DEFICIENT CALCIUM

DEFICIENT CALCIUM-DEPENDENT NITRIC

OXIDE SYNTHASE ACTIVITY IN THE PREFRONTAL CORTEX OF SCHIZOPHRENIA AND DEPRESSION

Guoqiang Xing, Mikulas Chavko, and

Robert Post

USUHS, Bethesda, MD

Brain nitric oxide (NO), a molecule

synthesized by NO synthase (NOS) has multiple functions in neural development,

neuroprotection, brain plasticity, neurotoxicity, and behavior.  The

calcium-dependent constitutive NOS activity consists of neuronal NOS (nNOS) and

endothelial NOS (eNOS) isoforms that are constitutively expressed in the

brain.  To understand the potential role of nitric oxide synthase (NOS) in

schizophrenia and affective disorders, the calcium-dependent constitutive NOS

(cNOS) enzymatic activity and protein levels of nNOS and eNOS were determined in

the prefrontal cortex of postmortem brains of patients with unipolar, bipolar,

and schizophrenic disorders and non-psychiatric controls (n=60).  nNOS

protein levels were lower in psychiatric patients compared to controls but not

significantly so.  There were no differences in eNOS protein levels between

the psychiatric patients and the controls.  cNOS activity, however, was

significantly lower in schizophrenic patients (P<0.05) than in the control.  Similar trends of lower cNOS activity were found in unipolar (P=0.062) and bipolar patients (P=0.079).  Covariance analysis showed that postmortem interval did not have a confounding effect on cNOS activity. These results, together with previous studies, suggest that deficient prefrontal cNOS activity may contribute to the pathophysiology and hypofrontality of schizophrenia and mood disorders.