Evidence map›Paper›PMID 33837272›Full record

ArticleMolecular psychiatry2021

Elevated expression of complement C4 in the mouse prefrontal cortex causes schizophrenia-associated phenotypes.

Mélanie Druart, Marika Nosten-Bertrand, Stefanie Poll, Sophie Crux, Felix Nebeling, Célia Delhaye, Yaëlle Dubois, Manuel Mittag, Marion Leboyer, Ryad Tamouza and 2 more

Abstract read
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In one paragraph

Article in Molecular psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.2field-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

32 citing papers in PubMed, 58 citations in OpenAlex.

  1. Article
  2. Whole brain grey matter synaptic terminal density, age and intellectual functioning in schizophrenia: an in vivo [Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Microdosing Psychedelics to Restore Synaptic Density in Schizophrenia.International journal of molecular sciences · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Synaptic pruning in schizophrenia is not classical.Brain, behavior, and immunity · 2024
    Article
  16. Article
  17. Article
  18. Article
  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

12 authors at 2 institutions in 2 countries.

Mélanie DruartINSERM UMR-S 1270, Paris, France.ORCID http://orcid.org/0000-0001-8581-7113
Marika Nosten-Bertrand *INSERM UMR-S 1270, Paris, France.
Stefanie Poll *Neuroimmunology and Imaging Group, German Center for Neurodegenerative Diseases, Bonn, Germany.ORCID http://orcid.org/0000-0001-5301-2791
Sophie Crux *Neuroimmunology and Imaging Group, German Center for Neurodegenerative Diseases, Bonn, Germany.
Felix Nebeling *Neuroimmunology and Imaging Group, German Center for Neurodegenerative Diseases, Bonn, Germany.
Célia DelhayeINSERM UMR-S 1270, Paris, France.
Yaëlle DuboisINSERM UMR-S 1270, Paris, France.
Manuel MittagNeuroimmunology and Imaging Group, German Center for Neurodegenerative Diseases, Bonn, Germany.
Marion LeboyerINSERM U955, Neuro-Psychiatrie Translationnelle, Université Paris-Est, Créteil, France.
Ryad TamouzaINSERM U955, Neuro-Psychiatrie Translationnelle, Université Paris-Est, Créteil, France.ORCID http://orcid.org/0000-0003-3992-9565
Martin FuhrmannNeuroimmunology and Imaging Group, German Center for Neurodegenerative Diseases, Bonn, Germany.
Corentin Le MagueresseINSERM UMR-S 1270, Paris, France. corentin.le-magueresse@inserm.fr.ORCID http://orcid.org/0000-0001-8418-4991
Inserm · FRGerman Center for Neurodegenerative Diseases · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accumulating evidence supports immune involvement in the pathogenesis of schizophrenia, a severe psychiatric disorder. In particular, high expression variants of C4, a gene of the innate immune complement system, were shown to confer susceptibility to schizophrenia. However, how elevated C4 expression may impact brain circuits remains largely unknown. We used in utero electroporation to overexpress C4 in the mouse prefrontal cortex. We found reduced glutamatergic input to pyramidal cells of juvenile and adult, but not of newborn C4-overexpressing (C4-OE) mice, together with decreased spine density, which mirrors spine loss observed in the schizophrenic cortex. Using time-lapse two-photon imaging in vivo, we observed that these deficits were associated with decreased dendritic spine gain and elimination in juvenile C4-OE mice, which may reflect poor formation and/or stabilization of immature spines. In juvenile and adult C4-OE mice, we found evidence for NMDA receptor hypofunction, another schizophrenia-associated phenotype, and synaptic accumulation of calcium-permeable AMPA receptors. Alterations in cortical GABAergic networks have been repeatedly associated with schizophrenia. We found that functional GABAergic transmission was reduced in C4-OE mice, in line with diminished GABA release probability from parvalbumin interneurons, lower GAD67 expression, and decreased intrinsic excitability in parvalbumin interneurons. These cellular abnormalities were associated with working memory impairment. Our results substantiate the causal relationship between an immunogenetic risk factor and several distinct cortical endophenotypes of schizophrenia and shed light on the underlying cellular mechanisms.

Indexed as

Prefrontal CortexSchizophreniaAnimalsComplement C4InterneuronsMiceParvalbuminsPhenotypeComplement C4Parvalbumins

Identifiers

PMID33837272
OpenAlexW3147826777

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.