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Volume 118, Issue 1, Pages 232-239 (May 2010)


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Grey matter changes associated with host genetic variation and exposure to Herpes Simplex Virus 1 (HSV1) in first episode schizophrenia

Konasale M. PrasadaCorresponding Author Informationemail address, Mikhil N. Bamnea, Brian H. Shirtsb, Dhruman Goradiaa, Vimal Mannalia, Krishna M. Pancholia, Bai Xuea, Lora McClaina, Robert H. Yolkenc, Matcheri S. Keshavanad, Vishwajit L. Nimgaonkara

Received 6 November 2009; received in revised form 31 December 2009; accepted 4 January 2010. published online 08 February 2010.

Abstract 

Background

We previously reported reduced prefrontal cortex (PFC) grey matter volume among first episode, antipsychotic-naïve schizophrenia subjects (SZ) exposed to HSV1 but not among healthy subjects (HS) (Prasad et al., 2007). Independently, rs1051788, an exonic polymorphism of the MHC Class I polypeptide-related sequence B (MICB) gene was associated with HSV1 seropositivity, as well as SZ risk. In this study, we examined whether PFC grey matter changes associated with HSV1 exposure varied against the background of MICB genotypes.

Methods

We examined Caucasian individuals from the sample we studied in our previous report (Prasad et al., 2007) (SZ, n=21 and HS, n=19). Whole brain voxelwise analysis of structural MRI scans was conducted using Statistical Parametric Mapping, ver 5 (SPM5). The impact of rs1051788 variation and HSV1 seropositivity on grey matter volumes was examined using regression models on the combined sample of cases and controls, and then within each diagnostic group.

Results

In the combined sample of cases and controls, we observed the main effects of HSV1 seropositivity and genotypes, and a significant joint effect of HSV1 seropositivity and genotype mainly in the PFC. The joint effect was more prominent among cases than among controls.

Discussion

Our observations suggest that rs1051788 and HSV1 seropositivity are associated individually and jointly with reduced PFC grey matter volume. The patterns of these associations differ by diagnostic status, and these factors explain only a “small” portion of the variance in the grey matter volume reductions.

a University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, United States

b University of Utah School of Medicine, Salt Lake City, UT, United States

c Stanley Division of Developmental Neurovirology, Johns Hopkins School of Medicine, Baltimore, MD, United States

d Harvard Medical School, Boston, MA, United States

Corresponding Author InformationCorresponding author.

PII: S0920-9964(10)00045-9

doi:10.1016/j.schres.2010.01.007


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