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S296 Abstracts of the 4th Biennial Schizophrenia International Research Conference / Schizophrenia Research 153, Supplement 1 (2014) S1–S384
service structure and delivery. It remains important to evaluate whether
individual policies are applicable within a local context. Limitations of this
study are that the comparison is with a historical cohort and is confined to
in-patient costs. Further research in this area is required with contempora-
neous control groups. More detailed methods to capture community costs
will reveal to what extent the savings in admission costs are balanced by
increased costs of community service provision.
Poster #T19
ANIMAL MODELS OF SCHIZOPHRENIA SYMPTOMS: POLYDIPSIA
FOLLOWING SUBCHRONIC MK-801, POST-WEANING SOCIAL ISOLATION
OR AMPHETAMINE SENSITIZATION IN RATS
Richard J. Beninger1,2, Emily R. Hawken2
1Depts. Psychology and Psychiatry; 2Queen’s University, Kingston, Canada
Background: Polydipsia is observed in up to 20% of chronic psychiatric pa-
tients with a majority of cases (80%) occurring in patients with schizophre-
nia. Animal models of schizophrenia symptoms including subchronic treat-
ment with a glutamate N-methyl-D-aspartate (NMDA) receptor antagonist,
post-weaning social isolation and amphetamine sensitization reproduce a
number of symptoms including working memory impairments, increased
locomotor responses to amphetamine and impaired sensory-motor gating.
We evaluated the hypothesis that these models will reproduce polydipsia.
Methods: Young adult male rats were injected twice daily with the NMDA
receptor antagonist MK-801 (0.5 mg/kg) or its vehicle for 7 days and then
given a 4-day washout period. Post-weaning rats (age 21 days) were housed
alone (socially isolated) or in groups of 4 for 6 weeks. Young adult male rats
were injected with amphetamine (1.5 mg/kg) or its vehicle once daily for 5
days and given a 4-week withdrawal period. All rats were then restricted
to food access for 2 hr per day. Drinking behavior was evaluated in 21 daily
2-hr sessions using the schedule-induced polydipsia (SIP) procedure in an
operant chamber outfitted with a food hopper and a drinking spout; food
pellets (45 mg) were presented according to a fixed time 1-min schedule
during these sessions. The dependent variable was amount drunk.
Results: As reported previously by a number of researchers, animals
exposed to the SIP procedure developed polydipsia over the course of
testing. Similar animals given the food pellets all at once in a bowl at
the beginning of the 2-hr test session did not develop polydipsia. Animals
previously treated subchronically with MK-801, socially isolated during
the post-waning period or previously sensitized to amphetamine devel-
oped polydipsia but drank significantly more than their respective control
groups. These treatments were not associated with a change in amount
drunk in the home cage. Rats tended to spend most time at the drinking
spout immediately following pellet presentations.
Discussion: Results supported previous findings showing that exposing
food-restricted rats to intermittent food presentations at regular intervals
leads to the development of excessive drinking. Providing the same amount
of food all at once has no similar effect. There was remarkable conver-
gence of effects of the three animal models of schizophrenia symptoms
on polydipsia. Subchronic NMDA receptor blockade, post-weaning social
isolation and amphetamine sensitization all led to significantly greater
polydipsia than observed in the respective control groups. The mechanisms
underlying this effect remain to be determined. Some evidence relates
hippocampal dysfunction to polydipsia. Subchronic NMDA receptor an-
tagonist treatment has been shown to affect hippocampal GABA neurons
and post-weaning social isolation alters markers of GABA function in the
hippocampus, providing a possible link. These treatments also lead to
augmented dopaminergic neurotransmission as does amphetamine sensi-
tization, implicating dopamine in the mechanism. It has been suggested
that hyperdopaminergia in schizophrenia may be secondary to changes
in hippocampal GABA function. The present results provide convergent
evidence from three different animal models of schizophrenia symptoms
suggesting that polydipsia may result from the same neuropathologies that
lead to other schizophrenia symptoms. (Funded by a grant from the Ontario
Mental Health Foundation)
Poster #T20
THE ASSOCIATION BETWEEN INFECTIONS AND GENERAL COGNITIVE
ABILITY IN YOUNG MEN – A DANISH NATIONWIDE STUDY
Michael E. Benros1,2, Holger Sørensen3, Philip Nielsen4,
Merete Nordentoft5, Preben Bo Mortensen4, Liselotte Petersen4
1Mental Health Centre Copenhagen, Copenhagen University Hospital; 2Mental
Health Centre of Copenhagen, Copenhagen University Hospital and National
Centre for Register-based Research, Aarhus University; 3Mental Health Centre
of Copenhagen, Copenhagen University Hospital; 4National Centre for
Register-based Research, Aarhus University; 5Mental Health Center
Copenhagen
Background: Infections and inflammation have been shown to increase the
risk of mental disorders with affected cognition. Furthermore, infections
and immune components might also affect the developing brain and influ-
ence the cognitive ability in people without mental disorders. However, no
large-scale study has previously investigated the effect of infections on the
general cognitive ability in the general population.
Methods: Danish nationwide registers were linked to establish a cohort of
all 161,696 male conscripts that were tested for cognitive ability during the
years 2006-2012. Severe infections requiring hospitalization was the expo-
sure and draft board general cognitive ability was the dependent variable,
which was based on logical, verbal, numerical and spatial reasoning at a
mean age of 19.4 years with converted test scores to a mean of 100.00.
Results: A prior infection was associated with significantly lower cognitive
ability by a mean of 1.76 (95%CI: -1.92 to -1.61). The cognitive ability was
affected the most with the temporal proximity of the last infection and with
severity measured by days of admission. The cognitive ability decreased by
the amount of infections exposed to, where the highest mean differences
were found for ≥10 hospital contacts for infections (Mean: -5.54; 95%CI:
-7.11 to -3.98), and for ≥5 different types of infections (Mean: -9.44; 95%CI:
-12.6 to -6.26).
Discussion: Independent of a wide range of possible confounders, signifi-
cant associations between infections and cognitive ability were observed.
Infections or related immune responses might directly affect the cognitive
ability; however, associated heritable and environmental factors might also
account for the decreased cognitive ability.
Poster #T21
MATERNAL SMOKING DURING PREGNANCY AND SYMPTOM SEVERITY
AMONG OFFSPRING DURING THEIR FIRST EPISODE OF PSYCHOSIS
Francesco Bernardini1, Michael T. Compton2
1School of Psychiatry – University of Perugia, Perugia, Italy; 2Lenox Hill
Hospital
Background: Maternal smoking during pregnancy is associated with a
number of negative effects for the fetus and later the child, including
adverse neurodevelopmental and behavioral outcomes. Prenatal exposure
to tobacco smoke has been reported to be associated with an increased
incidence of attention-deficit/hyperactivity disorder, conduct disorder, and
reduced cognitive ability. In animal studies, long-term prenatal nicotine
exposure alters the development of a wide spectrum of neuronal systems,
all of which potentially could induce vulnerability to schizophrenia. Epi-
demiological and clinical studies indicate that prenatal tobacco exposure is
associated with various psychiatric symptoms, including psychotic symp-
toms, as well as the development of psychiatric disorders. Fetal exposure
to maternal smoking during pregnancy might also impact illness manifes-
tation among individuals with schizophrenia. Recent findings suggest that
prenatal exposure to tobacco smoke increases risk for later schizophre-
nia and is associated with the development of more prominent negative
symptoms.
Methods: We examined associations between maternal smoking during
pregnancy, using retrospective data provided by mothers, and symptom
severity of first-episode psychosis patients, rated by trained research staff
using the Positive and Negative Syndrome Scale (PANSS). Among 93 first-
episode patients, 19 (20.4%) had been exposed to prenatal tobacco smoke
according to mothers’ reports. The average number of cigarettes smoked
per month during pregnancy was 113.7 (equating to 5.7 packs per month,
or 1.3 packs per week).