Medical Hypotheses
Volume 66, Issue 2 , Pages 300-308, 2006

From genes to brain oscillations: Is the visual pathway the epigenetic clue to schizophrenia?

  • J.A. González-Hernández

      Affiliations

    • Department of Clinical Neurophysiology and Department of Psychiatry, Hermanos Ameijeiras Hospital, Havana 3, 10300, Cuba
    • Corresponding Author InformationCorresponding author. Present address. Department of Endocrinology, University of Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany. Tel.: +49 211 8116829.
  • ,
  • C. Pita-Alcorta

      Affiliations

    • Department of Psychiatry, Corynthia Primary Health Care Centre, Havana 4, 10400, Cuba
  • ,
  • I.R. Cedeño

      Affiliations

    • Department of Clinical Neurophysiology and Department of Psychiatry, Hermanos Ameijeiras Hospital, Havana 3, 10300, Cuba

Received 8 July 2005; accepted 25 July 2005. published online 04 October 2005.

Summary 

Molecular data and gene expression data and recently mitochondrial genes and possible epigenetic regulation by non-coding genes is revolutionizing our views on schizophrenia. Genes and epigenetic mechanisms are triggered by cell–cell interaction and by external stimuli. A number of recent clinical and molecular observations indicate that epigenetic factors may be operational in the origin of the illness. Based on the molecular insights, gene expression profiles and epigenetic regulation of gene, we went back to the neurophysiology (brain oscillations) and found a putative role of the visual experiences (i.e. visual stimuli) as epigenetic factor.

The functional evidences provided here, establish a direct link between the striate and extrastriate unimodal visual cortex and the neurobiology of the schizophrenia. This result support the hypothesis that ‘visual experience’ has a potential role as epigenetic factor and contribute to trigger and/or to maintain the progression of the schizophrenia. In this case, candidate genes sensible for the visual ‘insult’ may be located within the visual cortex including associative areas, while the integrity of the visual pathway before reaching the primary visual cortex is preserved. The same effect can be perceived if target genes are localised within the visual pathway, which actually, is more sensitive for ‘insult’ during the early life than the cortex per se. If this process affects gene expression at these sites a stably sensory specific ‘insult’, i.e. distorted visual information, is entering the visual system and expanded to fronto-temporo-parietal multimodal areas even from early maturation periods. The difference in the timing of postnatal neuroanatomical events between such areas and the primary visual cortex in humans (with the formers reaching the same development landmarks later in life than the latter) is ‘optimal’ to establish an abnormal ‘cell- communication’ mediated by the visual system that may further interfere with the local physiology.

In this context the strategy to search target genes need to be rearrangement and redirected to visual-related genes. Otherwise, psychophysics studies combining functional neuroimage, and electrophysiology are strongly recommended, for the search of epigenetic clues that will allow to carrier gene association studies in schizophrenia.

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PII: S0306-9877(05)00422-6

doi:10.1016/j.mehy.2005.07.032

Medical Hypotheses
Volume 66, Issue 2 , Pages 300-308, 2006