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Abstract #3564

N-acetyl-aspartyl-glutamate in first-episode psychosis

Anouk Marsman 1 , Subechhya Pradhan 1 , Candice Ford 2 , Ashley Lloyd 2 , Teppei Tanaka 2 , Akira Sawa 2 , and Peter B. Barker 1

1 Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States, 2 Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States

The glutamatergic system plays a role in the pathophysiology of schizophrenia. N-acetyl-aspartyl-glutamate (NAAG) modulates this system and may therefore be implicated in schizophrenia. Interim analyses of an ongoing study show that patients with first-episode psychosis show significantly (p<0.05) lower NAAG levels and NAAG/NAA ratios in the centrum semiovale as compared to healthy matched controls. This could be due to altered activity of glutamate carboxypeptidase II (GCP2), which converts NAAG into N-acetyl-aspartate (NAA) and glutamate, and regulates synaptic NAAG concentrations.

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