Glutamate synapses in human cognitive disorders

L Volk, SL Chiu, K Sharma… - Annual review of …, 2015 - annualreviews.org
L Volk, SL Chiu, K Sharma, RL Huganir
Annual review of neuroscience, 2015annualreviews.org
Accumulating data, including those from large genetic association studies, indicate that
alterations in glutamatergic synapse structure and function represent a common underlying
pathology in many symptomatically distinct cognitive disorders. In this review, we discuss
evidence from human genetic studies and data from animal models supporting a role for
aberrant glutamatergic synapse function in the etiology of intellectual disability (ID), autism
spectrum disorder (ASD), and schizophrenia (SCZ), neurodevelopmental disorders that …
Accumulating data, including those from large genetic association studies, indicate that alterations in glutamatergic synapse structure and function represent a common underlying pathology in many symptomatically distinct cognitive disorders. In this review, we discuss evidence from human genetic studies and data from animal models supporting a role for aberrant glutamatergic synapse function in the etiology of intellectual disability (ID), autism spectrum disorder (ASD), and schizophrenia (SCZ), neurodevelopmental disorders that comprise a significant proportion of human cognitive disease and exact a substantial financial and social burden. The varied manifestations of impaired perceptual processing, executive function, social interaction, communication, and/or intellectual ability in ID, ASD, and SCZ appear to emerge from altered neural microstructure, function, and/or wiring rather than gross changes in neuron number or morphology. Here, we review evidence that these disorders may share a common underlying neuropathy: altered excitatory synapse function. We focus on the most promising candidate genes affecting glutamatergic synapse function, highlighting the likely disease-relevant functional consequences of each. We first present a brief overview of glutamatergic synapses and then explore the genetic and phenotypic evidence for altered glutamate signaling in ID, ASD, and SCZ.
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