title: Neurosteroid biosynthetic pathways changes in prefrontal cortex in Alzheimer's disease.
abstract: Expression of the genes for enzymes involved in neurosteroid biosynthesis was studied in human prefrontal cortex (PFC) in the course of Alzheimer's disease (AD) (n=49). Quantitative RT-PCR (qPCR) revealed that mRNA levels of diazepam binding inhibitor (DBI), which is involved in the first step of steroidogenesis and in GABAergic transmission, were increased, as were mRNA levels for several neurosteroid biosynthetic enzymes. Aromatase, 17β-hydroxysteroid dehydrogenase type 1 (HSD17B1) and aldo-keto reductase 1C2 (AKR1C2), were all increased in the late stages of AD. Several GABA-A subunits were significantly reduced in AD. Increased expression of aromatase in the PFC was confirmed by immunohistochemistry and was found to be localized predominantly in astrocytes. These data suggest a role for estrogens and allopregnanolone produced by astrocytes in the PFC in AD, possibly as part of a rescue program. The reduced gene expression of some synaptic and extra-synaptic GABA-A subunits may indicate a deficit of modulation of GABA-A receptors by neuroactive steroids, which may contribute to the neuropsychiatric characteristics of this disease.
authors.affiliation: Netherlands Institute for Neuroscience (NIN), An Institute of Royal Netherlands Academy of Arts and Sciences, Neuropsychiatric Disorders Lab, Meibergdreef 47, 1105 BA Amsterdam, The Netherlands. s.luchetti@nin.knaw.nl
authors.forename: Sabina
authors.initials: S
authors.lastname: Luchetti
authors.forename: Koen
authors.initials: K
authors.lastname: Bossers
authors.forename: Saskia
authors.initials: S
authors.lastname: Van de Bilt
authors.forename: Vincent
authors.initials: V
authors.lastname: Agrapart
authors.forename: Rafael Ramirez
authors.initials: RR
authors.lastname: Morales
authors.forename: Giovanni Vanni
authors.initials: GV
authors.lastname: Frajese
authors.forename: Dick F
authors.initials: DF
authors.lastname: Swaab
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000201:enzymology*; D026261:Diazepam Binding Inhibitor / Q000235:genetics / Q000378:metabolism; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018377:Neurotransmitter Agents / Q000096:biosynthesis*; D017397:Prefrontal Cortex / Q000201:enzymology*; D012333:RNA, Messenger / Q000235:genetics / Q000378:metabolism; D011963:Receptors, GABA-A / Q000235:genetics / Q000378:metabolism
chemical_list: D026261:Diazepam Binding Inhibitor; D018377:Neurotransmitter Agents; D012333:RNA, Messenger; D011963:Receptors, GABA-A