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26 Cards in this Set

  • Front
  • Back
Among psychiatric illnesses, what is exceptional about schizophrenia?
It's heterogeneity
What is one prominent feature of schizophrenia patients brains on CT scan?
Large ventricles
What is seen in terms of grey matter in schizophrenia patients?
Reduced (5-10%) grey matter
What is seen in terms of white matter tracts in schizophrenia patients?
White matter tracts are disrupted
Do family members show similiar grey matter losses in schizophrenia?
Yes
What is the heritability of schizophrenia?
60%
Have distict genetic loci been identified for schizophrenia?
a few have, but due to heterogeneity not many have been replicated. And those that have only explain a small % of people.
A reduction of what protein is observed in schizophrenia?
Dysbindin
What transported was increased in schizophrenia?
Presynaptic glutamate transporter
A decrease in which intracellular signaling molecule is seen in schizophrenia?
cAMP
What types of odors can schizophrenia patients smell (and not smell)?
When odorarant is high cAMP inducer, patients can smell it

When odoroant isn't a high cAMP inducer, patients can't smell it
What are the 2 main types of environmental factors?
1. Pre-natal or peri-natal insults

2. Child / Adolescent Psychosocial stressors
In terms of time, what is a risk factor for schizophrenia?
Season of Birth - winter months give higher rates of schizophrenia
What are the 2 most important factors in terms of attributable risks?
1. Place of birth

2. Season of birth
What pre-natal infection has been shown to increase the risk of schizophrenia?
Influenza
What is seen in schizophrenia in terms of olfactory sulcal development?
Sulci not formed fully
What is seen wrt to immigration status and schizophrenia risk?
First generation has elevated risk due to immigration stresses

Second generation has highest risk due to stresses of integration into new community
Many other genes found to be related to schizophrenia are important in what?
Maintaining the integrity of the synapse
What NT is thought to be very important in the manifestation of positive symptoms in schizophrenia?
Dopamine
What drugs mimic positive psychotic symptoms?
Psychostimulants (amphetamines and cocaine)
Which types of schizophrenia patients show the biggest benefits from DA blockers?
Those with very high DA activity
What other NT has been implicated in schizophrenia?
Glutamate
What receptor antagonists mimic both positive and negative symptoms of an acute schizophrenic break?
NMDA glutamate receptor
NMDA receptor blockage can lead to what?
Glutamatergic hyperactivity in associated pyramidal cells
Increased glutamate activity can have what effect?
Neurotoxic effect

Could explain grey matter loss in early stages of schizophrenia
Reduction of what type of receptors is seen in schizophrenia patients?
NMDA glutamate receptors