Muscarinic M1 receptor sequence: Preliminary studies on its effects on cognition and expression
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摘要
It has been reported that people with schizophrenia who are homozygous at the c.267C>A single nucleotide polymorphism of the cholinergic muscarinic M1 receptor (m>CHRM1m>) perform less well on the Wisconsin Card Sorting Test than those who are heterozygous. We investigated whether m>CHRM1m> sequence is associated with impaired executive function, a common problem in schizophrenia.

We sequenced the m>CHRM1m> using peripheral DNA from 97 people with schizophrenia who completed the Wisconsin Card Sorting Test, a verbal fluency test and the National Adult Reading Test. Clinical severity was assessed using the Positive and Negative Syndrome Scale. To determine whether m>CHRM1m> sequence affected receptor expression, we used post-mortem data, from another cohort, to investigate associations between m>CHRM1m> sequence and mRNA levels.

On the Wisconsin Card Sorting Test, 267C/C participants with schizophrenia made more perseverative errors (m>pm> < 0.05) and perseverative responses (m>pm> < 0.05) than 267C/A participants. Genotype had no effect on verbal fluency (m>pm> = 0.8) or National Adult Reading test (m>pm> = 0.62). Cortical m>CHRM1m> mRNA levels did not vary with gene sequence (m>pm> = 0.409).

The clinical study supports the proposal that m>CHRM1m> sequence is associated with alterations in some aspects of executive function. However, the post-mortem study indicates this is not simply due to altered expression at the level of mRNA, suggesting this sequence alteration may affect the functionality of the CHRM1.

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