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Phosphomonoesters and Phosphodiesters in the Brains of Schizophrenic Patients

James S. Brown, Jr, MD
Arch Gen Psychiatry. 1992;49(5):416-416. doi:10.1001/archpsyc.1992.01820050080015
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To the Editor.—  Recent studies by Pettegrew et al1 and Williamson et al2 provide exciting opportunities for furthering the understanding of schizophrenia. Using magnetic resonance imaging, both groups found reduced levels of phosphomonoesters (PME) in the prefrontal cortex of the brains of schizophrenic patients; however, only Pettegrew et al1 found elevated phosphodiester (PDE) levels in the same region. Williamson et al2 found PDE levels to be normal. Five of the 11 patients studied by Pettegrew et al1 had paranoia. Unfortunately, Williamson et al2 did not provide diagnostic classification.Diagnostic information may be important in that Gattaz3 found in- creased phospholipase A2 activity in schizophrenics. Pettegrew et al1 referred to this finding when suggesting causes of increased PDE levels but failed to mention that all of Gattaz's patients had paranoia. Considering that Williamson et al2 did not find increased PDE levels, it

REFERENCES

Pettegrew JW, Keshavan MS, Panchalingam K, Strychor S, Kaplan DB, Tretta MG, Allen M.  Alterations in brain high-energy phosphate and membrane phospholipid metabolism in first-episode, drug-naive schizophrenics: a pilot study of the dorsal prefrontal cortex by in vivo phosphorus 31 nuclear magnetic resonance spectroscopy . Arch Gen Psychiatry . 1991;;48:563-568.
Williamson P, Drost D, Stanley J, Carr T, Morrison S, Merskey H.  Localized phosphorus 31 magnetic resonance spectroscopy in chronic schizophrenic patients and normal controls . Arch Gen Psychiatry . 1991;;48:578.
Gattaz W.  Increased plasma phospholipase A2 activity in schizophrenic patients: reduction after neuroleptic therapy . Biol Psychiatry . 1987;;22:421-426.
Orologas AG, Buckman ID, Eiduson S.  A comparison of platelet monoamine oxidase activity and phosphatidylserine content between chronic paranoid schizophrenics and normal controls . Neurosci Lett . 1986;;68:293-298.

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Pettegrew JW, Keshavan MS, Panchalingam K, Strychor S, Kaplan DB, Tretta MG, Allen M.  Alterations in brain high-energy phosphate and membrane phospholipid metabolism in first-episode, drug-naive schizophrenics: a pilot study of the dorsal prefrontal cortex by in vivo phosphorus 31 nuclear magnetic resonance spectroscopy . Arch Gen Psychiatry . 1991;;48:563-568.
Williamson P, Drost D, Stanley J, Carr T, Morrison S, Merskey H.  Localized phosphorus 31 magnetic resonance spectroscopy in chronic schizophrenic patients and normal controls . Arch Gen Psychiatry . 1991;;48:578.
Gattaz W.  Increased plasma phospholipase A2 activity in schizophrenic patients: reduction after neuroleptic therapy . Biol Psychiatry . 1987;;22:421-426.
Orologas AG, Buckman ID, Eiduson S.  A comparison of platelet monoamine oxidase activity and phosphatidylserine content between chronic paranoid schizophrenics and normal controls . Neurosci Lett . 1986;;68:293-298.

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