# Animal model of schizophrenia

Research into the mental disorder of schizophrenia, involves multiple animal models as a tool, including in the preclinical stage of drug development.
Several models simulate schizophrenia defects. These fit into four basic categories: pharmacological models, developmental models, lesion models, and genetic models. Historically, pharmacological, or drug-induced models were the most widely used. These involve the manipulation of various neurotransmitter systems, including dopamine, glutamate, serotonin, and GABA. Lesion models, in which an area of an animal's brain is damaged, arose from theories that schizophrenia involves neurodegeneration, and that problems during neurodevelopment cause the disease. Traditionally, rodent models of schizophrenia mostly targeted symptoms analogous to the positive symptoms of schizophrenia, with some models also having symptoms similar to the negative symptoms. Recent developments in schizophrenia research, however, have targeted cognitive symptoms as some of the most debilitating and influential in patients' daily lives, and thus have become a larger target in animal models of schizophrenia. Animals used as models for schizophrenia include rats, mice, and primates.

## Uses and limitations

The modelling of schizophrenia in animals can range from attempts to imitate the full extent of symptoms found in schizophrenia, to more specific modelling which investigate the efficacy of antipsychotic drugs. Each extreme has its limitations, with whole-syndrome modeling often failing due to the complexity and heterogeneous nature of schizophrenia, as well as difficulty translating human specific diagnostic criteria such as disorganized speech to animals. Antipsychotic-specific modelling faces similar issues, one of which is that it is not useful for discovering drugs with unique mechanisms of action, while traditional medications for schizophrenia have generalized effects (blocking of dopamine receptors) that make it difficult to attribute outcomes to schizophrenia specifically. Developing models based on a particular sign or symptom of schizophrenia has thus become a more common approach. This approach has the advantage that the results are more likely to be valid across the species boundary.
In order for an animal model to be useful in developing treatments, results from the animal model must translate into results in the patient with schizophrenia, this is called the validity of the model. Criteria for assessing the validity of animal models of schizophrenia include face validity, construct validity, and predictive validity. While no animal model can fully encompass all aspects of schizophrenia, progress has been made in using animals to model schizophrenia and its relationship to other mental disorders, such as addiction.

## Phenotype

The validity of an animal model of schizophrenia can be measured using several behavioural, cellular and anatomical traits (the phenotype of the model).

### Behavioural traits
#### Prepulse inhibition

    Prepulse inhibition (PPI) is the inhibition of the response to a startling stimulus when the stimulus is preceded by a weaker stimulus. Abnormalities in PPI are seen in patients with schizophrenia.

#### Latent inhibition

    Anomalies in latent inhibition have been linked with schizophrenia in acute events. in latent inhibition, frequent presentation of a stimulus reduces the rate at which the stimulus produces meaning.

#### Paired click gating

    In Paired-click gating or P50 gating, a click which quickly follows a previous click produces a reduced response. This gating is reduced in schizophrenia patients relative to normal subjects.

#### Social withdrawal

    One of the negative symptoms of schizophrenia is social withdrawal, this has been modelled by socially isolating animals.

#### Locomotor traits

    Some locomotor changes, including stereotypy, are used to test the validity of animal models. Locomotor anomalies are often found in patients with schizophrenia.

#### Context Processing

    One cognitive symptom of schizophrenia is deficits in context processing. Animal models of schizophrenia have shown some validity in replicating a schizophrenia specific pattern of context processing deficits

#### Working Memory

    Deficits in working memory are a core deficit in schizophrenia patients, with comparable deficits being used as a measure of validity in animal models.

### Other traits
#### Cortical volume

    Reduced volume of the prefrontal cortex is an anatomical trait of schizophrenia patients which is used to test the validity of animal models.

#### NMDA receptor gene expression

    Variations in the expression of the NR$_{2B}$ and NR$_1$ subunits of the NMDA receptor are used to test developmental animal models.

#### Dopamine release

    Neuroimaging studies on patients with schizophrenia have found increased dopamine release after treatment with amphetamine relative to normal controls.

## Pharmacological models
### Dopamine

In the dopamine hypothesis of schizophrenia, schizophrenia was hypothesised to be caused by disturbed dopamine neurotransmission. Dopamine is a monoamine neurotransmitter which is involved in other diseases, such as Parkinson's disease. There is evidence for increased activity of the mesolimbic pathway, a dopaminergic pathway, in schizophrenia patients. This comes from the discovery of increased L-DOPA decarboxylase levels in the brains of these patients. L-DOPA decarboxylase is an enzyme which converts L-DOPA to dopamine by removing a carboxyl group. Animal models were first produced for schizophrenia by altering the dopaminergic system using drugs.
Persistent treatment of rodents with amphetamine models show symptoms of schizophrenia including hyperactivity, enduring prepulse inhibition abnormalities, and cognitive abnormalities associated with the prefrontal cortex including attention deficits. Neither negative symptoms, such as problems with social interaction, or hippocampus-related deficits are observed in amphetamine rodent models. The antipsychotics clozapine and haloperidol reverse the effects of amphetamine on attention in rats.

### Glutamate

Glutamate is the most abundant excitatory neurotransmitter in vertebrate nervous systems. Evidence for the involvement of glutamate in schizophrenia includes analogous symptoms which are produced by glutamate NMDA receptor antagonists such as phencyclidine (PCP) and ketamine. PCP is a non-competitive NMDA receptor antagonist which produces hallucinations and delusions in normal subjects. In rat models, disturbed cognition, deficits in social interaction, locomotor anomalies, and prepulse inhibition deficits are seen on acute administration of PCP. Evidence that persistent PCP use and abuse in humans results in lasting deficits beyond the period of treatment has led to the suggestion that this regime in rodents may be a more accurate model of schizophrenia than acute administration. A number of protocols for chronic PCP animal models have been developed, with different effects. The effects of some, but not all protocols can be reversed by treatment with antipsychotics. In a primate model, PCP was found to induce cognitive impairments which were reversed with clozapine.

### Serotonin

Serotonin is a monoamine neurotransmitter which has been associated with schizophrenia. The psychedelic drug classes indoleamines and phenethylamines can affect serotoninergic 5-HT$_{2A}$ receptors. LSD, an indoleamine, affects startle habituation and prepulse inhibition of startle, which are indicators of human schizophrenia.

### GABA

Gamma-Aminobutyric acid (GABA) is a major inhibitory neurotransmitter. The GABAergic system may be involved in schizophrenia due to its interactions with the dopaminergic system. Picrotoxin, an antagonist for the GABA$_A$ receptor, produces prepulse inhibition of startle in rats. Haloperidol, an antipsychotic drug, reduces this effect.

## Lesions

Studies into the neurodevelopmental and neurodegenerative aspects of schizophrenia have led to the use of lesion models to investigate these aspects. A lesion is damage to an area of tissue by any cause. The evidence for the neurodegenerative theory is a reduction in the volume of the cerebral cortex and an increase in the volumes of the ventricles (cavities in the brain containing cerebrospinal fluid) associated with schizophrenia. Most neurodegenerative diseases produce increased levels of glial cells such as astrocytes, this is not found in schizophrenia. The evidence in favour of the neurodevelopmental theory includes the connection of some physical abnormalities with schizophrenia.
Brain regions used in lesion models of schizophrenia include the prefrontal cortex, the hippocampal formation, and the thalamus. In rat models, lesions of the prefrontal cortex have produced increased and protracted response to stress and a lower prepulse inhibition of startle when treated with apomorphine.

### Neonatal ventral hippocampal lesion

Neonatal lesions of the ventral part of the hippocampus in rats (NVHL rats) is a widely studied developmental animal model of schizophrenia. NVHL rats mimic many of the symptoms of schizophrenia in detail. The behavioural deficits caused by NVHL are seen after puberty and include aggression and social interaction abnormalities. The precise effects of the lesion depend on the day on which it is administered.

## Developmental models

There is evidence from epidemiological studies that environmental factors during gestation or around childbirth can increase the probability of someone developing schizophrenia.

### Methylazoxymethanol acetate

Methylazoxymethanol acetate (MAM) is used during gestation to affect aspects of neural development. MAM selectively targets neuroblasts in the central nervous system. As neuroblasts are cells which become neurons, interfering with them using MAM inhibits the areas of the brain which are developing most quickly. The effects of MAM therefore depend on the stage of development at which it is administered, or the gestational age of the subject. In rat studies, administration of MAM at day 17 of gestation (GD17) results in several cognitive and anatomical changes which are common to schizophrenia patients. The thickness of the hippocampus and the thalamus are reduced, the locomotor effects of amphetamines and the spontaneous firing rate of dopominergic neurons in the ventral tegmental area are increased, and defects in working spatial memory are observed.

### Social isolation

Rats have a specific social organization within colonies. In social isolation models, pups which are placed in separate cages after being weaned show behavioural changes as adults and altered neural development. These changes remain after being re-introduced into the colony in adulthood. The behavioural deficits caused include neophobia, a larger response to new stimulus, locomotor hyperactivity, and increased aggression. Social isolation rats' inability to habituate to new environments may be caused by an increased mesolimbic dopaminergic activity.

## Genetic models

Studies involving twins have shown that schizophrenia is a heritable disease. While no one gene is responsible for the disease, a large number of possible genes have been identified. Genetic animal models of schizophrenia often involve knockout mice, genetically modified mice where one or more of these genes is removed or disrupted.

### DISC1

Disrupted in schizophrenia 1 (DISC1) was one of the first genes discovered to be involved in schizophrenia. As of 2011, seven different strains of DISC1 mouse models had been developed. As in schizophrenia patients, DISC1 mice have an increased lateral ventricle size, reduced cortical size, changes to the hippocampus, and changes to prepulse inhibition of startle which are reversed on treatment with haloperidol and clozapine.
One DISC1 mouse model is induced by the mutagenic chemical ENU. ENU introduces missense point mutations; screening for mutations in a particular exon of DISC1 can produce mouse models with schizophrenia-like behavioural deficits.

### Neuregulin 1 and associated genes

The gene NRG1 codes for neuregulin 1, a growth factor which is crucial to the development of the nervous system, and to neurotransmission and formation of synapses in adults. NRG1 and the gene for the receptor to which neuregulin 1 binds, ERBB4, have been tested as possible animal models of schizophrenia. While mice which have two copies of (are homozygous for) a knocked out version of NRG1 do not survive, viable animal models have been developed using heterozygous or partial knockout. One such mouse model is the heterozygous removal of the EGF-like domain on neuregulin 1, these models are called Nrg1(ΔEGF)$^{+/−}$ mice. Nrg1(ΔEGF)$^{+/−}$ mice have been shown to have social interaction problems, reduced prepulse of inhibition and greater spontaneous locomotion. Other neuregulin 1 models include the heterozygous removal of the transmembrane domain (Nrg1(ΔTM)$^{+/−}$ mice) and the immunoglobulin domain (Nrg1(ΔIg)$^{+/−}$ mice). Nrg1(ΔTM)$^{+/−}$ mice display hyperactivity in various conditions, an effect which is reduced by the atypical antipsychotic clozapine.

### Dysbindin

Dysbindin is a protein coded for by the gene DTNBP1, which has been linked to schizophrenia. Dysbindin may be involved in the changes to neurotransmission observed in patients with schizophrenia. According to SA Jones et al, DTNBP1 is "currently thought to be one of the most promising candidate genes for schizophrenia susceptibility". One naturally occurring animal model involving dysbindin, the sdy (sandy) mouse, has a number of anatomical changes compared to normal mice, including changes to the hippocampus. Sdy mice have homozygous mutations to DTNBP1, and lack the ability to produce dysbindin, heterozygous mutants can be produced by crossing sdy mice with a strain of normal mice.

### Reelin

Reelin is a protein which is involved in synaptic plasticity and synaptogenesis in the brain. In the frontal cortices, cerebellums, and hippocampi of schizophrenia patients, the amount of the protein and its messenger RNA are reduced. Knockout mice in which the reelin gene is disrupted are called reeler mice. In homozygous reeler mice, extreme changes in gait and other behavioural anomalies are seen (illustrated in video); these changes go beyond those associated with schizophrenia.
Heterozygous reeler mice display lower social dominance in some tests, but other social deficits seen in schizophrenia are absent. Reeler mice also have schizophrenia-like anatomical defects in the frontal cortex, but have few cognitive defects which are associated with that area and found in schizophrenia. Tests using the Morris water maze have found that reeler mice do not have the abnormalities in spatial reference memory which are found in patients with schizophrenia.

### Other genetic models
#### G72/G30

    The G72/G30 gene complex is a possible risk factor for schizophrenia; male animal mutants have less aggressive behaviours and have olfactory abnormalities.

#### PPP$_3$CC

    PPP$_3$CC is a gene in which mutations are risk factors for schizophrenia; knockout animal models have social deficits.
16p11.2 Duplication
Micro-duplications of a 600 kb region of chromosome 16p11.2 have been associated with a significantly increased risk of schizophrenia. This is a region that is conserved across several species, including mice and rats. This has made it a popular target site for current research into rodent models of schizophrenia.
22q11.2 Deletion
A deletion in chromosome 22q11.2 is the strongest known genetic risk associated with schizophrenia, with 25% of individuals with this deletion ultimately testing positive for schizophrenia.