Evidence map›Paper›PMID 40858782›Full record

ArticleMolecular psychiatry2026

Extracellular matrix dysfunction and synaptic alterations in schizophrenia.

Paula Unzueta-Larrinaga, Esteban Cuesta-Vega, Rocío Barrena-Barbadillo, Estibaliz Olabarrieta, Maria Recio-Barbero, Igor Horrillo, Oihane Mentxaka, Rafael Segarra, J Javier Meana, Juan Nacher and 3 more

Abstract read
In one paragraph

Article in Molecular psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Olfactory models as a platform for neuroscience research.Frontiers in cellular neuroscience · 2026
    Review
  6. Review
  7. Review
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

13 authors.

Paula Unzueta-LarrinagaDepartment of Pharmacology, University of the Basque Country UPV/EHU, Leioa, Spain.
Esteban Cuesta-VegaDepartment of Pharmacology, University of the Basque Country UPV/EHU, Leioa, Spain.
Rocío Barrena-BarbadilloBiobizkaia Health Research Institute, Barakaldo, Spain.
Estibaliz OlabarrietaDepartment of Pharmacology, University of the Basque Country UPV/EHU, Leioa, Spain.
Maria Recio-BarberoBiobizkaia Health Research Institute, Barakaldo, Spain.
Igor HorrilloDepartment of Pharmacology, University of the Basque Country UPV/EHU, Leioa, Spain.
Oihane MentxakaBiobizkaia Health Research Institute, Barakaldo, Spain.
Rafael SegarraBiobizkaia Health Research Institute, Barakaldo, Spain.
J Javier MeanaDepartment of Pharmacology, University of the Basque Country UPV/EHU, Leioa, Spain.ORCID http://orcid.org/0000-0002-7913-6714
Juan NacherCentro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain.ORCID http://orcid.org/0000-0001-7599-3957
Rebeca Diez-AlarciaDepartment of Pharmacology, University of the Basque Country UPV/EHU, Leioa, Spain.ORCID http://orcid.org/0000-0002-0806-9825
Luis F CalladoDepartment of Pharmacology, University of the Basque Country UPV/EHU, Leioa, Spain.ORCID http://orcid.org/0000-0001-9941-012X
Leyre UrigüenDepartment of Pharmacology, University of the Basque Country UPV/EHU, Leioa, Spain. leyre.uriguen@ehu.eus.ORCID http://orcid.org/0000-0002-1296-6895

Funding

Eusko Jaurlaritza (Basque Government) 2023111018
6 · The paper itself

Abstract

Schizophrenia is a complex disorder with strong evidence implicating neurodevelopmental abnormalities in its pathophysiology. Olfactory neuroepithelial cells from patients provide a unique platform for studying neurodevelopmental processes. These cells can be cultured into neurospheres and differentiated into neurons, allowing the study of patient-specific alterations related to the disorder. In this study, we utilized olfactory neuroepithelial cells from patients with schizophrenia and controls to explore putative neurodevelopmental dysregulations. RNA-sequencing of neurospheres transcriptome revealed significant alterations in extracellular matrix-related gene expression, suggesting extracellular matrix dysregulation as an underlying contributor to schizophrenia etiopathogenesis. Upon differentiation of olfactory neuroepithelial cells into neurons, transcriptomic analysis identified a significant downregulation of genes involved in synaptic organization and extracellular matrix interactions. To validate these findings, we quantified the protein levels of these genes in olfactory neuroepithelium-derived neurons and in postmortem dorsolateral prefrontal cortex tissue from schizophrenia patients and matched controls. Consistent with our transcriptomic data, schizophrenia subjects exhibited decreased levels of L1CAM, SCG2, and NPTXR proteins. Furthermore, we identified a correlation between the protein levels of L1CAM and NPTXR in the brains of individuals with schizophrenia, a relationship that was absent in control subjects. Our findings provide robust evidence for extracellular matrix and synaptic dysregulation in schizophrenia, linking neurodevelopmental disruptions to molecular alterations in both patient-derived cellular models and postmortem brain. These results underscore the utility of olfactory neuroepithelium cells as a model for studying the neurodevelopmental basis of schizophrenia. They also highlight extracellular matrix-related pathways as potential targets for future search of biomarkers and therapeutic development.

Indexed as

Extracellular MatrixSchizophreniaAdultCell DifferentiationFemaleHumansMaleMiddle AgedNeuroepithelial CellsNeuronsOlfactory MucosaPrefrontal CortexSynapsesTranscriptome

Identifiers

PMID40858782
PMCPMC12700823

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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.