Evidence map›Paper›PMID 29503098›Full record

ReviewEuropean psychiatry : the journal of the Association of European Psychiatrists2018

The tetrapartite synapse: a key concept in the pathophysiology of schizophrenia.

Gabriele Chelini, Harry Pantazopoulos, Peter Durning, Sabina Berretta

Open access · bronzeAbstract readReview
In one paragraph

Review in European psychiatry : the journal of the Association of European Psychiatrists, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Clozapine induces perineuronal net remodeling in a developmental mouse model exhibiting schizophrenia-relevant phenotypes.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Gabriele CheliniTranslational Neuroscience Laboratory, Mclean Hospital, 115 Mill Street, Belmont, MA, 02478 USA; Dept. of Psychiatry, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115 USA. Electronic address: gchelini@partners.org.
Harry PantazopoulosTranslational Neuroscience Laboratory, Mclean Hospital, 115 Mill Street, Belmont, MA, 02478 USA; Dept. of Psychiatry, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115 USA. Electronic address: hpantazopoulos@mclean.harvard.edu.
Peter DurningTranslational Neuroscience Laboratory, Mclean Hospital, 115 Mill Street, Belmont, MA, 02478 USA. Electronic address: pdurning@oberlin.edu.
Sabina BerrettaTranslational Neuroscience Laboratory, Mclean Hospital, 115 Mill Street, Belmont, MA, 02478 USA; Dept. of Psychiatry, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115 USA; Program in Neuroscience, Harvard Medical School, 220 Longwood Ave., Boston, MA, 02115 USA. Electronic address: s.berretta@mclean.harvard.edu.
Lemuel Shattuck Hospital · USHarvard University · USMcLean Hospital · US

Funding

Role of the Extracellular Matrix in the Pathophysiology of Alzheimer's disorder: Regulation by OTX2R01MH104488 · NIMH · MCLEAN HOSPITAL · PI BERRETTA, SABINA, WOO, TSUNG-UNG W. · 2015 to 2019
$2.8M
Disruption of Extracellular Matrix-Glial Interactions in SchizophreniaR01MH086522 · NIMH · MCLEAN HOSPITAL · PI BERRETTA, SABINA · 2011 to 2015
$2.0M
Thalamic axonal pathways and extracellular matrix abnormalities in schizophreniaR01MH105608 · NIMH · MCLEAN HOSPITAL · PI BERRETTA, SABINA · 2015 to 2018
$1.8M
Cortico-Amygdalo-Thalamic Circuitry in Rodent and HumanR01MH066955 · NIMH · MC LEAN HOSPITAL (BELMONT, MA) · PI BERRETTA, SABINA · 2003 to 2007
$875k
NIMH NIH HHS HHSN271201300030CNIMH NIH HHS R01 MH066955NIMH NIH HHS R01 MH086522NIMH NIH HHS R01 MH104488NIMH NIH HHS R01 MH105608
6 · The paper itself

Abstract

Growing evidence points to synaptic pathology as a core component of the pathophysiology of schizophrenia (SZ). Significant reductions of dendritic spine density and altered expression of their structural and molecular components have been reported in several brain regions, suggesting a deficit of synaptic plasticity. Regulation of synaptic plasticity is a complex process, one that requires not only interactions between pre- and post-synaptic terminals, but also glial cells and the extracellular matrix (ECM). Together, these elements are referred to as the 'tetrapartite synapse', an emerging concept supported by accumulating evidence for a role of glial cells and the extracellular matrix in regulating structural and functional aspects of synaptic plasticity. In particular, chondroitin sulfate proteoglycans (CSPGs), one of the main components of the ECM, have been shown to be synthesized predominantly by glial cells, to form organized perisynaptic aggregates known as perineuronal nets (PNNs), and to modulate synaptic signaling and plasticity during postnatal development and adulthood. Notably, recent findings from our group and others have shown marked CSPG abnormalities in several brain regions of people with SZ. These abnormalities were found to affect specialized ECM structures, including PNNs, as well as glial cells expressing the corresponding CSPGs. The purpose of this review is to bring forth the hypothesis that synaptic pathology in SZ arises from a disruption of the interactions between elements of the tetrapartite synapse.

Indexed as

AnimalsBrainChondroitin Sulfate ProteoglycansExtracellular MatrixHumansNeuronal PlasticitySchizophreniaSynapsesChondroitin Sulfate ProteoglycansAstrocytesChondroitin sulfate proteoglycansExtracellular matrixMicrogliaNG2 cellsPerineuronal nets

Identifiers

PMID29503098
PMCPMC5963512
OpenAlexW2791849756

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.