Reprogrammed cells generated from people with schizophrenia could  help scientists study the disease more closely, according to a study  published online today in Nature.  Such cells would allow scientists to look at the disease on a cellular  level, and also test potential drugs to combat the condition.
 Unsociable cells: These neurons, derived from reprogrammed stem  cells from schizophrenia patients, form fewer connections than those  from people without the disease. Cell nuclei are shown in blue, and  branched fibers connecting neurons are green and red.        
Researchers from the Salk Institute for Biological Studies began  with skin cells taken from schizophrenic patients, which they  reprogrammed to create induced pluripotent stem (iPS) cells—adult  cells that have been transformed chemically or genetically into stem  cells capable of giving rise to any type of tissue. They then coaxed  those cells to differentiate into neurons. Scientists found that the  diseased neurons made fewer connections with one another than did  healthy neurons—a problem that antischizophrenia medication could  alleviate.
The study is one of several recent papers  showing that iPS cells derived from patients with specific diseases  could give new insight into those complex diseases. Previous studies on  iPS-derived neurons have focused on diseases with specific genetic mutations, and those that develop in early childhood.
Schizophrenia, however, is a more complex disease. It has both  genetic and environmental origins, and often develops in adolescence or  early adulthood. "This paper opens up the possibility that even  psychiatric diseases can be potentially investigated using these cell  models," says Kwang-Soo Kim, a stem-cell scientist at McLean Hospital and Harvard Medical School who was not involved in the study. 
Fred Gage, a  neuroscientist who led the Salk Institute study, says that much of what  is known about differences in the brains of schizophrenia patients comes  from examining brain tissue after death. Scientists can also use animal  models engineered to mimic some of the genetic changes linked to the  disease to study the impact of these mutations, but such models don't  capture the full complexity of schizophrenia. 
But with neurons created from reprogrammed skin cells, Gage says,  "the advantage is you're looking for the first time at living neurons  from patients who have the disease."  
The researchers used skin cells taken from four patients with  schizophrenia to create iPS cells, which they then differentiated into  neurons. They compared these cells to neurons derived from people  without the disease. 
After infecting cells with a modified rabies virus and then watching  the spread of the virus from cell to cell, the researchers found that  cells from people with schizophrenia formed fewer connections with one  another, and made fewer projections to reach out to other cells. The  researchers also performed an analysis of gene activity in the cells,  and identified nearly 600 genes that had activity different from cells  taken from people without schizophrenia.. Only about a quarter of these  600 genes had already been identified in studies of postmortem tissue. 
The team then tested five known schizophrenia drugs to see whether  they could restore the cells' connectivity. After three weeks of  treatment, only one drug, the antipsychotic loxapine, improved  connectivity in all of the patients' cells. Gage says the cells could  even be used to test how individual patients might respond to specific  treatments. 
"This study illustrates that iPS cells could be really useful models  to study these diseases at the cellular and molecular levels," says Kim.  However, questions remain about how well these cells represent neurons  in living brains. He says that further research should focus on creating  iPS cells using newer techniques that don't genetically alter cells,  and differentiating them into more specific types of neurons. 
By Courtney Humphries
From Technology Review



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