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A Candidate for Psychiatric Illnesses

Atsushi Kamiya, MD, PhD; Perciliz L. Tan, BSc; Ken-ichiro Kubo, MD, PhD; Caitlin Engelhard, BSc; Koko Ishizuka, MD, PhD; Akiharu Kubo, MD, PhD; Sachiko Tsukita, PhD; Ann E. Pulver, ScD; Kazunori Nakajima, MD, PhD; Nicola G. Cascella, MD; Nicholas Katsanis, PhD; Akira Sawa, MD, PhD

Arch Gen Psychiatry. 2008;65(9):996-1006.

Context  A role for the centrosome has been suggested in the pathology of major mental illnesses, especially schizophrenia (SZ).

Objectives  To show that pericentriolar material 1 protein (PCM1) forms a complex at the centrosome with disrupted-in-schizophrenia 1 (DISC1) and Bardet-Biedl syndrome 4 protein (BBS4), which provides a crucial pathway for cortical development associated with the pathology of SZ. To identify mutations in the PCM1 gene in an SZ population.

Design  Interaction of DISC1, PCM1, and BBS proteins was assessed by immunofluorescent staining and coimmunoprecipitation. Effects of PCM1, DISC1, and BBS on centrosomal functions and corticogenesis in vivo were tested by RNA interference. The PCM1 gene was examined by sequencing 39 exons and flanking splice sites.

Setting  Probands and controls were from the collection of one of us (A.E.P.).

Patients  Thirty-two probands with SZ from families that had excess allele sharing among affected individuals at 8p22 and 219 white controls.

Main Outcome Measures  Protein interaction and recruitment at the centrosome in cells; neuronal migration in the cerebral cortex; and variant discovery in PCM1 in patients with SZ.

Results  PCM1 forms a complex with DISC1 and BBS4 through discrete binding domains in each protein. DISC1 and BBS4 are required for targeting PCM1 and other cargo proteins, such as ninein, to the centrosome in a synergistic manner. In the developing cerebral cortex, suppression of PCM1 leads to neuronal migration defects, which are phenocopied by the suppression of either DISC1 or BBS4 and are exacerbated by the concomitant suppression of both. Furthermore, a nonsense mutation that segregates with SZ spectrum psychosis was found in 1 family.

Conclusions  Our data further support for the role of centrosomal proteins in cortical development and suggest that perturbation of centrosomal function contributes to the development of mental diseases, including SZ.

Author Affiliations: Departments of Psychiatry and Behavioral Sciences (Drs Kamiya, Ishizuka, Pulver, Cascella, and Sawa and Ms Engelhard) and Neuroscience (Dr Sawa) and Institute of Genetic Medicine (Ms Tan and Dr Katsanis), Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Anatomy, Keio University School of Medicine, Tokyo, Japan (Drs K-I. Kubo and Nakajima); and Department of Cell Biology, School of Health Sciences, Faculty of Medicine, Kyoto University and Solution Oriented Research for Science and Technology, Japan Science and Technology Corporation, Kyoto, Japan (Drs A. Kubo and Tsukita).

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Arch Gen Psychiatry. 2008;65(9):991.
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