What's new in KYNA? A review of current literature

Authors

  • Nikodem Skoczeń 2nd Department of Psychiatry and Psychiatric Rehabilitation, Medical University of Lublin Author
  • Emilia Potembska Department of Psychiatric Nursing, Medical University of Lublin Author
  • Marcin Olajossy 2nd Department of Psychiatry and Psychiatric Rehabilitation, Medical University of Lublin Author

Keywords:

kynurenic acid, mental disorders

Abstract

The present article reviews current research on the role of the metabolites and enzymes of the kynurenine pathway in the pathogenesis, and potential new trends in the therapy, of diseases of the central nervous system. The authors present reports on the regulatory role of the kynurenine pathway in the activity of the immune system and the relationships between the activity of the kynurenine pathway and parameters of inflammation. Also discussed is the role of the kynurenine pathway in the pathomechanisms underlying the development of neurodegenerative diseases, schizophrenia, bipolar disorder and migraine. The article presents research on the role of the kynurenine pathway in the body's response to the action of antipsychotic drugs. An interesting line of research in this area concerns the possibilities of influencing the activity of the kynurenine pathway using synthetic compounds. Another new problem in KYNA research is related to changes in the expression of kynurenine 3-monooxygenase, which may turn out to be a risk factor for neurocognitive deficits in schizophrenic patients. Increased prenatal levels of KYNA may be associated with an increased risk of cognitive deficits in adult life. The kynurenine pathway may also play a regulatory role in the physiology of behavior.

References

1. Okuno E., Nakamura M., Schwarcz R. Two kynurenine ami-notransferases in human brain. Brain Res. 1991; 542: 307-312

2. Hilmas C., Pereira E.F., Alkondon M., Rassoulpour A., Schwarcz R., Albuquerque E.X. The brain metabolite kynurenic acid inhibits alpha7 nicotinic receptor activity and increases non alpha7 nico-tinic receptor expression:physiopathological implications J. Neurosci. 2001; 21: 7463-7473

3. Wonodi I., McMahon R.P., Krishna N., Mitchell B.D., Liu J., Glass-man M., Hong L.E., Gold J.M. Influence of kynurenine 3-monooxygenase (KMO) gene polymorphism on cognitive func-tion in schizophrenia. Schizophr. Res. 2014;160(1-3): 80-87

4. Schwieler L., Larsson M.K., Skogh E., Kegel M.E., Orhan F., Abdelmoaty S., Finn A., Bhat M., Samuelsson M., Lundberg K., Dahl M.L., Sellgren C., Schuppe-Koistinen I., Svensson C., Erhardt S., Engberg G. Increased levels of IL-6 in the cerebrospinal fluid of patients with chronic schiz-ophrenia - significance for activation of the kynurenine pathway. J. Psychiatry Neurosci. 2014; 40(2): 126-133

5. Pershing M.L., Bortz D.M., Pocivavsek A., Fredericks P.J., Jørgensen C.V., Vunck S.A., Leuner B., Schwarcz R., Bruno J.P. Ele-vated levels of kynurenic acid during gestation produce neuro-chemical, morphological, and cognitive deficits in adulthood: im-plications for schizophrenia. Neuropharmacology. 2015; 90: 33-41

6. Savitz J., Dantzer R., Wurfel B.E., Victor T.A., Ford B.N., Bodurka J., Bellgowan P.S., Teague T.K., Drevets W.C. Neuroprotective kynurenine metabolite indices are abnormally reduced and posi-tively associated with hippocampal and amygdalar volume in bi-polar disorder. Psychoneuroendocrinology. 2015; 52: 200-211

7. Myint A.M., Kim Y.K., Verkerk R., Park S.H., Scharpe S., Steinbusch H.M., Leonard B.E. Kynurenine pathway in major depression: evidence of impaired neuroprotection J. Affect. Disord. 2007; 98: 143-151

8. Miura H., Ozaki N., Sawada M., Isobe K., Ohta T., Nagatsu T. A link between stress and depression: shifts in the balance between the kynurenine and serotonin pathways of tryptophan metabolism and the etiology and patophysiology of depression. Stress. 2008; 11: 198-209

9. Nguyen N.T., Nakahama T., Le D.H., Van Son L, Chu H.H., Kishimoto T. Aryl hydrocarbon receptor and kynurenine: recent advances in auto-immune disease research. Front Immunol. 2014; 5: 551

10. Tajti J., Majlath Z., Szok D., Csati A., Toldi J., Fulop F., Vecsei L. Novel kynurenic Acid Analogues in the Treatment of Migraine and Neuro-degenerative Disorders: Preclinical Studies and Pharmaceutical De-sign. Curr. Pharm. Des. 2015; 21(17): 2250-2258

11. Karakuła Juchnowicz H., Flis M., Szymona K., Kuczyńska M., Stelmach E., Kowal-Popczak A. Nowe perspektywy w leczeniu przeciwpsychotycznym-znaczenie szlaku kynureninowego Psy-chiatr. Pol. 2014; 48(6): 1167–1177

12. Lemieux G.A., Cunningham K.A., Lin L., Mayer F., Werb Z., Ashrafi K. Kynurenic Acid Is a Nutritional Cue that Enables Behavioral Plasticity. Cell. 2015; 160(1-2): 119-131

13. Toledo-Sherman L.M., Prime M.E., Mrzljak L., Beconi M.G., Ber-esford A., Brookfield F.A., Brown C.J., Cardaun I., Courtney S.M., Dijkman U., Hamelin-Flegg E., Johnson P.D., Kempf V., Lyons K., Matthews K., Mitchell W.L., O'Connell C., Pena P., Powell K., Rassoulpour A., Reed L., Reindl W., Selvaratnam S., Friley W.W., Weddell D.A., Went N.E., Wheelan P., Winkler C., Winkler D., Wityak J., Yarnold C.J., Yates D., Munoz-Sanjuan I., Dominguez C. Development of a Series of Aryl Pyrimidine Kynurenine Monooxygenase Inhibitors as Potential Therapeutic Agents for the Treatment of Huntington's Disease. J. Med. Chem. 2015; 58(3): 1159-1183

14. Miller C.L. The chemical interaction between adrenochrome, three different classes of antipsychotic drugs and metabolites of the kynurenine pathway Eur. Neuropsychopharmacol. 2014; 25(3): 435-440

15. Stahl S.M. Podstawy psychofarmakologii Teoria i praktyka Tom 2. Gdańsk; Via Medica: 2009

16. Olajossy M., Olajossy B., Potembska E., Skoczeń N., Wnuk S., Urbańska E. Stężenie kwasu kynureninowego i wybranych cyto-kine podczas leczenia przeciwdepresyjnego. Neuropsychiatr. Neuropsychol. 2014; 9(2): 55-61

17. Cuartero M.I., Ballesteros I., de la Parra J., Harkin A.L., Abautret-Daly A., Sherwin E., Fernández-Salguero P., Corbí A.L., Lizasoain I., Moro M.A. L-kynurenine/aryl hydrocarbon receptor pathway mediates brain damage after experimental stroke. Circulation. 2014; 130(23): 2040-2051

18. Ormstad H., Verkerk R., Amthor K.F., Sandvik L. Activation of the kynurenine pathway in the acute phase of stroke and its role in fatigue and depression following stroke. J. Mol. Neurosci. 2014; 54(2): 181-187

19. Chauvel V., Vamos E., Pardutz A., Vecsei L., Schoenen J., Multon S. Effect of systemic kynurenine on cortical spreading depression and its modulation by sex hormones in rat Exp. Neurol. 2012; 236(2): 207-214

20. Krause D.L., Riedel M., Müller N., Weidinger E., Schwarz M.J., Myint A.M. Effects of antidepressants and cyclooxygenase-2 in-hibitor on cytokines and kynurenines in stimulated in vitro blood culture from depressed patients. Inflammopharmacology. 2012; 20(3): 169-176

21. Na K.S., Jung H.Y., Kim Y.K. The role of pro-inflammatory cyto-kines in the neuroinflammation and neurogenesis of schizophrenia Prog. Neuropsychopharmacol. Biol. Psychiatry 2014; 3(48): 277-286

22. Coutinho L.G., Christen S., Bellac C.L., Fontes F., de Souza F., Grandgirard D., Leib S.L., Agnez-Lima L.F. The kynurenine path-way is involved in bacterial meningitis. J.Neuroinflammation. 2014; 11(1): 169

23. de Souza F.R., Fontes F.L., da Silva T.A., Coutinho L.G., Leib S.L., Agnez-Lima L.F. Association of kynurenine aminotransferase II gene C401T polymorphism with immune response in patients with meningitis. BMC Med. Genet. 2011; 12: 51

24. Hilgier W., Kocki T., Obara-Michlewska M., Turski W.A., Oja S.S., Saransaari P., Albrecht J. Modulation by kynurenine of extracellu-lar kynurenate and glutamate in cerebral cortex of rats with acute liver failure. Pharmacol Rep. 2014; 66(3): 466-470

25. Yamashita M., Yamamoto T. Tryptophan and kynurenic Acid may produce an amplified effect in central fatigue induced by chronic sleep disorder. Int. J. Tryptophan Res. 2014; 7: 9-14

26. Chiappelli J., Pocivavsek A., Nugent K.L., Notarangelo F.M., Kochunov P., Rowland L.M., Schwarcz R., Hong L.E. Stress-induced increase in kynurenic acid as a potential biomarker for patients with schizophrenia and distress intolerance. JAMA Psy-chiatry. 2014; 71(7): 761-768

27. DeAngeli N.E., Todd T.P., Chang S.E., Yeh H.H., Yeh P.W., Bucci D.J. Exposure to Kynurenic Acid during Adolescence Increases Sign-Tracking and Impairs Long-Term Potentiation in Adulthood. Front. Behav. Neurosci. 2015; 8: 451

28. Stone T.W. Neuropharmacology of quinolinic and kynurenic acids. Pharmacol. Rev. 1993; 45(3): 309–379

29. Wonodi I, Schwarz R. Cortical kynurenine pathway metabolism: a novel target for cognitive enhancement in schizophrenia. Schi-zophr. Bull. 2010; 36(2): 211–218

30. Wójciak P., Remlinger-Molenda A., Sobieska M., Kostrzewa A., Rybakowski J.Ocenapopulacji limfocytów i stężenia cytokin u chorych na schizofrenię. Neuropsychiatria i Neuropsychologia 2012; 7(3): 122–129

31. Olsson SK, Samuelsson M, Saetre P, Lindström L, Jönsson EG, Nordin C. i wsp. Elevated levels of kynurenic acid in the cerebro-spinal fluid of patients with bipolar disorder. J. Psychiatry Neurosci. 2010; 35(3): 195–199

32. Salter M., Hazelwood R., Pogson C.I., Iyer R., Madge D.J. The effects of a novel and selective inhibitor of tryptophan 2,3-dioxygenase on tryptophan and serotonin metabolism in the rat. Biochem. Pharmacol. 1995; 49(10): 1435–1442

33. Baran H., Jellinger K., Deecke L. Kynurenine metabolism in Alz-heimer’s disease. J. Neural. Transm. 1999; 106(2): 165–181

34. Beal MF, Matson WR, Story E, Milbury P, Ryan EA, Ogawa T. i wsp. Kynurenic acid concentration are reduced in Huntington’s dis-ease cerebral cortex. J. Neurol. Sci. 1992; 108(1): 80–87

35. Erhardt S, Schwieler L, Nilsson L, Linderholm K, Engberg G. The kynurenic acid hypothesis of schizophrenia. Physiol. Behav. 2007; 92(1–2): 203–209

36. Heyes M.P., Achim C.L., Wiley C.A., Major E.O., Saito K., Markey S.P. Human microglia convert L-tryptophan into the neurotoxin quinolic acid. Biochem. J. 1996; 320(2): 595–597

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Published

2015-10-18