, while genes involved in inflammation
lost it.
The study's senior author explains the findings using an analogy. She says, In a normal house —
like a healthy brain — let's say the lights are turned on at night, but the refrigerator needs to be
on all the time."
What we saw was that in a schizophrenia-affected brain, the lights are on all day and the
refrigerator shuts off at night."
Furthermore, when the researchers only looked at the brain activity of people who had died
during the day, they found no difference between those with schizophrenia and those without it.
However, in people who had died at night, they found significant differences.
Lead study author and assistant professor of psychiatry at the University of Pittsburgh, Marianne
Seney, Ph.D., explains, If we only looked to see if the refrigerator was on during the day, we
would see no difference, but at night, there would be one."
The authors emphasize the importance of the findings, saying that research into the genetic roots
of schizophrenia should pay more attention to circadian rhythms.
Our study shows, for the first time, that there are significant disruptions in the daily timing of
when some genes are turned on or off, which has implications for how we understand the disease
at a molecular level.”