The Role of Thalamic Circuitry Dysfunction in Cognitive Deficits in Schizophrenia: Wake and Sleep

NIH RePORTER · NIH · K01 · $148,673 · view on reporter.nih.gov ↗

Abstract

Project Summary/Abstract Cognitive deficits are the strongest predictor of functional outcome in schizophrenia, and even after the florid psychotic symptoms are treated with antipsychotic drugs, debilitating cognitive deficits persist. Consequently, only 20% of individuals with schizophrenia can work. Cognitive deficits are also seen in early course, minimally treated patients and first-degree relatives. Recent studies point to sleep spindle abnormalities as a target for improving cognitive function in schizophrenia. Patients with schizophrenia have a specific deficit in sleep spindles that is associated with impaired memory consolidation and symptom severity. Sleep spindle deficits are seen in non-psychotic first-degree relatives and antipsychotic naïve first episode patients, and constitute an endophenotype that (i) predates the onset of SZ, (ii) persists throughout its course, and (iii) contributes to cognitive deficits and symptoms. Sleep spindles are rapid bursts of 12-15 Hz EEG activity characteristic of Stage 2 non-rapid eye movement sleep that are generated and regulated by the thalamic reticular nucleus (TRN) and related thalamocortical circuitry. Another endophenotype of SZ, sensory gating, is also regulated by TRN circuitry. The TRN, by gating the flow of information from the thalamus to the cortex, attenuates the transmission of redundant and irrelevant sensory stimuli and thereby protects higher cognitive function from interference. Patients with SZ and their first-degree relatives exhibit sensory gating deficits that correlate with cognitive function and symptom severity. The goal of the present study is to determine whether sleep spindles and sensory gating are associated with the same underlying TRN mediated thalamocortical communication abnormality in schizophrenia and predict memory consolidation deficits and symptom severity. Measurement of sensory gating is more tractable and will enable large-scale genetic studies to decipher the complex genetic architecture of TRN dysfunction in schizophrenia, provide clues to mechanism and actionable targets for treatment.

Key facts

NIH application ID
10360569
Project number
5K01MH114012-06
Recipient
UNIVERSITY OF IOWA
Principal Investigator
Bengi Baran
Activity code
K01
Funding institute
NIH
Fiscal year
2022
Award amount
$148,673
Award type
5
Project period
2018-04-01 → 2023-06-30