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Publication : Antipsychotic-induced Hdac2 transcription via NF-κB leads to synaptic and cognitive side effects.

First Author  Ibi D Year  2017
Journal  Nat Neurosci Volume  20
Issue  9 Pages  1247-1259
PubMed ID  28783139 Mgi Jnum  J:258028
Mgi Id  MGI:6116639 Doi  10.1038/nn.4616
Citation  Ibi D, et al. (2017) Antipsychotic-induced Hdac2 transcription via NF-kappaB leads to synaptic and cognitive side effects. Nat Neurosci 20(9):1247-1259
abstractText  Antipsychotic drugs remain the standard for schizophrenia treatment. Despite their effectiveness in treating hallucinations and delusions, prolonged exposure to antipsychotic medications leads to cognitive deficits in both schizophrenia patients and animal models. The molecular mechanisms underlying these negative effects on cognition remain to be elucidated. Here we demonstrate that chronic antipsychotic drug exposure increases nuclear translocation of NF-kappaB in both mouse and human frontal cortex, a trafficking event triggered via 5-HT2A-receptor-dependent downregulation of the NF-kappaB repressor IkappaBalpha. This upregulation of NF-kappaB activity led to its increased binding at the Hdac2 promoter, thereby augmenting Hdac2 transcription. Deletion of HDAC2 in forebrain pyramidal neurons prevented the negative effects of antipsychotic treatment on synaptic remodeling and cognition. Conversely, virally mediated activation of NF-kappaB signaling decreased cortical synaptic plasticity via HDAC2. Together, these observations may aid in developing therapeutic strategies to improve the outcome of schizophrenia treatment.
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