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Commentary| Volume 70, ISSUE 4, P306-307, August 15, 2011

Evidence for Neurodegeneration and Neuroplasticity as Part of the Neurobiology of Suicide

      Two manuscripts appear in this issue of Biological Psychiatry involving suicide. Ernst et al. (
      • Ernst C.
      • Nagy C.
      • Kim S.
      • Yang J.P.
      • Deng X.
      • Hellstrom I.C.
      • et al.
      Dysfunction of astrocyte connexins 30 and 43 in dorsal lateral prefrontal cortex of suicide completers.
      ) found reduced expression of connexin 30 and connexin 43, which regulate calcium transients in the lateral prefrontal cortex of suicide completers. It is thought that astrocytes express connexins and it is argued that altered connexins affect astrocyte function, which could contribute to suicide. Cyprien et al. (
      • Cyprien F.
      • Courtet P.
      • Malafosse A.
      • Maller J.
      • Meslin C.
      • Bonafé A.
      • et al.
      Suicidal behavior is associated with reduced corpus callosum area.
      ) found that the size of the caudal third of the corpus callosum was reduced in a group of suicide attempters. Taken together, the findings support the notion that there may be a neurobiology of suicide distinct from the psychiatric disorders commonly associated with suicide, involving alterations in glia, white matter, and by extension, the regions where the astrocytes are derived from (
      • Ernst C.
      • Nagy C.
      • Kim S.
      • Yang J.P.
      • Deng X.
      • Hellstrom I.C.
      • et al.
      Dysfunction of astrocyte connexins 30 and 43 in dorsal lateral prefrontal cortex of suicide completers.
      ) and where the regions contribute fiber tracts to the corpus callosum (
      • Cyprien F.
      • Courtet P.
      • Malafosse A.
      • Maller J.
      • Meslin C.
      • Bonafé A.
      • et al.
      Suicidal behavior is associated with reduced corpus callosum area.
      ). Given the markedly different substrates (astrocytes vs. white matter; prefrontal cortex vs. corpus callosum), there is the further likelihood that suicide neurobiology has multiple phenotypes involving not only neurodegeneration but also neurodevelopment and neuroplasticity.
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