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Neurophysiological Analysis of Schizophrenia
Based On Dysfunction of the Glutamatergic
System Using a Tripartite Synapse Model
Ali Mahdavi
School of ECE, College of Engineering
University of Tehran
Tehran, Iran
Fariba Bahrami
CIPCE, School of ECE, College of Engineering
University of Tehran
Tehran, Iran
Mahyar Janahmadi
Shahid Beheshti University of Medical Sciences
Tehran, Iran
Abstract—Schizophrenia is a severe chronic psychiatric
disorder and its pathology is still not completely known.
However, up to now several different theories have been
proposed to describe the pathophysiology of schizophrenia.
Hypofunction of NMDA receptors (NMDAR) and inactivated
astrocytes are among important glutamatergic theories
explaining the pathophysiology of schizophrenia. On the other
hand, it has been suggested that pharmacological manipulation
of presynaptic metabotropic glutamate receptors (mGluRs)
may help to treat and improve some symptoms of
schizophrenia. In this paper we propose a mathematical model
at the synaptic level to investigate glutamatergic hypothesis of
schizophrenia. In the proposed model, we described
mathematically a single tripartite synapse that is consisted of
one presynaptic and one postsynaptic neuron and a glial
component that is the astrocyte. The proposed model describes
different details of a tripartite synapse during glutamate
release. To the best of our knowledge, at the moment this is the
most extended mathematical model developed to describe the
details of a tripartite synapse to this extend. Simulation results
of the proposed model indicate that hypofunction of NMDAR
might be caused by excessive amount of glutamate in the
synaptic cleft. The increased amount of glutamate, in final
analysis, can be caused by inactive astrocyte. The increased
amount of glutamate in synaptic cleft may cause serious
disturbances in NMDAR current and electrophysiological
behavior of the postsynaptic neuron. Given these results, we
suggest that manipulation of glutamate receptors on astrocyte
may be a suitable strategy in the treatment of schizophrenia. Of
course, other approaches that help to improve the function of
glutamate transmission or use agonists of mGluRs or NMDARs
might be also useful. Our simulation results also suggest that
the mentioned theories about pathophysiology of schizophrenia
are interrelated and the increased rate of clearance of
glutamate from the synaptic cleft can partly compensate for
disorders caused by the impaired astrocyte.
Keywords-Schizophrenia, astrocytes, glutamate, tripartite
synapse, mathematical model, NMDA receptors
I. INTRODUCTION
A. Schizophrenia and its symptoms
Schizophrenia is a severe mental disorder and a chronic
psychiatric illness. There are three main symptoms for
schizophrenia. These symptoms include positive, negative,
and cognitive. Positive symptoms include delusions,
hallucinations, agitation and paranoia. Negative symptoms
are characterized by the absence of behaviors that are
normally present, including flat affect, poverty of speech and
social withdrawal. Cognitive deficits are such as
disorganized thoughts, conceptual disorganization and
memory problems. So we can say that perception,
conception, attention, motion, emotion and cognition are
impaired in schizophrenia [1], [2].
Several pharmaceutical and experimental evidences reveal
manipulation of dopamine and glutamate receptors can lead
to emerging disorders and symptoms similar to schizophrenia
[1], [3], [4], [5], [6], [7].
There are several qualitative models (theories) describing
pathophysiological effects of schizophrenia [3], [6], [7].
However, to the best of our knowledge, up to today no
mathematical model at the synaptic level has been developed
which is able to describe different pathophysiological effects
of schizophrenia.
Therefore, before describing our proposed model, we
explain theories and physiological models that we used to
develop this mathematical model.
B. NMDAR hypofunction theory
The first treatments for schizophrenia were found by
mediating dopamine receptors. Thereby, Dopamine system
in schizophrenia was proposed as a big theory [3].
However, weaknesses of the dopaminergic model became
gradually apparent, because this model had different
limitations and problems. For example, dopaminergic model
was only able to explain the positive symptoms, and was
unable to explain the negative and cognitive symptoms [1],
[4].
During the 90s, observations obtained from the usage of
phencyclidine (PCP) led to another theory called later as the
glutamatergic theory [4], [5]. According to this theory and
psychopharmacological and postmortem findings, there is a
dysfunction in the glutamate neurotransmission, especially
activity of NMDARs. Since, blocking NMDA receptors
reproduce key symptoms of schizophrenia, thus it appears
Proceedings of 20th Iranian Conference on Biomedical Engineering (ICBME 2013), University of Tehran, Tehran, Iran,December 18-20, 2013
978-1-4799-3232-0/13/$31.00 ©2013 IEEE 183
that hypofunction of NMDARs play a critical role in
emerging the symptoms of schizophrenia and thereby, in the
pathophysiology of schizophrenia. Abnormal glutamate
neurotransmission may be caused by dysregulation or
dysfunction of NMDA receptors [1], [5], [6].
These findings led to the emergence of glutamatergic
model that supports a major role for the impaired glutamate
neurotransmission and dysfunction of glutamate receptors in
the pathophysiology of schizophrenia [1], [6], [7].
Pharmacological manipulation of glycine site of NMDA
receptors by agonists and coagonists can improve number of
symptoms of schizophrenia [8].
Since the use of NMDAR antagonists lead to appearance of
symptoms of schizophrenia and injection of NMDAR co-
agonists such as D-Serine lead to potentiation of NMDAR
and thus improving some of symptoms, these findings
suggest that focus on the NMDA receptors may be a
treatment strategy for improving the symptoms of
schizophrenia [8].
C. Pathologic astrocyte in schizophrenia
Glial cells are involved in the regulation and the
modulation of synaptic neurotransmission and neuronal
activity [9].A tripartite synapse consists of the presynaptic
and postsynaptic neuron and the glial component (astrocyte).
A number of findings suggest that abnormalities of
tripartite synapse can lead to the mental disorders such as
schizophrenia and bipolar disorders[10], [11].
Gliotransmitters such as glutamate, D-Serine and ATP are
chemical materials that are released by astrocytes.
Glitransmitters can activate the glutamate receptors of
neurons.The released Glutamate by astrocyte can activate
glutamate receptors particularly metabotropic glutamate
receptors (mGluRs) and the released D-Serine from astrocyte
can help activating the glutamate receptors specially
NMDARs. So astrocyte regulates the synaptic activity and
synchronizes the neurons by release of glitransmitters [9],
[12], [13].
Figure 1. A model inspired by [9] and [10] for a tripartite synapse. pr.R:
Presynaptic Receptor, gl.R: Glutamate Receptor, NT:
Neurotransmitter, po.R: Postsynaptic Receptor.
In tripartite synapse of schizophrenia there are Non-
functional receptors on the astrocyte. So that
neurotransmitters cannot bind to these receptors (depicted in
Fig. 2). Since astrocyte is not able to the production and
release of gliotransmitters, therefore there is no negative
feedback to the presynaptic receptors (see Fig. 2). Fig. 2 is
inspired from [10] and [11].
Shortage in releasing glutamate from astrocyte and
therefore the loss of feedback to the presynaptic
metabotropic glutamate receptors leads to excessive and
unconstrained release of glutamate from presynaptic terminal
to synaptic space. This disorder leads to dysfunction of
glutamate receptors, particularly NMDARs on the
postsynaptic terminal. This severe disturbance in the
tripartite synapse leads to an unconstrained
neurotransmission and appearance of symptoms of
schizophrenia [10], [11].
Figure 2. Proposed model for an impaired tripartite synapse corresponding
to pathologies in schizophrenia. gl.Rs are inactive, therefore, GTs
are not produced by astrocyte and there is no negative feedback. This disorder leads to unconstrained neurotransmission. gl.R:
Glutamate Receptor, NT: Neurotransmitter, pr.R: Presynaptic
Receptor, po.R: Postsynaptic Receptor.
In the next section is shown that using mGluRs agonists
can control and regulate release of presynaptic glutamate and
improve these disorders.
D. Treatment with metabotropic glutamate receptors
Preclinical and pharmacological findings suggest that
agonists of mGluRs improve some symptoms of
schizophrenia particularly cognitive deficits and almost
compensate effects of NMDA antagonists [15].
Figure 3. Two types of mGluRs are effective in NMDA receptor functions. The mGlu2/3 receptor regulates and inhibits the
release of presynaptic glutamate. The mGlu5 receptor modulates
the function of NMDARs. The mGluRs are important in treating schizophrenia.
Proceedings of 20th Iranian Conference on Biomedical Engineering (ICBME 2013), University of Tehran, Tehran, Iran,December 18-20, 2013
978-1-4799-3232-0/13/$31.00 ©2013 IEEE 184
Fig. 3 is inspired by [15], [16]. This figure shows that the
activated mGluRs on presynaptic neuron particularly
mGluR2/3 inhibit the release of glutamate. These receptors
can active by astrocytic glutamate [14]. Therefore mGluRs
on presynapse can regulate the amount and probability of
release of glutamate. Since in the tripartite synapse of
schizophrenia there is no negative feedback from astrocyte,
so these receptors aren’t activated enough. These findings would suggest that manipulation and
activation of mGluRs by their agonists is a strong treatment
strategy for the negative symptoms and cognitive
impairments of schizophrenia [16], [17]. The mGlu5 is
located on postsynaptic neuron and mGluR2/3 receptor is
located on the presynaptic neuron. These receptors are two
targets for improving some symptoms of schizophrenia,
which can regulate and modulate the glutamate
neurotransmission. The activation of mGluRs may be a
strong strategy for improving cognitive deficits [16]. In this
paper, we consider only mGluRs located on presynaptic
neuron.
In this paper we provide a mathematical framework for
the synaptic interactions between neurons and pathologic
astrocyte according to tripartite synapse of schizophrenia.
Model shows pathologic astrocyte may cause defects in the
function of glutamate receptors on presynaptic and
postsynaptic neuron and so impaired the synaptic
transmission and postsynaptic events.
II. METHOD
A. A model to describe a healthy tripartite synapse
Although many models have been proposed to tripartite
synapse by different persons, but these models are not
suitable for modeling of pathophysiology of schizophrenia.
On the other hand, we need a tripartite synapse model that is
applicable for using in schizophrenia model, therefore in this
paper, we present a mathematical model based on a
biological model of pathologic astrocyte in a tripartite
synapse of schizophrenia. For mathematical modeling of
different parts of tripartite synapse, we used distinct existing
mathematical models for each part. The following steps have
been followed in simulation of this model (see Fig. 4).
Figure 4. Different steps of information flow from presynaptic terminal to
postsynaptic neuron and modulatory effect of the astrocyte. Solid line shows the effect of presynaptic neuron, and solid dashed
lines show the effect of astrocyte.
Fig. 4 is inspired by [18], [22], [23]. Here, we explain
steps presented in Fig. 4: (1) Presynaptic action potential
train is generated using the proposed model by Jakub
Nowacki et al [19]. (2) Ca2+
concentration elevation in the
presynaptic neuron. (3) Glutamate release in the synaptic
cleft. (4a) Glutamate modulated enhancement of astrocytic
Ca2+
. (4b) Glutamate mediated excitatory postsynaptic
potential. (5) Astrocytic glutamate elevation as a
consequence of (4a) [18]. Processes modeled in our tripartite
synapse model are presented in TABLE I. and this tripartite
synapse is located in the hippocampus region and all model
parameters are adjusted with this region.
TABLE I. LIST OF REFERENCE USED IN DEVELOPMENT OF OUR PROPOSED MODEL
Process Reference model
Presynaptic action potential [19]
Presynaptic Ca2+
dynamics [20]
Glutamate release dynamics
in presynaptic terminal [21],[22]
Glutamate dynamics in
synaptic cleft [23],[18]
Astrocyte Ca2+
dynamics [23]
Gliotransmitter release
dynamics in astrocyte [21], [25]
Dynamics of astrocytic
glutamate [18]
Gating and current of receptors:
AMPAR, NMDAR [18], [24], [26]
Postsynaptic membrane
potential [27]
Because we would like to see the effects of astrocyte on
the NMDAR current, we added model of NMDAR current to
tripartite synapse model. Model of NMDAR current has
specific features. In our model, the synaptic glutamate and
conductance of NMDAR channel are not constant and they
are variable and have dynamics. Dynamics of conductance of
NMDAR channel and synaptic glutamate are proposed by
Moradi et al [26] and Tewari et al [18], respectively.
B. A model of pathologic tripartite synapse
First, presynaptic neuron fire, then glutamate release from
the vesicles. Of course release of glutamate is a stochastic
process and after the firing of neuron, it is likely to be
released or not. The released glutamate is transported from
presynaptic terminal to postsynaptic membrane or astrocyte.
These glutamates bind to mGluRs on the astrocyte. Then
mGluRs trigger production of the second messenger IP3 in
the astrocyte. Production IP3 leads to release of Ca2+
from
the endoplasmic reticulum. Then when Ca2+
concentration
was higher than a certain threshold, glutamate release from
astrocyte.The released Glutamate by astrocyte can bind to
presynaptic mGluRs. Then these activated mGluRs inhibit
Proceedings of 20th Iranian Conference on Biomedical Engineering (ICBME 2013), University of Tehran, Tehran, Iran,December 18-20, 2013
978-1-4799-3232-0/13/$31.00 ©2013 IEEE 185
the release of glutamate from the presynaptic neuron [18],
[22].
As mentioned in the previous section, one of important
theories in pathophysiology of schizophrenia is impairments
in astrocytes. According to this theory, the mGluRs on the
astrocyte are inactive and cannot generate the second
messenger IP3. This dysfunction leads to inability of
astrocytes to produce and release of gliotransmitters,
especially glutamate. Thus, in our model, if we want to
simulate a pathologic tripartite synapse, maximal production
rate of IP3 by binding of glutamate to mGluRs on astrocyte
( in equation (1) should be equal to zero.
(
)
(1)
Here, is astrocytic IP3 and is synaptic glutamate
concentration. Descriptions and values of parameters of (1)
are given in [18], [23]. With parameter equal to zero, we
could simulate pathologic astrocyte according to
schizophrenia. Of course we have reduced the value of by
half, too. Because is maximal rate of IP3 production by
PLCδ [18]. The results are presented in the next section.
The model was implemented in MATLAB 2012a.
Forward Euler method with a fixed time step of 0.05ms was
used for implementing ordinary differential equations.
III. RESULTS
In this section, we present our results for models of
healthy and pathologic tripartite synapse related to
schizophrenia .Then we will analyze the model and compare
the results with other works. The NMDA receptors are very
important in analyzing pathophysiology of schizophrenia.
For this reason, we modeled NMDAR current with specific
features which described in the previous section. For
modeling of NMDAR current, we used the overall structure
of the model of Destexhe et al [24].NMDAR current in our
model conforms to previous models. Fig 5 shows NMDAR
current in our model. To model dysfunction of NMDA
receptors, it is essential that glutamate and conductance of
NMDAR channel be variable not constant, because we want
to observe effects of changes in glutamate and abnormal
glutamate neurotransmission on NMDAR current. For this
reason, we have considered the dynamics of the glutamate
and conductance of NMDAR current.
Figure 5. a. NMDAR current for 60 ms in voltage clamp state
(Postsynaptic potential is 40 mv). NMDA receptor is activated
when presynaptic glutamate is released, b. A spike of NMDAR current in voltage 40 mv for validating the proposed model, c and
d. NMDAR current and voltage of the postsynaptic neuron when
the postsynaptic neuron is depolarized by released neurotransmitters of presynaptic neuron.
By comparing the results of Fig.5 with existing results in
[24], [26] and [28] it could be concluded that our NMDAR
model is valid.
Figure 6. Important variables of a tripartite synapse in the proposed model. A. healthy tripartite synapse, B. Pathologic tripartite synapse.
Fig. 6 shows the important variables of the tripartite
synapse in the proposed model. For simulation of
schizophrenic synapse, we have impaired the astrocyte. This
impairment is described in the previous section. Thus
glutamate does not release from astrocyte (see Fig. 6, B).
This dysfunction led to the loss of negative feedback from
astrocyte to presynaptic mGlu receptors and thereby an
increase in synaptic glutamate. Increasing the glutamate
concentration in the synaptic cleft leads to abnormal
neurotransmission and then dysfunction of postsynaptic
receptors particularly NMDARs.
0 1 2 3 4 5 6
x 104
0
5
10
15
20
25
30
35
40
Time(ms)
NM
DA
R C
urre
nt
4.35 4.36 4.37 4.38 4.39 4.4 4.41 4.42 4.43 4.44 4.45
x 104
0
5
10
15
20
25
30
35
Time(ms)
NM
DAR
Cur
rent
(pA)
4.3575 4.358 4.3585 4.359 4.3595 4.36 4.3605 4.361
x 104
-5
0
5
10
15
Time(ms)
NM
DA
R C
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pA)
4.3575 4.358 4.3585 4.359 4.3595 4.36 4.3605 4.361
x 104
-80
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-20
0
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40
Time(ms)
Pos
tsyn
aptic
Pot
entia
l (m
v)
0 2 4 6
x 104
100
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300
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500
Presynaptic IP3
0 2 4 6
x 104
0
1000
2000
3000
4000Presynaptic Calcium
0 2 4 6
x 104
0
0.2
0.4
0.6
0.8
1Synaptic Glutamate
0 2 4 6
x 104
100
200
300
400
500
Astrocytic IP3
0 2 4 6
x 104
0
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300
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500Astrocytic Calcium
0 2 4 6
x 104
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0.5
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1.5
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2.5Astrocytic Glutamate
0 2 4 6
x 104
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160.002
160.004
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3
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A
A
B
a
d
b
c
Proceedings of 20th Iranian Conference on Biomedical Engineering (ICBME 2013), University of Tehran, Tehran, Iran,December 18-20, 2013
978-1-4799-3232-0/13/$31.00 ©2013 IEEE 186
Figure 7. NMDAR current, A. Healthy, B. Impaired.
Fig. 7 shows that increasing the glutamate in the synaptic
cleft leads to severe dysfunction of NMDAR current. In
compare with healthy current, amplitude and intensity
fluctuations are reduced. This result suggests an increase in
released glutamate from presynaptic terminal may leads to
hypofunction of NMDA receptors.
Our results show NMDAR current is effective on the
postsynaptic membrane potential. Healthy current create
bursting mode in the postsynaptic potential, but disrupted
NMDAR current cannot (see Fig. 8). So dysfunction of
NMDAR may change mode of membrane potential. Thus in
schizophrenia not only NMDAR current but also membrane
potential may be impaired.
.
Figure 8. A. Membrane potential of a healthy postsynaptic neuron, B.
Membrane potential of a pathologic postsynaptic neuron, C and D. Membrane potential of a healthy and pathologic postsynaptic
neuron from a closer view, respectively. In C we observe that the
neuron is in bursting mode, while in D there is no burst.
Since increased glutamate leads to the disrupted NMDAR
current, it seems decreasing the glutamate may be effective
for modifying the function of NMDAR. The mathematical
equation of glutamate concentration dynamics in the cleft is
as follow [18]:
(2)
Here and are the variables of (2). is the glutamate
concentration in the synaptic cleft, gives the effective
fraction of vesicles in the cleft, is the number of vesicles,
is glutamate concentration in per vesicle and is the rate
of glutamate clearance from synaptic cleft. Values of these
parameters are proposed in [18]. Glutamate clearance can be
done by neurons, astrocytes or enzymes [18]. We increased
the rate of glutamate clearance totwice. Fig. 9 shows
increase in is partly able to compensate impairments of
NMDAR current. By increasing this parameter, impaired
NMDAR current has almost returned to its original state.
With this change, Fluctuations in NMDAR current and
postsynaptic potential are somewhat close to the healthy
mode. Fig. 9 shows postsynaptic potential returns to burst
mode partly.
Figure 9. Increasing the rate of glutamate clearance, synaptic activity
returns almost to its healthy state.
The proposed model suggests that the three major theories
of schizophrenia are fully inter-related with each other. Our
results show if astrocyte cannot produce and release the
glutamate, then the negative feedback from astrocyte to
presynaptic neuron would be interrupted and mGluRs would
not be activated. The mGluRs regulate and inhibit the release
of glutamate from vesicles. Therefore if these receptors are
not activated enough, release of the glutamate will be
increased. Most pharmacological evidences state that using
agonists of presynaptic mGluRs particularly mGluR2/3
agonists for activation of these receptors can improve the
cognitive symptoms of schizophrenia and use of antagonists
of these receptors lead to emerging the symptoms of
schizophrenia [15], [16].
NMDAR hypofunction is an important theory for
describing pathophysiology of schizophrenia. Simulation
0 1 2 3 4 5 6
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Pos
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v)
A
B
C
D
Proceedings of 20th Iranian Conference on Biomedical Engineering (ICBME 2013), University of Tehran, Tehran, Iran,December 18-20, 2013
978-1-4799-3232-0/13/$31.00 ©2013 IEEE 187
results of the proposed model indicate that schizophrenia
might be caused by increased level of synaptic glutamate.
Increased level of glutamate is caused by inactive
presynaptic mGluRs. Presynaptic mGlu receptors are
inactivated due to lack of feedback from astrocyte, that is
because astrocyte is not capable to produce and to release the
necessary glutamate into the synapse. Incapability of the
astrocyte is due to impaired receptors which cannot trigger
intrinsic processes of astrocyte such as production of IP3 and
calcium oscillations. Based on these results, we suggest that
diminishing the defects of astrocyte may be a suitable
treatment approach for schizophrenia. Of course other
approaches that help to improve function of glutamate
transmission or using the agonists of mGluRs or NMDARs
may also be useful.
IV. CONCLUSIONS
Results of our schizophrenic model of tripartite synapse
propose that dysfunction of glutamate neurotransmission
leads to hypofunction of NMDAR receptors on the
postsynaptic neuron. Impaired glutamate neurotransmission
is due to shortly activated mGluRs on presynaptic neuron.
Since there is no negative feedback from the astrocyte to
presynaptic neuron, the release of glutamate is not regulated
and controlled. We proposed a mathematical framework for
tripartite synapse according to schizophrenia that the
mGluRs on astrocyte are impaired. Therefore synaptic
glutamate cannot bind to these receptors. Consequently,
astrocyte does not able to production and release of
gliotransmitters particularly glutamates. Thus, our results
suggest that there is a strong correlation between the three
major theories of schizophrenia that are explained in the
introduction section.
The analysis of our model may help to understand the
pathology of schizophrenia better and contribute to findnew
treatment approaches.
In this paper, we did not investigate the critical role of D-
Serine in pathophysiology of schizophrenia. This modulator
is a coagonist for NMDA receptors that release from
astrocytes [29]. In future, we are going to add the D-Serine
dynamics to our model.
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